iScience (Jan 2021)

Hydroxychloroquine can impair tumor response to anti-PD1 in subcutaneous mouse models

  • Simon Wabitsch,
  • John C. McVey,
  • Chi Ma,
  • Benjamin Ruf,
  • Olena Kamenyeva,
  • Justin D. McCallen,
  • Laurence P. Diggs,
  • Bernd Heinrich,
  • Tim F. Greten

Journal volume & issue
Vol. 24, no. 1
p. 101990

Abstract

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Summary: Hydroxychloroquine (HCQ) is a well-known anti-inflammatory drug but is also known as an anti-inflammatory drug. Here, we evaluate the influence of HCQ treatment on the effect of anti-PD1 tumor immunotherapy. Anti-PD1 therapy-sensitive tumor lines MC38, CT26, and RIL-175 were used to investigate the impact of HCQ on anti-PD1 therapy efficacy. In vitro assays demonstrated that HCQ directly inhibited tumor cell growth in all the tested tumor cell lines. HCQ treatment impaired both antigen-specific and nonspecific T-cell production of TNFα and IFNγ in vitro and in vivo. Importantly, in all the three tumor models, HCQ treatment significantly impaired the response to anti-PD1 treatment, accompanying diminished in vivo T-cell activation and reduced tumor-infiltrating, antigen-specific CD8+ T cells. This study shows that HCQ treatment can result in immunotherapy failure due to its immunosuppressive effects that offset both increased MHC-I expression by tumor cell and direct cytotoxicity.

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