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Impact of anti-CTLA4 and anti-PD1 on the cross talk between cancer and immune cells, underlying CAT-VTE

datacite.subject.fosDepartamento de Biologia Animalpt_PT
dc.contributor.advisorSerpa, Jacinta
dc.contributor.advisorLopes, Carla Alexandra Mendes
dc.contributor.authorDias, Catarina de Freitas
dc.date.accessioned2024-01-11T10:28:12Z
dc.date.embargo2026-10-22
dc.date.issued2023
dc.date.submitted2023
dc.descriptionTese de mestrado, Biologia Humana e Ambiente , 2023, Universidade de Lisboa, Faculdade de Ciênciaspt_PT
dc.description.abstractCancer-associated thrombosis (CAT) and venous thromboembolism (VTE) are frequent cancerrelated complications associated with high mortality, thus the identification of predictive markers urges. Immune checkpoints inhibitors (ICI) used in cancer immunotherapy allow T cell activation against cancer cells. Recent retrospective studies showed increased VTE following ICI administration in some patients. Non-small cell lung cancer (NSCLC) is at high risk of thrombosis and the adoption of immunotherapy as a first line treatment seems to be associated with coagulation-fibrinolysis derangement. In melanoma, a very high-risk of thrombosis disease, few studies have addressed increased risk of coagulation alterations associated to ICI. For this project, we hypothesized that the action of ICI (anti-CTLA4 and anti-PD1) on immune and cancer cells as well as on their interaction, accounts for an increased risk of CAT-VTE. Our goal is to analyze this molecular crosstalk to identify possible prothrombotic biomarkers. We pharmacologically modulated NSCLC and melanoma cell lines in co-culture with CD8+ T cells (T CD8+ ) and Myeloid-Derived Suppressor Cells (MDSC), isolated from healthy blood donors. Immunofluorescence and flow cytometry analyses showed that T CD8+ and ICI increase cancer cell death. The in vitro clotting assay showed that T CD8+ and ICI induce platelet aggregation dependent on the relative quantity of T CD8+ . The Enzyme-Linked Immunosorbent Assay (ELISA) proposed that T CD8+ and ICI differently disrupt Tissue Factor and Podoplanin levels, which were not restored by MDSC exposure. The metabolic remodeling assessment by Nuclear Magnetic Resonance (NMR) suggested differential concentrations of extracellular metabolites upon exposure to T CD8+ and ICI. This study provides some insights about the interplay of immune cells, ICI and cancer cells, influencing the coagulation status. The results obtained constitute a starting point on this theme, denoting the need of further investigation underlying this dynamic, and opening important cues to follow towards the definition of biomarkers.pt_PT
dc.identifier.tid203523911
dc.identifier.urihttp://hdl.handle.net/10451/61729
dc.language.isoengpt_PT
dc.subjectTrombose associada a cancro (CAT)pt_PT
dc.subjecttromboembolismo venoso (VTE)pt_PT
dc.subjectInibidores de checkpoint imunitários (ICI)pt_PT
dc.subjectCancro de pulmão de não pequenas células (NSCLC)pt_PT
dc.subjectMelanomapt_PT
dc.subjectTeses de mestrado - 2023pt_PT
dc.titleImpact of anti-CTLA4 and anti-PD1 on the cross talk between cancer and immune cells, underlying CAT-VTEpt_PT
dc.typemaster thesis
dspace.entity.typePublication
rcaap.rightsembargoedAccesspt_PT
rcaap.typemasterThesispt_PT
thesis.degree.nameTese de mestrado em Biologia Humana e Ambientept_PT

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