A multiplex implantable microdevice assay identifies synergistic combinations of cancer immunotherapies and conventional drugs
Menée à l'aide de lignées cellulaires et de modèles murins de cancer mammaire, cette étude met en évidence l'intérêt d'un microdispositif implantable permettant d'administrer plusieurs médicaments au niveau de plusieurs sites intratumoraux et d'identifier des combinaisons synergiques d'anticancéreux conventionnels ou d'immunothérapies
Systematically identifying synergistic combinations of targeted agents and immunotherapies for cancer treatments remains difficult. In this study, we integrated high-throughput and high-content techniques—an implantable microdevice to administer multiple drugs into different sites in tumors at nanodoses and multiplexed imaging of tumor microenvironmental states—to investigate the tumor cell and immunological response signatures to different treatment regimens. Using a mouse model of breast cancer, we identified effective combinations from among numerous agents within days. In vivo studies in three immunocompetent mammary carcinoma models demonstrated that the predicted combinations synergistically increased therapeutic efficacy. We identified at least five promising treatment strategies, of which the panobinostat, venetoclax and anti-CD40 triple therapy was the most effective in inducing complete tumor remission across models. Successful drug combinations increased spatial association of cancer stem cells with dendritic cells during immunogenic cell death, suggesting this as an important mechanism of action in long-term breast cancer control.
Nature Biotechnology , article en libre accès, 2022