Epigenetic induction of CD1d expression primes lung cancer cells for killing by invariant NKT cells (#137)
Immunotherapies that target CD1d-restricted invariant NKT (iNKT) cells can prevent tumor growth in murine models but trials in humans have shown limited clinical efficacy. Here, we show that iNKT cells are depleted from blood and bronchial lavage samples from patients with non-small cell lung cancer (NSCLC) suggesting a role for these cells in immunity against NSCLC. We also interrogated the Kaplan-Meier Plotter database of 1926 NSCLC patients and found that low expression of CD1d mRNA is significantly associated with poor patient survival. We hypothesized that CD1d expression in NSCLC is epigenetically regulated and can be modulated using epigenetic targeting therapies. Treatment of the CD1d-negative NSCLC cell lines, A549 and SK-MES-1, with DNA methyltransferase inhibitors and histone deacetylase inhibitors resulted in a dose-dependent induction of CD1d mRNA and protein expression.  Chromatin immunoprecipitation analysis indicated that this induction of CD1d expression directly involved chromatin remodelling. Treatment of the NSCLC cell lines with DNA methyltransferase inhibitors and histone deacetylase inhibitors at therapeutic low doses made them targets for iNKT cell-mediated cytolytic degranulation. Thus, epigenetic manipulation of CD1d expression may augment the efficacy of iNKT cell-based immunotherapies for NSCLC. Â