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Title of Journal: Cancer Immunol Immunother

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Abbravation: Cancer Immunology, Immunotherapy

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Springer Berlin Heidelberg

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DOI

10.1007/bf00371086

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ISSN

1432-0851

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Intratumoral temozolomide synergizes with immunoth

Authors: Sara Fritzell Emma Sandén Sofia Eberstål Edward Visse Anna Darabi Peter Siesjö
Publish Date: 2013/06/18
Volume: 62, Issue: 9, Pages: 1463-1474
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Abstract

Despite temozolomide TMZ treatment the prognosis for patients with glioblastoma multiforme is still dismal As dose escalation of TMZ is limited by systemic toxicity intratumoral delivery emerges as an attractive treatment modality which may sustain cytotoxic drug concentrations intratumorally and induce immunogenic cell death Both clinical and experimental gliomas have responded to immunotherapy but the benefit of simultaneous chemo and immunotherapy is inadequately studied Here we monitored survival of GL261bearing C57BL/6 mice following a 3day treatment with either intratumoral TMZ microosmotic pump 42 mg/kg/day or systemic TMZ ip injections 50 mg/kg/day alone or combined with immunization using GMCSF secreting GL261 cells Peripheral and intratumoral leukocytes were analyzed by flow cytometry and immunohistochemistry Intratumoral TMZ induced higher survival rate than systemic TMZ 45 vs 8  When T cells were depleted following intratumoral TMZ the therapeutic effect was completely abrogated 0  survival Intratumoral TMZ synergistically increased survival rate of immunized mice from 25 to 83  while systemic TMZ failed 0  While systemic TMZ induced a transient leukopenia intratumoral TMZ and immunotherapy sustained the proliferation of CD8+ T cells and decreased the number of intratumoral immunosuppressive cells In conclusion intratumoral TMZ alone or in combination with immunotherapy could cure gliomabearing mice due to attenuation of local immunosuppression and increase in potential effector immune cellsThis work was supported by the Hans and Märit Rausing Charitable Trust to LG Salford the Swedish Childhood Cancer Foundation the NeuroblastomaCNS Network NBCNS Foundation the Skåne region funds ALF all to P Siesjö and the Royal Physiographic Society in Lund to A Darabi We would like to thank Hanna Fritzell and Jeremy Wales for reviewing the manuscript


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