Abstract
Gastrointestinal stromal tumor (GIST) is driven by an activating mutation in the KIT proto-oncogene. Using a mouse model of GIST and human specimens, we show that intratumoral murine CD103+CD11b− dendritic cells (DCs) and human CD141+ DCs are associated with CD8+ T cell infiltration and differentiation. In mice, the antitumor effect of the Kit inhibitor imatinib is partially mediated by CD103+CD11b− DCs, and effector CD8+ T cells initially proliferate. However, in both mice and humans, chronic imatinib therapy decreases intratumoral DCs and effector CD8+ T cells. The mechanism in our mouse model depends on Kit inhibition, which reduces intratumoral GM-CSF, leading to the accumulation of Batf3-lineage DC progenitors. GM-CSF is produced by γδ T cells via macrophage IL-1β. Stimulants that expand and mature DCs during imatinib treatment improve antitumor immunity. Our findings identify the importance of tumor cell oncogene activity in modulating the Batf3-dependent DC lineage and reveal therapeutic limitations for combined checkpoint blockade and tyrosine kinase inhibition.
Original language | English |
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Pages (from-to) | 1359-1376 |
Number of pages | 18 |
Journal | Journal of Experimental Medicine |
Volume | 216 |
Issue number | 6 |
DOIs | |
State | Published - Jun 1 2019 |
Bibliographical note
Publisher Copyright:© 2019 Medina et al.
Funding
The investigators were supported by NIH grants R01 CA102613 and T32 CA09501, Betsy Levine-Brown and Marc Brown, David and Monica Gorin, The David Foundation, the GIST Cancer Research Fund (R.P. DeMatteo), NIH grant F32 CA186534 (J.Q. Zhang), and NIH grant L30 TR002111 (G.A. Vitiello). The Flow Cytometry and Molecular Cytology Core Facilities were supported by National Cancer Institute Cancer Center Support Grant P30 CA008748. The authors declare no competing financial interests.
Funders | Funder number |
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David C. Copley Foundation | |
National Institutes of Health (NIH) | R01 CA102613 |
National Childhood Cancer Registry – National Cancer Institute | P30 CA008748, T32CA009501 |
Gwangju Institute of Science and Technology | L30 TR002111, F32 CA186534 |
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology