Frontiers in Immunology (Nov 2022)

Chromomycin A5 induces bona fide immunogenic cell death in melanoma

  • Katharine Gurgel Dias Florêncio,
  • Evelline Araújo Edson,
  • Keilla Santana da Silva Fernandes,
  • João Paulo Mesquita Luiz,
  • Francisco das Chagas Lima Pinto,
  • Otília Deusdênia Loiola Pessoa,
  • Fernando de Queiroz Cunha,
  • João Agostinho Machado-Neto,
  • Diego Veras Wilke

DOI
https://doi.org/10.3389/fimmu.2022.941757
Journal volume & issue
Vol. 13

Abstract

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PurposeSome first-line cytotoxic chemotherapics, e.g. doxorubicin, paclitaxel and oxaliplatin, induce activation of the immune system through immunogenic cell death (ICD). Tumor cells undergoing ICD function as a vaccine, releasing damage-associated molecular patterns (DAMPs), which act as adjuvants, and neoantigens of the tumor are recognized as antigens. ICD induction is rare, however it yields better and long-lasting antitumor responses to chemotherapy. Advanced metastatic melanoma (AMM) is incurable for more than half of patients. The discovery of ICD inducers against AMM is an interesting drug discovery strategy with high translational potential. Here we evaluated ICD induction of four highly cytotoxic chromomycins A (CA5-8).MethodsICD features and DAMPs were evaluated using several in vitro techniques with metastatic melanoma cell line (B16-F10) exposed to chromomcins A5-8 such as flow cytometry, western blot, RT-PCR and luminescence. Additionally in vivo vaccination assays with CA5-treated cells in a syngeneic murine model (C57Bl/6) were performed to confirm ICD evaluating the immune cells activation and their antitumor activity.ResultsB16-F10 treated with CA5-8 and doxorubicin exhibited ICD features such as autophagy and apoptosis, externalization of calreticulin, and releasing of HMGB1. However, CA5-treated cells had the best profile, also inducing ATP release, ERp57 externalization, phosphorylation of eIF2α and altering expression of transcription of genes related to autophagy, endoplasmic reticulum stress, and apoptosis. Bona fide ICD induction by CA5 was confirmed by vaccination of C57BL/6 mice with CA5-treated cells which activated antigen-presenting cells and T lymphocytes and stimulated antitumor activity.ConclusionCA5 induces bona fide immunogenic cell death on melanoma.

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