Etude des mécanismes d'action d'une immunothérapie par un lipide A, seul ou associé à l'oxaliplatine, dans des modèles de cancers coliques

摘要

Colorectal cancer is a major public health concern in France. Resistance to standard chemotherapy requires development of novel therapeutic approaches. In the past decades, our team showed the immunotherapeutic properties of lipid A in a model of colon cancer in rats. 95% of rats bearing small carcinomas were cured following treatment by lipid A. The study of mechanisms underlying this immunotherapy allowed us to show that the antitumor effect of lipid A was dependent on cytotoxicity induced by granzyme B produced by intratumoral neutrophils. Indeed, we have shown that, in the tumor microenvironment, neutrophils produced granzyme B and had a pro-tumorigenic N2 phenotype. When rats were treated with lipid A, neutrophils shifted to an antitumor N1 phenotype and released granzyme B, thus inducing apoptosis of tumor cells. In rats bearing advanced carcinoma, the effectiveness of lipid A was reduced and only 40% of animals were cured. An injection of oxaliplatin prior to lipid A treatment allowed sustaining the effectiveness of lipid A immunotherapy. In the present study, we showed that oxaliplatin injection induced tumor cell senescence. The microenvironment produced by senescent cells enabled then the recruitment of neutrophils within tumors, subsequently activated by lipid immunotherapy.Combining the induction of tumor cells senescence and activation of immune cells by an immunotherapeutic agent constitute an original and interesting therapeutic approach, but still studies must be carrying out to better understand underlying mechanisms.