The key role of calreticulin in immunomodulation induced by chemotherapeutic agents

Int J Clin Oncol. 2015 Apr;20(2):386-94. doi: 10.1007/s10147-014-0719-x. Epub 2014 Jun 28.

Abstract

Background: It has recently been shown that certain chemotherapeutic agents can improve host immune responses. The present study aimed to demonstrate the mechanism by which chemotherapeutic agents modify the tumor microenvironment and induce tumor-specific immune responses.

Methods: Three mouse cancer cell lines [CT26 mouse colon cancer cells, B16 melanoma cells and Lewis lung carcinoma (LLC)], 5 human carcinoma cell lines (human esophageal squamous cell carcinoma cell lines TE8 and HEC46 and the human pancreatic carcinoma cell lines PK-9, AsPC-1 and SUIT-2) and 5 chemotherapeutic agents [mitoxantrone (MIT), mitomycin C(MMC), 5-fluorouracil (5FU), camptothecin (CPT-11) and cisplatin (CDDP)] that are frequently used in a clinical setting for cancer treatment were utilized to investigate the surface expression level of calreticulin and HLA class I after exposure to chemotherapeutic agents.

Results: Increased calreticulin (CRT) expression on the surface of mouse cell lines and, moreover, increased surface expression levels of both CRT and HLA class I in all human cell lines were observed in cells treated by the chemotherapeutic agents as compared with non-treated cells. The surface expression level of CRT was significantly correlated with the HLA class I expression level in all human cell lines.

Conclusions: In conclusion, chemotherapeutic drugs can improve the immunogenicity of cancer cells in a cell-specific manner through the mechanism of translocation of CRT.

MeSH terms

  • Animals
  • Antigens, Surface
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Apoptosis / drug effects
  • CD3 Complex / analysis
  • Calreticulin / immunology
  • Calreticulin / metabolism*
  • Camptothecin / pharmacology
  • Camptothecin / therapeutic use
  • Carcinoma, Lewis Lung / drug therapy
  • Carcinoma, Lewis Lung / immunology
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Cisplatin / pharmacology
  • Cisplatin / therapeutic use
  • Colonic Neoplasms / drug therapy*
  • Colonic Neoplasms / immunology
  • Deoxycytidine / analogs & derivatives
  • Deoxycytidine / pharmacology
  • Female
  • Fluorouracil / pharmacology
  • Fluorouracil / therapeutic use
  • Gemcitabine
  • Histocompatibility Antigens Class I / immunology
  • Histocompatibility Antigens Class I / metabolism*
  • Humans
  • Immunomodulation / drug effects
  • Lymphocyte Count
  • Melanoma, Experimental / drug therapy
  • Melanoma, Experimental / immunology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mitomycin / pharmacology
  • Mitomycin / therapeutic use
  • Mitoxantrone / pharmacology
  • Mitoxantrone / therapeutic use
  • Neoplasm Transplantation
  • Neoplasms, Experimental / drug therapy
  • Neoplasms, Experimental / immunology*
  • Protein Transport / drug effects*
  • T-Lymphocytes / chemistry*
  • Tumor Microenvironment / drug effects*
  • Tumor Microenvironment / immunology

Substances

  • Antigens, Surface
  • Antineoplastic Agents
  • CD3 Complex
  • Calreticulin
  • Histocompatibility Antigens Class I
  • Deoxycytidine
  • Mitomycin
  • Mitoxantrone
  • Cisplatin
  • Fluorouracil
  • Camptothecin
  • Gemcitabine