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Cutting Edge: Polymicrobial Sepsis Has the Capacity to Reinvigorate Tumor-Infiltrating CD8 T Cells and Prolong Host Survival
Journal article   Peer reviewed

Cutting Edge: Polymicrobial Sepsis Has the Capacity to Reinvigorate Tumor-Infiltrating CD8 T Cells and Prolong Host Survival

Derek B Danahy, Isaac J Jensen, Thomas S Griffith and Vladimir P Badovinac
The Journal of immunology (1950), Vol.202(10), pp.2843-2848
05/15/2019
DOI: 10.4049/jimmunol.1900076
PMCID: PMC6504616
PMID: 30971442

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Abstract

Malignancy increases sepsis incidence 10-fold and elevates sepsis-associated mortality. Advances in treatment have improved survival of cancer patients shortly after sepsis, but there is a paucity of information on how sepsis impacts cancer growth, development, and prognosis. To test this, cecal ligation and puncture surgery was performed on B16 melanoma-bearing mice to show that sepsis has detrimental effects in hosts with advanced tumors, leading to increased mortality. Surprisingly, mice experiencing cecal ligation and puncture-induced sepsis earlier during tumor development exhibited CD8 T cell-dependent attenuation of tumor growth. Sepsis-resistant CD8 tumor-infiltrating T cells showed increased in vivo activation, effector IFN-γ cytokine production, proliferation, and expression of activation/inhibitory PD-1/LAG-3 receptors because of a sepsis-induced liberation of tumor Ags. Sepsis-reinvigorated CD8 tumor-infiltrating T cells were also amenable to (anti-PD-L1/LAG-3) checkpoint blockade therapy, further prolonging cancer-associated survival in sepsis survivors. Thus, sepsis has the capacity to improve tumor-specific CD8 T cell responses, leading to better cancer prognosis and increased survival.
Animals Antigens, CD - genetics Antigens, CD - immunology CD8-Positive T-Lymphocytes - immunology CD8-Positive T-Lymphocytes - pathology Female Interferon-gamma - genetics Interferon-gamma - immunology Lymphocytes, Tumor-Infiltrating - immunology Lymphocytes, Tumor-Infiltrating - pathology Male Melanoma, Experimental - genetics Melanoma, Experimental - immunology Melanoma, Experimental - pathology Mice Mice, Transgenic Neoplasm Proteins - genetics Neoplasm Proteins - immunology Programmed Cell Death 1 Receptor - genetics Programmed Cell Death 1 Receptor - immunology Sepsis - genetics Sepsis - immunology Sepsis - microbiology Sepsis - pathology

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