[HTML][HTML] COX-2 upregulation by tumour cells post-chemotherapy fuels the immune evasive dark side of cancer inflammation

CR Bell, S Zelenay - Cell Stress, 2022 - ncbi.nlm.nih.gov
CR Bell, S Zelenay
Cell Stress, 2022ncbi.nlm.nih.gov
Cytotoxic therapies, such as chemotherapy and radiotherapy, are mainstays of cancer
treatment for both early and unresectable, advanced disease. In addition to debulking the
tumour mass through direct killing of proliferating tumour cells, these treatments can promote
tumour control via immune-stimulating effects. Nonetheless, chemoresistance and tumour
relapse remain huge clinical problems, suggesting that induction of anti-cancer immunity
post-cytotoxic therapy is often weak, not durable and/or overcome by immune evasive …
Abstract
Cytotoxic therapies, such as chemotherapy and radiotherapy, are mainstays of cancer treatment for both early and unresectable, advanced disease. In addition to debulking the tumour mass through direct killing of proliferating tumour cells, these treatments can promote tumour control via immune-stimulating effects. Nonetheless, chemoresistance and tumour relapse remain huge clinical problems, suggesting that induction of anti-cancer immunity post-cytotoxic therapy is often weak, not durable and/or overcome by immune evasive mechanisms. In our recent study (Nat Commun 13: 2063), we demonstrate that cancer cell-intrinsic activation of the cyclooxygenase (COX)-2/prostaglandin E 2 (PGE 2) pathway post-chemotherapy treatment is a prevalent phenomenon which profoundly alters the inflammatory properties of the treated cancer cells. Of particular translational relevance, our findings support a model whereby upregulation of COX-2 expression and activity post-chemotherapy impairs the efficacy of the combination of PD-1 blockade and chemotherapy. Accordingly, pharmacological inhibition of COX-2 with celecoxib, an anti-inflammatory drug already used clinically, unleashed tumour control in preclinical models when given alongside chemoimmunotherapy combinations.
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