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Cytotoxic T cells are able to efficiently eliminate cancer cells by additive cytotoxicity

Author

Listed:
  • Bettina Weigelin

    (Radboud University Medical Center
    The University of Texas MD Anderson Cancer Center
    Eberhard Karls University
    University of Tuebingen)

  • Annemieke Th. Boer

    (Maastricht University)

  • Esther Wagena

    (Radboud University Medical Center)

  • Kelly Broen

    (Radboud University Medical Center)

  • Harry Dolstra

    (Radboud University Medical Center)

  • Rob J. Boer

    (Utrecht University)

  • Carl G. Figdor

    (Radboud University Medical Centre)

  • Johannes Textor

    (Radboud University Medical Centre)

  • Peter Friedl

    (Radboud University Medical Center
    The University of Texas MD Anderson Cancer Center
    Cancer Genomics Centre Netherlands (CGC.nl))

Abstract

Lethal hit delivery by cytotoxic T lymphocytes (CTL) towards B lymphoma cells occurs as a binary, “yes/no” process. In non-hematologic solid tumors, however, CTL often fail to kill target cells during 1:1 conjugation. Here we describe a mechanism of “additive cytotoxicity” by which time-dependent integration of sublethal damage events, delivered by multiple CTL transiting between individual tumor cells, mediates effective elimination. Reversible sublethal damage includes perforin-dependent membrane pore formation, nuclear envelope rupture and DNA damage. Statistical modeling reveals that 3 serial hits delivered with decay intervals below 50 min discriminate between tumor cell death or survival after recovery. In live melanoma lesions in vivo, sublethal multi-hit delivery is most effective in interstitial tissue where high CTL densities and swarming support frequent serial CTL-tumor cell encounters. This identifies CTL-mediated cytotoxicity by multi-hit delivery as an incremental and tunable process, whereby accelerating damage magnitude and frequency may improve immune efficacy.

Suggested Citation

  • Bettina Weigelin & Annemieke Th. Boer & Esther Wagena & Kelly Broen & Harry Dolstra & Rob J. Boer & Carl G. Figdor & Johannes Textor & Peter Friedl, 2021. "Cytotoxic T cells are able to efficiently eliminate cancer cells by additive cytotoxicity," Nature Communications, Nature, vol. 12(1), pages 1-12, December.
  • Handle: RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-25282-3
    DOI: 10.1038/s41467-021-25282-3
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