2014
DOI: 10.4161/onci.27589
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Dasatinib promotes the expansion of a therapeutically superior T-cell repertoire in response to dendritic cell vaccination against melanoma

Abstract: Dasatinib (DAS) is a potent inhibitor of the BCR-ABL, SRC, c-KIT, PDGFR, and ephrin tyrosine kinases that has demonstrated only modest clinical efficacy in melanoma patients. Given reports suggesting that DAS enhances T cell infiltration into the tumor microenvironment, we analyzed whether therapy employing the combination of DAS plus dendritic cell (DC) vaccination would promote superior immunotherapeutic benefit against melanoma. Using a M05 (B16.OVA) melanoma mouse model, we observed that a 7-day course of … Show more

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Cited by 39 publications
(53 citation statements)
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“…Human tumors, especially recurrent GBM, are complex mixtures of cells, including malignant cancer cells, inflammatory cells including myeloidderived suppressor cells (MDSCs) and lymphocytes, 56,57 nontransformed cellular matrix, necrotic centers, and acellular fibrotic tracts from previous therapies. 58 As noted above, in these clinical circumstances it is unlikely that 100% tumor cell transduction can be achieved, and some form of bystander effect that leads to death of uninfected cells may be necessary for the best clinical outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Human tumors, especially recurrent GBM, are complex mixtures of cells, including malignant cancer cells, inflammatory cells including myeloidderived suppressor cells (MDSCs) and lymphocytes, 56,57 nontransformed cellular matrix, necrotic centers, and acellular fibrotic tracts from previous therapies. 58 As noted above, in these clinical circumstances it is unlikely that 100% tumor cell transduction can be achieved, and some form of bystander effect that leads to death of uninfected cells may be necessary for the best clinical outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…44 This situation may be remedied by combined administration of anti-angiogenic agents (such as the TKIs axitinib, dasatinib or sunitinib) along with a tumor-specific vaccine. [45][46][47] Our DLK1/DLK2-targeted vaccine has an advantage over conventional TAA-targeted vaccine due to the proximal accessibility of circulating T effector cells to tumor-associated vascular pericyte targets in contrast to tumor cells that require T cells to enter, transmigrate and functionally persist within the TME to mediate meaningful therapeutic action. Furthermore, our vaccine promotes sustainable immune-mediated VN that would be envisioned to improve the deliverability of codelivered chemotherapies or adoptively-transferred (TCR-or CAR-engineered) T cells, theoretically without invoking the development of drug resistance or the adverse side-effects associated with anti-VEGF monoclonal antibodies and TKIs.…”
Section: Discussionmentioning
confidence: 99%
“…Low dose oral dasatinib in combination with anti-melanoma DC-vaccine significantly increased tumor infiltrating CTL and CD11c C DC, decreased signaling through hypoxia mediated pathways, increased intratumoral expression of pro-inflammatory cytokines and chemokines, and resulted in a striking decrease in tumor growth. 69 Taken as a group these studies show that concomitant modulation of immunosuppressive pathways may enhance DC-mediated anti-tumor immune response.…”
Section: Concomitant Immunomodulationmentioning
confidence: 97%