
Inflammation and tissue damage associated with pancreatitis can precede or occur concurrently with pancreatic ductal adenocarcinoma (PDAC). We demonstrate that in PDAC coupled with pancreatitis (ptPDAC), antigen-presenting type I conventional dendritic cells (cDC1s) are specifically activated. Immune checkpoint blockade therapy (iCBT) leads to cytotoxic CD8 + T cell activation and elimination of ptPDAC with restoration of life span even upon PDAC rechallenge. Using PDAC antigen-loaded cDC1s as a vaccine, immunotherapy-resistant PDAC was rendered sensitive to iCBT with elimination of tumors. cDC1 vaccination coupled with iCBT identified specific CDR3 sequences in the tumor-infiltrating CD8 + T cells with potential therapeutic importance. This study identifies a fundamental difference in the immune microenvironment in PDAC concurrent with, or without, pancreatitis and provides a rationale for combining cDC1 vaccination with iCBT as a potential treatment option.
Dendritic Cells, CD8-Positive T-Lymphocytes, Cancer Vaccines, Mice, Inbred C57BL, Pancreatic Neoplasms, Mice, Pancreatitis, Tumor Microenvironment, Animals, Immunotherapy, Immune Checkpoint Inhibitors, Carcinoma, Pancreatic Ductal
Dendritic Cells, CD8-Positive T-Lymphocytes, Cancer Vaccines, Mice, Inbred C57BL, Pancreatic Neoplasms, Mice, Pancreatitis, Tumor Microenvironment, Animals, Immunotherapy, Immune Checkpoint Inhibitors, Carcinoma, Pancreatic Ductal
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