Cycloxygenase-2 inhibition augments the efficacy of a cancer vaccine

Clin Cancer Res. 2006 Jan 1;12(1):214-22. doi: 10.1158/1078-0432.CCR-05-1178.

Abstract

Tumor-derived cyclooxygenase-2 (COX-2) and its product, prostaglandin E2, exert strong immunoinhibitory effects that block dendritic cell function and CD4+ and CD8+ T-cell proliferation and function. We have shown previously that the addition of an oral COX-2 inhibitor to immunogene therapy using IFN-beta markedly augmented therapeutic efficacy in murine tumor models. In this study, we hypothesized that COX-2 inhibition might also augment an antitumor vaccination strategy. Mice bearing tumors derived from TC1 cells, a tumor line that expresses the human papillomavirus (HPV) E7 protein, were thus vaccinated with an adenoviral vector expressing HPV E7 protein (Ad.E7). This vaccine approach effectively generated E7-specific CD8+ cells and slowed the growth of small tumors but had little effect on large tumors. However, feeding mice with the COX-2 inhibitor, rofecoxib, restored the effectiveness of the vaccine against large tumors and prolonged survival. This effect was accompanied by a larger percentage of E7-specific CD8+ cells in the regional draining lymph nodes and a markedly increased number of tumor-infiltrating E7-specific CD8+ cells (as determined by flow cytometry) and total CD8+ T cells (as determined by immunohistochemical staining). Increased immunocyte trafficking was likely mediated by the generation of a Th1-type tumor microenvironment because COX-2 inhibition increased expression levels of mRNA for IFN-gamma, interleukin-12, IP-10, and MIG while lowering the expression of vascular endothelial growth factor within tumors. This study shows that the effectiveness of a cancer vaccine can be significantly improved by adding COX-2 inhibition.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Administration, Oral
  • Animals
  • CD8-Positive T-Lymphocytes / immunology
  • Cancer Vaccines / therapeutic use*
  • Chemokines / biosynthesis
  • Cyclooxygenase 2 Inhibitors / administration & dosage*
  • Flow Cytometry
  • Humans
  • Lactones / administration & dosage*
  • Mice
  • Neoplasms, Experimental / drug therapy*
  • Oncogene Proteins, Viral / immunology
  • Papillomaviridae / immunology
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sulfones / administration & dosage*

Substances

  • Cancer Vaccines
  • Chemokines
  • Cyclooxygenase 2 Inhibitors
  • Lactones
  • Oncogene Proteins, Viral
  • Sulfones
  • rofecoxib