TY - JOUR
T1 - Cisplatin educates CD8+ T cells to prevent and resolve chemotherapy-induced peripheral neuropathy in mice
AU - Laumet, Geoffroy
AU - Edralin, Jules D.
AU - Dantzer, Robert
AU - Heijnen, Cobi J.
AU - Kavelaars, Annemieke
N1 - Funding Information:
The authors thank Bianca Ford and Iteeben Mahant for tissue processing and staining and scoring of IENF images. This study is supported by grants from the National Institute of Neurological Disorders and Stroke and the National Cancer Institute of the National Institutes of Health, including R01 NS073939 (A.K., R.D., C.J.H.), and R01 CA227064 (A.K., C.J.H.), a Cyrus Scholar Award (G.L.), and an American Pain Society Future Leader in Pain Research Award (G.L.).
Publisher Copyright:
© 2019 International Association for the Study of Pain.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - The mechanisms responsible for the persistence of chemotherapy-induced peripheral neuropathy (CIPN) in a significant proportion of cancer survivors are still unknown. Our previous findings show that CD8+ T cells are necessary for the resolution of paclitaxel-induced mechanical allodynia in male mice. In this study, we demonstrate that CD8+ T cells are not only essential for resolving cisplatin-induced mechanical allodynia, but also to normalize spontaneous pain, numbness, and the reduction in intraepidermal nerve fiber density in male and female mice. Resolution of CIPN was not observed in Rag2-/- mice that lack T and B cells. Reconstitution of Rag2-/- mice with CD8+ T cells before cisplatin treatment normalized the resolution of CIPN. In vivo education of CD8+ T cells by cisplatin was necessary to induce resolution of CIPN in Rag2-/- mice because adoptive transfer of CD8+ T cells from naive wild-type mice to Rag2-/- mice after completion of chemotherapy did not promote resolution of established CIPN. The CD8+ T-cell-dependent resolution of CIPN does not require epitope recognition by the T-cell receptor. Moreover, adoptive transfer of cisplatin-educated CD8+ T cells to Rag2-/- mice prevented CIPN development induced by either cisplatin or paclitaxel, indicating that the activity of the educated CD8+ T is not cisplatin specific. In conclusion, resolution of CIPN requires in vivo education of CD8+ T cells by exposure to cisplatin. Future studies should examine whether ex vivo CD8+ T cell education could be applied as a therapeutic strategy for treating or preventing CIPN in patients.
AB - The mechanisms responsible for the persistence of chemotherapy-induced peripheral neuropathy (CIPN) in a significant proportion of cancer survivors are still unknown. Our previous findings show that CD8+ T cells are necessary for the resolution of paclitaxel-induced mechanical allodynia in male mice. In this study, we demonstrate that CD8+ T cells are not only essential for resolving cisplatin-induced mechanical allodynia, but also to normalize spontaneous pain, numbness, and the reduction in intraepidermal nerve fiber density in male and female mice. Resolution of CIPN was not observed in Rag2-/- mice that lack T and B cells. Reconstitution of Rag2-/- mice with CD8+ T cells before cisplatin treatment normalized the resolution of CIPN. In vivo education of CD8+ T cells by cisplatin was necessary to induce resolution of CIPN in Rag2-/- mice because adoptive transfer of CD8+ T cells from naive wild-type mice to Rag2-/- mice after completion of chemotherapy did not promote resolution of established CIPN. The CD8+ T-cell-dependent resolution of CIPN does not require epitope recognition by the T-cell receptor. Moreover, adoptive transfer of cisplatin-educated CD8+ T cells to Rag2-/- mice prevented CIPN development induced by either cisplatin or paclitaxel, indicating that the activity of the educated CD8+ T is not cisplatin specific. In conclusion, resolution of CIPN requires in vivo education of CD8+ T cells by exposure to cisplatin. Future studies should examine whether ex vivo CD8+ T cell education could be applied as a therapeutic strategy for treating or preventing CIPN in patients.
KW - CD8 T cells
KW - Chemotherapy-induced peripheral neuropathy
KW - Cisplatin
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U2 - 10.1097/j.pain.0000000000001512
DO - 10.1097/j.pain.0000000000001512
M3 - Article
C2 - 30720585
AN - SCOPUS:85066421143
SN - 0304-3959
VL - 160
SP - 1459
EP - 1468
JO - Pain
JF - Pain
IS - 6
ER -