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<article xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="1.3" article-type="research-article" xml:lang="en"><processing-meta tagset-family="jats" base-tagset="archiving" mathml-version="3.0" table-model="xhtml"><custom-meta-group><custom-meta assigning-authority="highwire" xlink:type="simple"><meta-name>recast-jats-build</meta-name><meta-value>1d2b230b09</meta-value></custom-meta></custom-meta-group></processing-meta><front><journal-meta><journal-id journal-id-type="hwp">jitc</journal-id><journal-id journal-id-type="nlm-ta">J Immunother Cancer</journal-id><journal-id journal-id-type="publisher-id">jitc</journal-id><journal-title-group><journal-title>Journal for ImmunoTherapy of Cancer</journal-title><abbrev-journal-title abbrev-type="publisher">J Immunother Cancer</abbrev-journal-title><abbrev-journal-title>J Immunother Cancer</abbrev-journal-title></journal-title-group><issn pub-type="epub">2051-1426</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">jitc-2019-000325</article-id><article-id pub-id-type="doi">10.1136/jitc-2019-000325</article-id><article-id pub-id-type="pmid">32217765</article-id><article-id pub-id-type="apath" assigning-authority="highwire">/jitc/8/1/e000325.atom</article-id><article-categories><subj-group subj-group-type="heading"><subject>Basic tumor immunology</subject></subj-group><subj-group subj-group-type="collection" assigning-authority="publisher"><subject>Open access</subject></subj-group><subj-group subj-group-type="collection" assigning-authority="publisher"><subject>Basic Tumor Immunology</subject></subj-group><subj-group subj-group-type="collection" assigning-authority="highwire"><subject>Special collections</subject><subj-group><subject>JITC</subject><subj-group><subject>Basic Tumor Immunology</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="collection" assigning-authority="highwire"><subject>Special collections</subject><subj-group><subject>Open access</subject></subj-group></subj-group><series-title>Original research</series-title></article-categories><title-group><article-title>Cellular cytotoxicity is a form of immunogenic cell death</article-title></title-group><contrib-group><contrib contrib-type="author" id="author-74309426" xlink:type="simple"><name name-style="western"><surname>Minute</surname><given-names>Luna</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309400" xlink:type="simple"><name name-style="western"><surname>Teijeira</surname><given-names>Alvaro</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author" id="author-74309460" xlink:type="simple"><name name-style="western"><surname>Sanchez-Paulete</surname><given-names>Alfonso R</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309479" xlink:type="simple"><name name-style="western"><surname>Ochoa</surname><given-names>Maria C</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author" id="author-74309497" xlink:type="simple"><name name-style="western"><surname>Alvarez</surname><given-names>Maite</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309530" xlink:type="simple"><name name-style="western"><surname>Otano</surname><given-names>Itziar</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309545" xlink:type="simple"><name name-style="western"><surname>Etxeberrria</surname><given-names>Iñaki</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309559" xlink:type="simple"><name name-style="western"><surname>Bolaños</surname><given-names>Elixabet</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309576" xlink:type="simple"><name name-style="western"><surname>Azpilikueta</surname><given-names>Arantza</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309589" xlink:type="simple"><name name-style="western"><surname>Garasa</surname><given-names>Saray</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-74309596" xlink:type="simple"><name name-style="western"><surname>Casares</surname><given-names>Noelia</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author" id="author-73322787" xlink:type="simple"><name name-style="western"><surname>Luis Perez Gracia</surname><given-names>Jose</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author" id="author-74309624" xlink:type="simple"><name name-style="western"><surname>Rodriguez-Ruiz</surname><given-names>Maria E</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author" corresp="yes" id="author-73322351" xlink:type="simple"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7410-1865</contrib-id><name name-style="western"><surname>Berraondo</surname><given-names>Pedro</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author" corresp="yes" id="author-73322236" xlink:type="simple"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-1360-348X</contrib-id><name name-style="western"><surname>Melero</surname><given-names>Ignacio</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1">
<label>1</label>
<institution content-type="department" xlink:type="simple">Program of Immunology and Immunotherapy</institution>, <institution xlink:type="simple">Cima Universidad de Navarra</institution>, <addr-line content-type="city">Pamplona</addr-line>, <country>Spain</country>
</aff><aff id="aff2">
<label>2</label>
<institution xlink:type="simple">Navarra Institute for Health Research (IDISNA)</institution>, <addr-line content-type="city">Pamplona</addr-line>, <country>Spain</country>
