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Blood, 11 June 2009, Vol. 113, No. 24, pp. 6120-6127. Prepublished online as a Blood First Edition Paper on February 6, 2009; DOI 10.1182/blood-2008-11-190421.
Submitted November 19, 2008
Hematology Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, United States * Corresponding author; email: childsr{at}nih.gov.
Ligation of inhibitory receptors renders natural killer (NK) cells inactive against autologous tumors. Recently the proteasome inhibitor bortezomib was shown to sensitize tumors to autologous NK cell cytotoxicity in vitro. Here we show bortezomib augments the anti-tumor effects of syngeneic NK cell infusions in tumor-bearing animals with this effect being further enhanced in regulatory T-cell (Tregs) depleted hosts. In vitro, bortezomib treated tumors had higher TRAIL and perforin/granzyme-mediated caspase-8 activity, which enhanced their susceptibility to NK cell lysis. Bioluminescence imaging of mice with established tumors showed treatment with bortezomib and syngeneic NK cells reduced tumor growth and prolonged survival compared to controls receiving bortezomib or NK cells alone. In contrast, tumor progression was not delayed when animals received bortezomib and perforin-deficient NK cells showing drug-induced augmentation in NK cell cytotoxicity was mediated through perforin/granzyme. Furthermore, tumor growth was slower in bortezomib-treated recipients when host Tregs were eradicated with an anti-CD25 antibody prior to infusing NK cells compared to mice without Treg ablation (tumor doubling time 16.7 vs. 4.9 days respectively, p=0.02). These findings suggest that depletion of Tregs followed by bortezomib-induced tumor sensitization to autologous NK cells could be used as a novel strategy to treat cancer.
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