PMID- 21285988 OWN - NLM STAT- MEDLINE DCOM- 20110502 LR - 20211203 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 104 IP - 4 DP - 2011 Feb 15 TI - Temsirolimus, an mTOR inhibitor, enhances anti-tumour effects of heat shock protein cancer vaccines. PG - 643-52 LID - 10.1038/bjc.2011.15 [doi] AB - BACKGROUND: Temsirolimus is a mammalian target of rapamycin (mTOR) inhibitor and rapamycin analogue that is approved for treating advanced renal cell carcinoma (RCC). It is being actively evaluated in clinical trials for melanoma. The mTOR inhibitors are also immunosuppressants and are used clinically to prevent rejection following solid-organ transplant. Novel immunotherapies are being actively developed for immunoresponsive tumours, such as RCC and melanoma. METHODS: Immune-modulating effects of temsirolimus were characterised when used in combination with cancer vaccines targeting RCC (RENCA) and melanoma (B16). Cancer vaccines were recombinant tumour-specific proteins (CA9 or gp100), and recombinant heat shock protein (HSP; hsp110) served as the immune adjuvant. RESULTS: In murine models, temsirolimus enhanced the anti-tumour activity of cancer vaccines used to treat established RENCA and B16 tumours. A tumour prevention model established that the enhanced anti-tumour activity associated with temsirolimus was immune mediated. In mice treated with an HSP-based anti-tumour vaccine, temsirolimus-treated CD8 T cells had greater interferon-gamma and cytotoxic T-cell responses when compared with mice treated with vaccine alone. Temsirolimus also enhanced the formation of CD8 memory cells following administration of HSP-based cancer vaccine. CONCLUSION: These results provide a rationale for combining mTOR inhibitor with immunotherapy when treating immunoresponsive tumours. FAU - Wang, Y AU - Wang Y AD - Division of Urology, Department of Surgery, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 1070W, Los Angeles, CA 90048, USA. FAU - Wang, X-Y AU - Wang XY FAU - Subjeck, J R AU - Subjeck JR FAU - Shrikant, P A AU - Shrikant PA FAU - Kim, H L AU - Kim HL LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110201 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (Antineoplastic Agents) RN - 0 (Cancer Vaccines) RN - 0 (Heat-Shock Proteins) RN - 0 (Immunosuppressive Agents) RN - 0 (Protein Kinase Inhibitors) RN - 624KN6GM2T (temsirolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents/administration & dosage/pharmacology MH - Cancer Vaccines/administration & dosage/*therapeutic use MH - Carcinoma, Renal Cell/immunology/pathology/*therapy MH - Cells, Cultured MH - Drug Synergism MH - Heat-Shock Proteins/*antagonists & inhibitors/immunology MH - Immunosuppressive Agents/administration & dosage/therapeutic use MH - Immunotherapy/methods MH - Kidney Neoplasms/immunology/pathology/*therapy MH - Melanoma, Experimental/immunology/pathology/*therapy MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Protein Kinase Inhibitors/administration & dosage/pharmacology MH - Sirolimus/administration & dosage/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors PMC - PMC3049595 COIS- The authors declared no conflict of interest. EDAT- 2011/02/03 06:00 MHDA- 2011/05/03 06:00 PMCR- 2012/02/15 CRDT- 2011/02/03 06:00 PHST- 2011/02/03 06:00 [entrez] PHST- 2011/02/03 06:00 [pubmed] PHST- 2011/05/03 06:00 [medline] PHST- 2012/02/15 00:00 [pmc-release] AID - bjc201115 [pii] AID - 10.1038/bjc.2011.15 [doi] PST - ppublish SO - Br J Cancer. 2011 Feb 15;104(4):643-52. doi: 10.1038/bjc.2011.15. Epub 2011 Feb 1.