</aff><aff id="aff3">
<label>3</label>
<institution xlink:type="simple">Centro de Investigación Biomédica en Red de Cáncer (CIBERONC)</institution>, <addr-line content-type="city">Madrid</addr-line>, <country>Spain</country>
</aff><aff id="aff4">
<label>4</label>
<institution content-type="department" xlink:type="simple">Departments of Oncology and Immunology</institution>, <institution xlink:type="simple">Clínica Universidad de Navarra</institution>, <addr-line content-type="city">Pamplona</addr-line>, <country>Spain</country>
</aff><author-notes><corresp>
<label>Correspondence to</label> Dr Ignacio Melero; <email xlink:type="simple">imelero@unav.es</email>; Dr Pedro Berraondo; <email xlink:type="simple">pberraondol@unav.es</email>
</corresp><fn fn-type="other"><p>PB and IM are joint senior authors.</p></fn></author-notes><pub-date date-type="pub" iso-8601-date="2020-03" pub-type="ppub" publication-format="print"><month>3</month><year>2020</year></pub-date><pub-date date-type="pub" iso-8601-date="2020-03-26" pub-type="epub-original" publication-format="electronic"><day>26</day><month>3</month><year>2020</year></pub-date><pub-date iso-8601-date="2019-12-20T04:54:25-08:00" pub-type="hwp-received"><day>20</day><month>12</month><year>2019</year></pub-date><pub-date iso-8601-date="2019-12-20T04:54:25-08:00" pub-type="hwp-created"><day>20</day><month>12</month><year>2019</year></pub-date><pub-date iso-8601-date="2020-03-26T01:55:32-07:00" pub-type="epub"><day>26</day><month>3</month><year>2020</year></pub-date><volume>8</volume><issue>1</issue><elocation-id>e000325</elocation-id><history><date date-type="accepted" iso-8601-date="2020-03-01"><day>01</day><month>03</month><year>2020</year></date></history><permissions><copyright-statement>© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</copyright-statement><copyright-year>2020</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/" xlink:type="simple"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2020-03-26">http://creativecommons.org/licenses/by-nc/4.0/</ali:license_ref><license-p>This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/" xlink:type="simple">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="jitc-2019-000325.pdf" xlink:type="simple"/><related-article ext-link-type="doi" related-article-type="companion" xlink:href="10.1136/jitc-2020-000528" id="RA1" xlink:type="simple"/><abstract><sec><title>Background</title><p>The immune response to cancer is often conceptualized with the cancer immunity cycle. An essential step in this interpretation is that antigens released by dying tumors are presented by dendritic cells to naive or memory T cells in the tumor-draining lymph nodes. Whether tumor cell death resulting from cytotoxicity, as mediated by T cells or natural killer (NK) lymphocytes, is actually immunogenic currently remains unknown.</p></sec><sec><title>Methods</title><p>In this study, tumor cells were killed by antigen-specific T-cell receptor (TCR) transgenic CD8 T cells or activated NK cells. Immunogenic cell death was studied analyzing the membrane exposure of calreticulin and the release of high mobility group box 1 (HMGB1) by the dying tumor cells. Furthermore, the potential immunogenicity of the tumor cell debris was evaluated in immunocompetent mice challenged with an unrelated tumor sharing only one tumor-associated antigen and by class I major histocompatibility complex (MHC)-multimer stainings. Mice deficient in <italic toggle="yes">Batf3</italic>, <italic toggle="yes">Ifnar1</italic> and <italic toggle="yes">Sting1</italic> were used to study mechanistic requirements.</p></sec><sec><title>Results</title><p>We observe in cocultures of tumor cells and effector cytotoxic cells, the presence of markers of immunogenic cell death such as calreticulin exposure and soluble HMGB1 protein. Ovalbumin (OVA)-transfected MC38 colon cancer cells, exogenously pulsed to present the gp100 epitope are killed in culture by mouse gp100-specific TCR transgenic CD8 T cells. Immunization of mice with the resulting destroyed cells induces epitope spreading as observed by detection of OVA-specific T cells by MHC multimer staining and rejection of OVA<sup>+</sup> EG7 lymphoma cells. Similar results were observed in mice immunized with cell debris generated by NK-cell mediated cytotoxicity. Mice deficient in <italic toggle="yes">Batf3</italic>-dependent dendritic cells (conventional dendritic cells type 1, cDC1) fail to develop an anti-OVA response when immunized with tumor cells killed by cytotoxic lymphocytes. In line with this, cultured cDC1 dendritic cells uptake and can readily cross-present antigen from cytotoxicity-killed tumor cells to cognate CD8<sup>+</sup> T lymphocytes.</p></sec><sec><title>Conclusion</title><p>These results support that an ongoing cytotoxic antitumor immune response can lead to immunogenic tumor cell death.</p></sec></abstract><kwd-group><kwd>immunology</kwd><kwd>oncology</kwd></kwd-group><funding-group specific-use="FundRef"><award-group id="funding-1" xlink:type="simple"><funding-source xlink:type="simple">
<institution-wrap><institution xlink:type="simple">Ministerio ciencia y tecnologia</institution></institution-wrap>
