Presenter Status

Fellow

Abstract Type

Research

Primary Mentor

John Perry

Start Date

13-5-2021 11:30 AM

End Date

13-5-2021 1:30 PM

Presentation Type

Poster Presentation

Description

Background: Evasion of drug and immune response in therapy-resistant leukemic stem cells (LSCs) is a major cause of relapse. A previous study has identified an alternative mechanism of action for low-dose doxorubicin (DXR) that inhibits upregulation of immune checkpoints (IC) in LSCs.

Objectives/Goal: The objective of this study is to establish the DXR dose range that will achieve the inhibition of immune checkpoint expression in leukemic cell lines.

Methods/Design: Cells were analyzed for expression of CTLA-4, LAG-3, PD-1, TIGIT, and TIM-3 via flow cytometry. Analysis was performed on days 3, 5, and 8 of treatment at concentrations identified as low, intermediate, and high from previously generated kill curve data.

Results: These results show that low dose DXR inhibits upregulation of multiple ICs within the first few days of treatment. Follow up study will be necessary for replication, with particular focus on measuring IC expression within the first three days of treatment.

Conclusions: Overall, this presents a promising strategy for treating resistant LSCs using an established chemotherapeutic agent.

Comments

Abstract Only.

MeSH Keywords

Hematological disease; chemotherapy; neoplasms

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May 13th, 11:30 AM May 13th, 1:30 PM

Low Dose Doxorubicin Inhibits Immune Checkpoint Upregulation in Acute Leukemias

Background: Evasion of drug and immune response in therapy-resistant leukemic stem cells (LSCs) is a major cause of relapse. A previous study has identified an alternative mechanism of action for low-dose doxorubicin (DXR) that inhibits upregulation of immune checkpoints (IC) in LSCs.

Objectives/Goal: The objective of this study is to establish the DXR dose range that will achieve the inhibition of immune checkpoint expression in leukemic cell lines.

Methods/Design: Cells were analyzed for expression of CTLA-4, LAG-3, PD-1, TIGIT, and TIM-3 via flow cytometry. Analysis was performed on days 3, 5, and 8 of treatment at concentrations identified as low, intermediate, and high from previously generated kill curve data.

Results: These results show that low dose DXR inhibits upregulation of multiple ICs within the first few days of treatment. Follow up study will be necessary for replication, with particular focus on measuring IC expression within the first three days of treatment.

Conclusions: Overall, this presents a promising strategy for treating resistant LSCs using an established chemotherapeutic agent.