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Immuno-oncological effects of standard anticancer agents and commonly used concomitant drugs: an in vitro assessment
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cancer Pharmacology and Computational Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cancer Pharmacology and Computational Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cancer Pharmacology and Computational Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine. Department of Pelvic Cancer, Genitourinary Oncology Unit, Karolinska University Hospital, Stockholm, Sweden; Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-9484-1983
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2024 (English)In: BMC Pharmacology & Toxicology, E-ISSN 2050-6511, Vol. 25, no 1, article id 25Article in journal (Refereed) Published
Abstract [en]

Background

It has become evident in the field of oncology that the outcome of medical treatment is influenced by the combined effect exerted on both cancer- and immune cells. Therefore, we evaluated potential immunological effects of 46 standard anticancer agents and 22 commonly administered concomitant non-cancer drugs.

Methods

We utilized a miniaturized in vitro model system comprised of fluorescently labeled human colon and lung cancer cell lines grown as monocultures and co-cultured with activated peripheral blood mononuclear cells (PBMCs). The Bliss Independence Model was then applied to detect antagonism and synergy between the drugs and activated immune cells.

Results

Among the standard anticancer agents, tyrosine kinase inhibitors (TKIs) stood out as the top inducers of both antagonism and synergy. Ruxolitinib and dasatinib emerged as the most notably antagonistic substances, exhibiting the lowest Bliss scores, whereas sorafenib was shown to synergize with activated PBMCs. Most concomitant drugs did not induce neither antagonism nor synergy. However, the statins mevastatin and simvastatin were uniquely shown to synergize with activated PBMC at all tested drug concentrations in the colon cancer model.

Conclusion

We utilized a miniaturized tumor-immune model to enable time and cost-effective evaluation of a broad panel of drugs in an immuno-oncology setting in vitro. Using this approach, immunomodulatory effects exerted by TKIs and statins were identified.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 25, no 1, article id 25
Keywords [en]
Anticancer drugs, concomitant drugs, immuno-oncology, in vitro modeling
National Category
Pharmacology and Toxicology Cancer and Oncology
Identifiers
URN: urn:nbn:se:uu:diva-513000DOI: 10.1186/s40360-024-00746-6ISI: 001179090200002PubMedID: 38444002OAI: oai:DiVA.org:uu-513000DiVA, id: diva2:1801486
Funder
Swedish Cancer SocietyUppsala UniversityAvailable from: 2023-10-02 Created: 2023-10-02 Last updated: 2024-04-04Bibliographically approved
In thesis
1. Preclinical tumor-immune modeling: For the identification of immunomodulatory drugs
Open this publication in new window or tab >>Preclinical tumor-immune modeling: For the identification of immunomodulatory drugs
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

For a long time, the field of cancer research was dominated by a tumor cell-centric view. That, however, changed once it became recognized that medical cancer treatment is largely influenced by the combined effect exerted on both cancer and immune cells. In this work, we aimed to develop and apply preclinical model systems for the identification and evaluation of immunomodulatory anti-cancer agents. In Paper I, we employed single-cell RNA sequencing (scRNA-seq) to investigate immunological effects of trifluridine (FTD), a nucleoside analogue used for the treatment of colorectal cancer (CRC). The study revealed that while FTD induces immunogenic cell death (ICD), it may also attenuate T cell-mediated antitumor responses. In paper II and III, we developed and applied a phenotypic screening platform based on a miniaturized tumor-immune model. In paper II, aiming to identify immunological effects of clinical relevance and provide a reference point for screening novel compound libraries, the model system was used to assess a broad panel of standard anticancer agents. In paper III, the platform was used to screen a drug library containing 1280 small molecule drugs, all approved by the FDA or other agencies. Using this approach, statins were identified as enhancers of immune cell-mediated cancer cell killing. Finally, in paper IV, we developed the immuno-oncology hollow fiber assay (HFA) with the goal of bridging the gap between cell based in vitro assays and more complex mouse models for evaluation of immuno-oncological agents. The HFA is an in vivo assay in which semipermeable fibers are filled with cancer cells and implanted in rodents. We further developed the HFA to incorporate both cancer and immune cells. This novel assay demonstrated the potential to capture immune-mediated cancer cell killing in vivo within a matter of days. Collectively, this work provides a research approach for immuno-oncology drug screening, in vitro validation, and initial in vivo evaluation. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2023. p. 54
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1979
Keywords
Immuno-oncology, anti-cancer drugs, preclinical modeling, drug screening, repurposing
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:uu:diva-513004 (URN)978-91-513-1911-7 (ISBN)
Public defence
2023-11-24, H:Son Holmdahl, Akademiska Sjukhuset, Dag Hammarskjölds väg 8, Uppsala, 13:15 (English)
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Available from: 2023-10-31 Created: 2023-10-02 Last updated: 2023-10-31

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Selvin, ToveBerglund, MalinLenhammar, LenaLindskog, MagnusJarvius, MalinLarsson, RolfNygren, PeterFryknäs, MårtenAndersson, Claes R.

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Selvin, ToveBerglund, MalinLenhammar, LenaLindskog, MagnusJarvius, MalinLarsson, RolfNygren, PeterFryknäs, MårtenAndersson, Claes R.
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Cancer Pharmacology and Computational MedicineCancer precision medicineScience for Life Laboratory, SciLifeLabDepartment of Pharmaceutical Biosciences
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BMC Pharmacology & Toxicology
Pharmacology and ToxicologyCancer and Oncology

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