Taxanes trigger cancer cell killing in vivo by inducing non-canonical T cell cytotoxicity

Claire Vennin, Chiara M Cattaneo, Leontien Bosch, Serena Vegna, Xuhui Ma, Hugo G J Damstra, Moreno Martinovic, Efi Tsouri, Mila Ilic, Leyla Azarang, Jan R T van Weering, Emilia Pulver, Amber L Zeeman, Tim Schelfhorst, Jeroen O Lohuis, Anne C Rios, Johanna F Dekkers, Leila Akkari, Renee Menezes, Rene MedemaSerena R Baglio, Anna Akhmanova, Sabine C Linn, Simone Lemeer, Dirk M Pegtel, Emile E Voest, Jacco van Rheenen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Although treatment with taxanes does not always lead to clinical benefit, all patients are at risk of their detrimental side effects such as peripheral neuropathy. Understanding the in vivo mode of action of taxanes can help design improved treatment regimens. Here, we demonstrate that in vivo, taxanes directly trigger T cells to selectively kill cancer cells in a non-canonical, T cell receptor-independent manner. Mechanistically, taxanes induce T cells to release cytotoxic extracellular vesicles, which lead to apoptosis specifically in tumor cells while leaving healthy epithelial cells intact. We exploit these findings to develop an effective therapeutic approach, based on transfer of T cells pre-treated with taxanes ex vivo, thereby avoiding toxicity of systemic treatment. Our study reveals a different in vivo mode of action of one of the most commonly used chemotherapies, and opens avenues to harness T cell-dependent anti-tumor effects of taxanes while avoiding systemic toxicity.

Original languageEnglish
Article numbere12
Pages (from-to)1170-1185.e12
Number of pages16
JournalCancer Cell
Volume41
Issue number6
DOIs
Publication statusPublished - 12 Jun 2023

Bibliographical note

Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.

Funding

Funding: This work was supported by the Netherlands Organization of Scientific Research NWO (Vici grant 09150182110004 , CancerGenomics.nl , and the Josef Steiner Cancer Research Foundation (JvR). CV is funded by a fellowship from the Human Frontiers in Science Program . The funders had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the paper; or in the decision to submit the paper for publication.

FundersFunder number
Netherlands Organization of Scientific Research NWO09150182110004
Dr. Josef Steiner Krebsstiftung

    Keywords

    • T cell therapy
    • T cells
    • extracellular vesicles
    • in vivo mode of action
    • taxanes

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