Many
cancer therapies are being developed for the induction of durable anti-
tumor immunity, especially for malignant
tumors. The activation of antigen-presenting cells (APCs), including macrophages and dendritic cells (DCs), can bridge innate and adaptive immune responses against
tumors. However, APCs have an immunosuppressive phenotype and reversing it for effective
tumor-specific
antigen presenting is critical in developing new
cancer treatment strategies. We previously developed a novel cryo-thermal
therapy to treat
malignant melanoma in a mouse model; long-term survival and durable anti-
tumor immunity were achieved, but the mechanism involved was unclear. This study revealed cryo-thermal
therapy-induced macrophage polarization to the M1 phenotype and modulated the phenotypic and functional maturation of DCs with high expression of co-stimulatory molecules, increased pro-inflammatory
cytokine production, and downregulated immuno-inhibitory molecule expression. Further, we observed CD4+ T-cell differentiation into Th1 and cytotoxic T-cell sub-lineages and generation of cytotoxic CD8+ T cells, in which M1 macrophage polarization had a direct, important role. The results indicated that cryo-thermal-induced macrophage polarization to the M1 phenotype was essential to mediate durable anti-
tumor immunity, leading to long-term survival. Thus, cryo-thermal
therapy is a promising strategy to reshape host immunosuppression, trigger persistent memory immunity for
tumor eradication, and inhibit
metastasis in the long term.