PMID- 34314307 OWN - NLM STAT- MEDLINE DCOM- 20220126 LR - 20220426 IS - 1532-2513 (Electronic) IS - 0892-3973 (Linking) VI - 43 IP - 5 DP - 2021 Oct TI - The efficacy of indoximod upon stimulation with pro-inflammatory cytokines in triple-negative breast cancer cells. PG - 554-561 LID - 10.1080/08923973.2021.1953064 [doi] AB - BACKGROUND: Indoleamine 2,3-dioxygenase (IDO) inhibition has received much attention in cancer immunotherapy due to its role in immune escape in cancer cells. Additionally, changes in the pro-inflammatory cytokine levels can affect tumor growth and metastasis as well as the effectiveness of immunotherapy. The purpose of this study was for the first time to determine the effects of indoximod as an IDO inhibitor on triple-negative breast cancer (TNBC) and to assess the link between the efficacy of indoximod and IFN-gamma or TNF-alpha stimulation. METHODS: The cytotoxic and apoptotic effects of indoximod alone or IFN-gamma or TNF-alpha induction to mimic an inflammatory environment were evaluated by WST-1, Annexin V, cell cycle analysis, and acridine orange (AO)/ethidium bromide (EtBr) staining. Furthermore, the expression levels of IDO1 and PD-L1 expression were analyzed by RT-PCR. RESULTS: Our results demonstrated that indoximod significantly decreased the TNBC cell viability through apoptotic cell death (p < .05). The combination of indoximod and TNF-alpha was more effective than indoximod and IFN-gamma stimulation or indoximod alone in TNBC cells. Additionally, PD-L1 expression level was significantly up-regulated after treatment with indoximod and TNF-alpha or IFN-gamma combinations (p < .05). CONCLUSIONS: Indoximod exhibited a therapeutic potential in TNBC cells and pro-inflammatory cytokines could affect the effectiveness of indoximod. However, further studies are required to identify the role of the IDO-associated signaling pathways, the molecular mechanisms of indoximod induced apoptotic cell death, and the relationship between IDO inhibition by IDO inhibitors and pro-inflammatory cytokine levels. FAU - Guney Eskiler, Gamze AU - Guney Eskiler G AUID- ORCID: 0000-0002-2088-9914 AD - Department of Medical Biology, Faculty of Medicine, Sakarya University, Sakarya, Turkey. FAU - Bilir, Cemil AU - Bilir C AD - Department of Medical Oncology, Faculty of Medicine, Istinye University VMMedical Park Pendik Hospital, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20210727 PL - England TA - Immunopharmacol Immunotoxicol JT - Immunopharmacology and immunotoxicology JID - 8800150 RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - 0 (Tumor Necrosis Factor-alpha) RN - 82115-62-6 (Interferon-gamma) RN - 8DUH1N11BX (Tryptophan) RN - XD0FY1J13B (1-methyltryptophan) SB - IM MH - B7-H1 Antigen/biosynthesis MH - Cell Line, Tumor MH - Cell Survival/drug effects/physiology MH - Cytokines/*administration & dosage MH - Dose-Response Relationship, Drug MH - Humans MH - Inflammation Mediators/*administration & dosage MH - Interferon-gamma/administration & dosage MH - Treatment Outcome MH - Triple Negative Breast Neoplasms/drug therapy/*metabolism MH - Tryptophan/administration & dosage/*analogs & derivatives MH - Tumor Necrosis Factor-alpha/administration & dosage OTO - NOTNLM OT - Triple-negative breast cancer OT - indoleamine 2,3-dioxygenase (IDO) OT - indoximod OT - pro-inflammatory cytokines EDAT- 2021/07/28 06:00 MHDA- 2022/01/27 06:00 CRDT- 2021/07/27 17:14 PHST- 2021/07/28 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2021/07/27 17:14 [entrez] AID - 10.1080/08923973.2021.1953064 [doi] PST - ppublish SO - Immunopharmacol Immunotoxicol. 2021 Oct;43(5):554-561. doi: 10.1080/08923973.2021.1953064. Epub 2021 Jul 27.