Immune-Stimulatory Effects Of Rapamycin Are Mediated By Stimulation Of Antitumor Gamma Delta T Cells

The FDA-approved mTOR inhibitor rapamycin mediates important immune effects, but its contributions to the anticancer effects of the drug are unclear. Here we report evidence that rapamycin-mediated cancer protection relies upon stimulation of gamma delta T cells. In a well-established mouse model of carcinogen and inflammation-driven skin carcinogenesis, IFN gamma recruited gamma delta TCRmid T cells to the epidermis where rapamycin boosted their perforin-dependent antitumor properties. These antitumor cells were mostly V gamma 5 V gamma 4 V gamma 1 in phenotype. IFN gamma signals were required in both hematopoietic and nonhematopoietic cells for rapamycin to optimally promote epidermal infiltration of gamma delta TCRmid T cells, as mediated by CXCR3-CXCL10 interactions, along with the antitumor effects of these cells. In mouse xenograft models of human squamous cell carcinoma, rapamycin improved human gamma delta T-cell-mediated cancer cell killing. Our results identify immune mechanisms for the cancer prevention and treatment properties of rapamycin, challenging the paradigm that mTOR inhibition acts primarily by direct action on tumor cells. (C) 2016 AACR.