Imatinib potentiates antitumor T cell responses in gastrointestinal stromal tumor through the inhibition of Ido Journal Article


Authors: Balachandran, V. P.; Cavnar, M. J.; Zeng, S.; Bamboat, Z. M.; Ocuin, L. M.; Obaid, H.; Sorenson, E. C.; Popow, R.; Ariyan, C.; Rossi, F.; Besmer, P.; Guo, T.; Antonescu, C. R.; Taguchi, T.; Yuan, J.; Wolchok, J. D.; Allison, J. P.; DeMatteo, R. P.
Article Title: Imatinib potentiates antitumor T cell responses in gastrointestinal stromal tumor through the inhibition of Ido
Abstract: Imatinib mesylate targets mutated KIT oncoproteins in gastrointestinal stromal tumor (GIST) and produces a clinical response in 80% of patients. The mechanism is believed to depend predominantly on the inhibition of KIT-driven signals for tumor-cell survival and proliferation. Using a mouse model of spontaneous GIST, we found that the immune system contributes substantially to the antitumor effects of imatinib. Imatinib therapy activated CD8+ T cells and induced regulatory T cell (T reg cell) apoptosis within the tumor by reducing tumor-cell expression of the immunosuppressive enzyme indoleamine 2,3-dioxygenase (Ido). Concurrent immunotherapy augmented the efficacy of imatinib in mouse GIST. In freshly obtained human GIST specimens, the T cell profile correlated with imatinib sensitivity and IDO expression. Thus, T cells are crucial to the antitumor effects of imatinib in GIST, and concomitant immunotherapy may further improve outcomes in human cancers treated with targeted agents. © 2011 Nature America, Inc. All rights reserved.
Keywords: controlled study; protein expression; unclassified drug; nonhuman; flow cytometry; cd8+ t lymphocyte; cd8-positive t-lymphocytes; animal cell; mouse; animals; mice; gastrointestinal stromal tumor; imatinib; gastrointestinal stromal tumors; proto-oncogene proteins c-kit; cytotoxic t lymphocyte antigen 4 antibody; apoptosis; enzyme inhibition; animal experiment; animal model; pyrimidines; mice, inbred c57bl; blotting, western; gene expression regulation, neoplastic; regulatory t lymphocyte; immunotherapy; drug mechanism; t-lymphocytes, regulatory; reverse transcriptase polymerase chain reaction; microarray analysis; chromatin immunoprecipitation; down regulation; piperazines; indoleamine 2,3 dioxygenase; indoleamine-pyrrole 2,3,-dioxygenase; drug sensitivity; tryptophan; 1 methyl dextro tryptophan; 9d9 antibody; 9h10 antibody
Journal Title: Nature Medicine
Volume: 17
Issue: 9
ISSN: 1078-8956
Publisher: Nature Publishing Group  
Date Published: 2011-08-28
Start Page: 1094
End Page: 1100
Language: English
DOI: 10.1038/nm.2438
PROVIDER: scopus
PUBMED: 21873989
PMCID: PMC3278279
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 3 October 2011" - "CODEN: NAMEF" - "Source: Scopus"
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MSK Authors
  1. Ronald P DeMatteo
    637 DeMatteo
  2. Jedd D Wolchok
    905 Wolchok
  3. Cristina R Antonescu
    895 Antonescu
  4. Michael Joseph Cavnar
    30 Cavnar
  5. Charlotte Eielson Ariyan
    154 Ariyan
  6. James P Allison
    130 Allison
  7. Lee Ocuin
    13 Ocuin
  8. Ferdinando Rossi
    23 Rossi
  9. Shan Zeng
    26 Zeng
  10. Jianda Yuan
    105 Yuan
  11. Tianhua Guo
    22 Guo
  12. Peter Besmer
    115 Besmer
  13. Zubin Mickey Bamboat
    33 Bamboat
  14. Hebroon Obaid
    9 Obaid
  15. Rachel Popow
    9 Popow