Cytotoxic T cells are able to efficiently eliminate cancer cells by additive cytotoxicity

  • Bettina Weigelin*
  • , Annemieke Th den Boer
  • , Esther Wagena
  • , Kelly Broen
  • , Harry Dolstra
  • , Rob J. de Boer
  • , Carl G. Figdor
  • , Johannes Textor
  • , Peter Friedl
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Lethal hit delivery by cytotoxic T lymphocytes (CTL) towards B lymphoma cells occurs as a binary, “yes/no” process. In non-hematologic solid tumors, however, CTL often fail to kill target cells during 1:1 conjugation. Here we describe a mechanism of “additive cytotoxicity” by which time-dependent integration of sublethal damage events, delivered by multiple CTL transiting between individual tumor cells, mediates effective elimination. Reversible sublethal damage includes perforin-dependent membrane pore formation, nuclear envelope rupture and DNA damage. Statistical modeling reveals that 3 serial hits delivered with decay intervals below 50 min discriminate between tumor cell death or survival after recovery. In live melanoma lesions in vivo, sublethal multi-hit delivery is most effective in interstitial tissue where high CTL densities and swarming support frequent serial CTL-tumor cell encounters. This identifies CTL-mediated cytotoxicity by multi-hit delivery as an incremental and tunable process, whereby accelerating damage magnitude and frequency may improve immune efficacy.

Original languageEnglish
Article number5217
Pages (from-to)1-12
JournalNature Communications
Volume12
Issue number1
DOIs
Publication statusPublished - Dec 2021

Bibliographical note

Funding Information:
We thank Stephen P. Schoenberger for providing the MEC-1/OVA cell line. pCDH-NLS-copGFP-EF1-BlastiS was a gift from Jan Lammerding (Addgene plasmid #132772). This work was supported by the Dutch Cancer Foundation (KWF 2008-4031) to C.G.F. and P.F., a personal KWF grant to A.Th.d.B.), NWO-Rubicon (019.162LW.020) to B.W., the FP7 of the European Union (ENCITE HEALTH TH-15-2008-208142), NWO-VICI (918.11.626), the European Research Council (617430-DEEPINSIGHT), and the Cancer Genomics Cancer, The Netherlands to P.F. Time-lapse confocal microscopy was enabled by an NWO investment grant (834.13.003).

Publisher Copyright:
© 2021, The Author(s).

Funding

We thank Stephen P. Schoenberger for providing the MEC-1/OVA cell line. pCDH-NLS-copGFP-EF1-BlastiS was a gift from Jan Lammerding (Addgene plasmid #132772). This work was supported by the Dutch Cancer Foundation (KWF 2008-4031) to C.G.F. and P.F., a personal KWF grant to A.Th.d.B.), NWO-Rubicon (019.162LW.020) to B.W., the FP7 of the European Union (ENCITE HEALTH TH-15-2008-208142), NWO-VICI (918.11.626), the European Research Council (617430-DEEPINSIGHT), and the Cancer Genomics Cancer, The Netherlands to P.F. Time-lapse confocal microscopy was enabled by an NWO investment grant (834.13.003).

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