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Intermittent administration of tacrolimus enhances 
anti-tumor immunity in melanoma-bearing mice.

Abstract
One key reason for T cell exhaustion is continuous antigen exposure. Early exhausted T cells can reverse exhaustion and differentiate into fully functional memory T cells if removed from persisting antigen stimulation. Therefore, this study viewed T cell exhaustion as an over-activation status induced by chronic antigen stimuli. This study hypothesized that blocking TCR signal intermittently to terminate over-activation signal can defer the developmental process of T cell exhaustion. In this study, melanoma-bearing mice were treated with tacrolimus (FK506) every 5 days. The tumor size and tumor-infiltrating lymphocytes (TILs) were analyzed. We found that intermittent administration of tacrolimus significantly inhibited tumor growth, and this effect was mediated by CD8+T cells. Intermittent tacrolimus treatment facilitated the infiltration of CD8+TILs. RNA-seq and quantitative RT-PCR of sorted CD8+TILs showed the expression of Nr4a1 (an exhaustion-related transcription factor) and Ctla4 (a T cell inhibitory receptor) was remarkably downregulated. These results indicated that intermittently blocking TCR signal by tacrolimus can promote anti-tumor immunity and inhibit the tumor growth in melanoma-bearing mice, inhibiting the transcription of several exhaustion-related genes, such as Nr4a1 and Ctla4.
AuthorsTing Chen, Qi Zhang, Nianhai Zhang, Bo Liu, Junying Chen, Fei Huang, Jianhua Lin, Ruilong Lan, Xianhe Xie, Zili Wang
JournalCarcinogenesis (Carcinogenesis) Vol. 43 Issue 4 Pg. 338-348 (05 19 2022) ISSN: 1460-2180 [Electronic] England
PMID35136987 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For Permissions, please email: [email protected].
Chemical References
  • CTLA-4 Antigen
  • Tacrolimus
Topics
  • Animals
  • CD8-Positive T-Lymphocytes
  • CTLA-4 Antigen (metabolism)
  • Lymphocytes, Tumor-Infiltrating
  • Melanoma (drug therapy, metabolism)
  • Mice
  • Tacrolimus (metabolism, pharmacology)

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