NK CELL STIMULATION OVERCOMES CASTRATION RESISTANCE OF PROSTATE TUMORS (#111)
Introduction
Prostate cancer (PCa) is one of the deadliest and the second most common cancer in western countries. It typically progresses over decades from prostatic intraepithelial neoplasia (PIN) to adenocarcinoma. At advanced stages, PCa is treated with androgen deprivation therapy. However, many patients eventually develop castration-resistant prostate cancer (CRPC) after an initial period of treatment responsiveness. While immunotherapies have recently become a significant cancer treatment, prostate cancer is a 'cold' tumor, unresponsive to most of such approaches. Therefore, it is crucial to identify new therapeutic strategies for CRPC patients.
As the tumor suppressor PTEN is frequently mutated in PCa, we generated genetically-engineered Pten(i)pe-/- mice in which Pten is selectively inactivated in adult prostatic epithelial cells. These mice develop PIN and CRPC characterized by an immunosuppressive microenvironment. In contrast, Pten/Hif1a(i)pe-/- mice, in which both Pten and Hif1a are inactivated, develop less aggressive tumors that are infiltrated with a higher numbers of natural killer (NK) cells, and are castration-sensitive. Thus, these findings indicate that HIF1α may contribute to tumor progression and castration resistance by inhibiting NK cell infiltration and/or NK cell-mediated cytotoxicity.
Methods
Pten/Hif1α(i)pe-/- mice were castrated and treated with anti-NK1.1 neutralizing antibodies for two weeks. Moreover, Pten(i)pe-/- mice were castrated or sham-operated and treated with IL-15 for three weeks. Prostate tumors were histologically analyzed.
Results
NK cells depletion in Pten/Hif1α(i)pe-/- mice via anti-NK1.1 antibodies induced castration resistance. Moreover, IL-15 treatment of castrated Pten(i)pe-/- mice promoted NK cells infiltration and/or proliferation, leading to partial castration sensitivity. In contrast, such a treatment had little effect on prostatic tumors of non-castrated Pten(i)pe-/- mice.
Conclusion
Our data show that NK cells stimulation boosts the anti-tumor immunity in CRPC after castration, and thus open new perspectives for personalized medicine.