Cyclooxygenase-Dependent Tumor Growth through Evasion of Immunity

https://doi.org/10.1016/j.cell.2015.08.015 3rd September 2015

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The mechanisms by which melanoma and other cancer cells evade anti-tumor immunity remain incompletely understood. This study shows that the growth of tumours formed by mutant BrafV600E mouse melanoma cells in an immunocompetent host requires their production of PGE2, which suppresses immunity and fuels tumour-promoting inflammation. Genetic ablation of cyclooxygenases (COX) or prostaglandin E synthases in BrafV600E mouse melanoma cells, as well as in NrasG12D melanoma or in breast or colorectal cancer cells, renders them susceptible to immune control and provokes a shift in the tumour inflammatory profile toward classic anti-cancer immune pathways.

Furthermore, proof-of-concept pre-clinical data demonstrate that inhibition of COX synergises with anti-PD-1 blockade in inducing tumour eradication, implying that COX inhibitors could be useful adjuvants for immune-based therapies in cancer patients.

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