Immunogenic Death of Hepatocellular Carcinoma Cells in Mice Expressing Caspase-Resistant ROCK1 Is Not Replicated by ROCK Inhibitors

Simple Summary The efficacy of some cancer chemotherapies relies on their ability to induce immunogenic cell death (ICD) to activate the immune system. In addition, it has been suggested that treatments that provoke ICD could be used in combination with chemotherapies to improve their anti-cancer actions. Having determined that mutating the caspase cleavage site in ROCK1 promoted necrosis-like inflammatory cell death during acute chemically induced liver damage and in hepatocellular carcinomas, we examined whether similar effects would be induced by pharmacological ROCK inhibition. Although mice expressing the caspase-resistant non-cleavable ROCK1 (ROCK1nc) had higher levels of neutrophils and CD8(+) T cells in hepatocellular carcinoma tumours than in ROCK1 wild-type mice, indicative of greater ICD, two independent pharmacological ROCK inhibitors did not induce similar patterns. As a result, there is unlikely to be a clinical benefit derived from using pharmacological ROCK inhibitors to provoke ICD with standard of care therapies to increase their therapeutic efficacy. The morphological changes during apoptosis help facilitate "immunologically silent" cell death. Caspase cleavage of the ROCK1 kinase results in its activation, which drives the forceful contraction of apoptotic cells. We previously showed that when ROCK1 was mutated to render it caspase-resistant, there was greater liver damage and neutrophil recruitment after treatment with the hepatotoxin diethylnitrosamine (DEN). We now show that acute DEN-induced liver damage induced higher levels of pro-inflammatory cytokines/chemokines, indicative of immunogenic cell death (ICD), in mice expressing non-cleavable ROCK1 (ROCK1nc). Hepatocellular carcinoma (HCC) tumours in ROCK1nc mice had more neutrophils and CD8(+) T cells relative to mice expressing wild-type ROCK1, indicating that spontaneous tumour cell death also was more immunogenic. Since ICD induction has been proposed to be tumour-suppressive, the effects of two distinct ROCK inhibitors on HCC tumours was examined. Both fasudil and AT13148 significantly decreased tumour numbers, areas and volumes, but neither resulted in greater numbers of neutrophils or CD8+ T cells to be recruited. In the context of acute DEN-induced liver damage, AT13148 inhibited the recruitment of dendritic, natural killer and CD8(+) T cells to livers. These observations indicate that there is an important role for ROCK1 cleavage to limit immunogenic cell death, which was not replicated by systemic ROCK inhibitor administration. As a result, concomitant administration of ROCK inhibitors with cancer therapeutics would be unlikely to result in therapeutic benefit by inducing ICD to increase anti-tumour immune responses.