β-Adrenergic Signaling in Mice Housed at Standard Temperatures Suppresses an Effector Phenotype in CD8+ T Cells and Undermines Checkpoint Inhibitor Therapy

MJ Bucsek, G Qiao, CR MacDonald, T Giridharan… - Cancer research, 2017 - AACR
MJ Bucsek, G Qiao, CR MacDonald, T Giridharan, L Evans, B Niedzwecki, H Liu…
Cancer research, 2017AACR
The immune context of tumors has significant prognostic value and is predictive of
responsiveness to several forms of therapy, including immunotherapy. We report here that
CD8+ T-cell frequency and functional orientation within the tumor microenvironment is
regulated by β2-adrenergic receptor (β-AR) signaling in host immune cells. We used three
strategies—physiologic (manipulation of ambient thermal environment), pharmacologic (β-
blockers), and genetic (β2-AR knockout mice) to reduce adrenergic stress signaling in two …
Abstract
The immune context of tumors has significant prognostic value and is predictive of responsiveness to several forms of therapy, including immunotherapy. We report here that CD8+ T-cell frequency and functional orientation within the tumor microenvironment is regulated by β2-adrenergic receptor (β-AR) signaling in host immune cells. We used three strategies—physiologic (manipulation of ambient thermal environment), pharmacologic (β-blockers), and genetic (β2-AR knockout mice) to reduce adrenergic stress signaling in two widely studied preclinical mouse tumor models. Reducing β-AR signaling facilitated conversion of tumors to an immunologically active tumor microenvironment with increased intratumoral frequency of CD8+ T cells with an effector phenotype and decreased expression of programmed death receptor-1 (PD-1), in addition to an elevated effector CD8+ T-cell to CD4+ regulatory T-cell ratio (IFNγ+CD8+:Treg). Moreover, this conversion significantly increased the efficacy of anti-PD-1 checkpoint blockade. These data highlight the potential of adrenergic stress and norepinephrine-driven β-AR signaling to regulate the immune status of the tumor microenvironment and support the strategic use of clinically available β-blockers in patients to improve responses to immunotherapy. Cancer Res; 77(20); 5639–51. ©2017 AACR.
AACR