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The Journal of Immunology, 2008, 180, 163-170
Copyright © 2008 by The American Association of Immunologists, Inc.

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*Cancer

Sensitization of Tumor Cells to NK Cell-Mediated Killing by Proteasome Inhibition1

William H.D. Hallett*, Erik Ames*, Milad Motarjemi*, Isabel Barao*, Anil Shanker{dagger}, David L. Tamang*, Thomas J. Sayers{dagger}, Dorothy Hudig* and William J. Murphy2,*

* Department of Microbiology and Immunology, University of Nevada School of Medicine, University of Nevada, Reno, NV 89557; and {dagger} Cancer and Inflammation Program, Science Applications International Corporation-Frederick, National Cancer Institute-Frederick, Frederick, MD 21702

Bortezomib is a proteasome inhibitor that has direct antitumor effects. We and others have previously demonstrated that bortezomib could also sensitize tumor cells to killing via the death ligand, TRAIL. NK cells represent a potent antitumor effector cell. Therefore, we investigated whether bortezomib could sensitize tumor cells to NK cell-mediated killing. Preincubation of tumor cells with bortezomib had no effect on short-term NK cell killing or purified granule killing assays. Using a 24-h lysis assay, increases in tumor killing was only observed using perforin-deficient NK cells, and this increased killing was found to be dependent on both TRAIL and FasL, correlating with an increase in tumor Fas and DR5 expression. Long-term tumor outgrowth assays allowed for the detection of this increased tumor killing by activated NK cells following bortezomib treatment of the tumor. In a tumor purging assay, in which tumor:bone marrow cell mixtures were placed into lethally irradiated mice, only treatment of these mixtures with a combination of NK cells with bortezomib resulted in significant tumor-free survival of the recipients. These results demonstrate that bortezomib treatment can sensitize tumor cells to cellular effector pathways. These results suggest that the combination of proteasome inhibition with immune therapy may result in increased antitumor efficacy.

The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 This study was supported by National Institutes of Health Grant R01CA95327-02, R01CA102282-01A1, and American Cancer Society Grant RSG-020169. This project has been funded in whole or in part with federal funds from the National Cancer Institute, National Institutes of Health, under contract N01-CO-12400. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the United States Government. This research was supported in part by the Intramural Research Program of the National Institutes of Health, National Cancer Institute, Center for Cancer Research.

2 Address correspondence and reprint requests to Dr. William J. Murphy, Department of Microbiology and Immunology, University of Nevada School of Medicine, University of Nevada, Reno, NV 89557. E-mail address: wmurphy{at}medicine.nevada.edu

3 Abbreviations used in this paper: FasL, Fas ligand; BMC, bone marrow cells; rh-IL2, recombinant human IL-2.




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