Tumor-specific immune tolerance represents an obstacle for the development of effective anti-
tumor immune responses through
cancer vaccines. We here evaluated the efficacy of chemo-
immunotherapy in breaking
tumor-specific immune tolerance in an almost incurable mouse model of spontaneous
carcinogenesis.Transgenic HER-2/neu mice bearing large mammary
tumors received the adoptive transfer of splenocytes and serum isolated from immune donors, with or without pre-conditioning with
cyclophosphamide. Treatment efficacy was assessed by monitoring
tumor growth by manual inspection and by magnetic resonance imaging. The same chemo-
immunotherapy protocol was tested on
tumor-free HER-2/neu mice, to evaluate the effects on
tumor emergence.Our data show that chemo-
immunotherapy hampered
carcinogenesis and caused the regression of large mammary
tumor lesions in
tumor-bearing HER-2/neu mice. The complete eradication of a significant number of
tumor lesions occurred only in mice receiving
cyclophosphamide shortly before
immunotherapy, and was associated with increased serum anti HER-2/p185
antibodies and
tumor leukocyte infiltration. The same protocol significantly delayed the appearance of mammary
tumors when administered to
tumor-free HER-2/neu mice, indicating that this chemo-
immunotherapy approach acted through the elicitation of an effective anti-
tumor immune response. Overall, our data support the immune-modulatory role of
chemotherapy in overcoming
cancer immune tolerance when administered at lymphodepleting non-myeloablative doses shortly before transfer of
antigen-specific immune cells and
immunoglobulins. These findings open new perspectives on combining immune-modulatory
chemotherapy and
immunotherapy to overcome immune tolerance in
cancer patients.