</funding-source><award-id xlink:type="simple">MINECO SAF2014-52361-R and SAF 2017-83267-C2-1R</award-id></award-group></funding-group><custom-meta-group><custom-meta xlink:type="simple"><meta-name>special-feature</meta-name><meta-value>unlocked</meta-value></custom-meta><custom-meta xlink:type="simple"><meta-name>special-property</meta-name><meta-value>contains-inline-supplementary-material</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="s1"><title>Background</title><p>Antitumor immunity largely relies on effector cytotoxic T or natural killer (NK) cells.<xref ref-type="bibr" rid="R1">1</xref> Tumor cells may succumb on contact with activated cytotoxic lymphocytes as a result of pores formed by polyperforin that permit the entrance of granzyme B to activate caspase-dependent apoptosis.<xref ref-type="bibr" rid="R1 R2">1 2</xref> Furthermore, activated cytotoxic cells exhibit tumor necrosis factor-family proapoptotic ligands such as Fas ligand (FASL)<xref ref-type="bibr" rid="R3">3</xref> and TNF-related apoptosis inducing ligand (TRAIL)<xref ref-type="bibr" rid="R4">4</xref> that may elicit processes of apoptosis in the tumor cells.<xref ref-type="bibr" rid="R1">1</xref> Following contact with cytotoxic effector cells, target-cells undergo loss of viability and progressive disruption of their structures and organelles. These cellular remains are referred to as dead cells and target-cell debris.</p><p>Under normal circumstances, apoptosis is considered a form of immunologically silent programmed cell death. In tumor immunotherapy, it becomes important to know if cytotoxicity would be tolerogenic or, on the contrary, immunogenic to sustain and diversify the immune response. In fact, immunogenicity of tumor cell death coupled to release of intracellular tumor antigens has been postulated in the so-called cancer immunity cycle.<xref ref-type="bibr" rid="R5 R6">5 6</xref>
</p><p>Immunogenic versus non-immunogenic death of tumor cells has been extensively investigated by the groups of Kroemer <italic toggle="yes">et al</italic>.<xref ref-type="bibr" rid="R7 R8">7 8</xref> Following incisive experiments in mice<xref ref-type="bibr" rid="R9">9</xref> which correlated with clinical findings, immunogenic cell death was categorized as being able to enhance T-cell recognition of tumor antigens thereby delaying tumor growth in immunocompetent but not in immunodeficient mice.<xref ref-type="bibr" rid="R10">10</xref> Mechanistic and correlative experiments linked immunogenic cell death to the endoplasmic reticulum stress response, and to the release or exposure of eat-me signals and alarmins that act on dendritic cells to induce functional maturation into cells efficiently presenting tumor antigens.<xref ref-type="bibr" rid="R11">11</xref> Calreticulin exposure on the plasma membrane,<xref ref-type="bibr" rid="R12">12</xref> adenosine triphosphate (ATP) release,<xref ref-type="bibr" rid="R13 R14">13 14</xref> high mobility group box 1 (HMGB1) release,<xref ref-type="bibr" rid="R15">15</xref> extracellular mitochondrial formyl peptides<xref ref-type="bibr" rid="R16">16</xref> are considered hallmarks of immunogenic cell death.<xref ref-type="bibr" rid="R10">10</xref> These findings are reminiscent of the danger model as postulated by Matzinger, which predicts that factors released on tissue damage or cell stress are responsible for immunogenicity.<xref ref-type="bibr" rid="R17 R18">17 18</xref> These are termed damage-associated molecular patterns (DAMPs).<xref ref-type="bibr" rid="R19">19</xref>
</p><p>The main inherent mechanism to turn on and sustain CD8 T-cell immunity is tumor-antigen cross-priming as mediated by basic leucine zipper ATF-like transcription factor 3 (BATF3)-dependent conventional dendritic cells type 1 (cDC1) dendritic cells.<xref ref-type="bibr" rid="R20 R21">20 21</xref> These cells are able to capture antigens from cell-death-associated debris and present such exogenous antigens via the major histocompatibility complex (MHC) class I in the context of both costimulation and interleukin-12 (IL-12) production.<xref ref-type="bibr" rid="R20 R21">20 21</xref> Of note, these cDC1 cells closely cooperate with NK cells in the tumor microenvironment to elicit antitumor immunity.<xref ref-type="bibr" rid="R22 R23">22 23</xref>
</p><p>Our quest in this study was to ascertain if cytotoxicity as mediated by CD8 T cells or NK cells is a form of immunogenic cell death or not. Multiple lines of experimental evidence laid before us in mouse models unequivocally show that cytotoxicity is indeed a form of immunogenic cell death, since the remains of killed cells efficaciously induce antitumor immunity.</p></sec><sec id="s2" sec-type="methods"><title>Methods</title><sec id="s2-1"><title>Mice and cell lines</title><p>Experiments involving mice were approved by the Ethics Committee of the University of Navarra. C57BL/6 mice (5–8 weeks old, female) were obtained from Envigo (Huntingdon, Cambridgeshire, UK) and maintained in the animal facility of Cima Universidad de Navarra. C57BL/6 <italic toggle="yes">Batf3<sup>tm1Kmm/J</sup>
</italic> (Batf3KO), <italic toggle="yes">Tmem173<sup>gt/J</sup>
</italic> (STINGKO), interferon-<italic toggle="yes">α</italic> (<italic toggle="yes">IFNα)/bR<sup>o/o</sup>
</italic> (IFNARKO), <italic toggle="yes">C.129S7(B6)Tag1tm1Mom/J</italic> (RAG1), <italic toggle="yes">B6.Cg-Thy1<sup>a</sup>/CyTg(TcraTcrb)8Rest/J</italic> (Pmel-1),<xref ref-type="bibr" rid="R24">24</xref> C57BL/6-<italic toggle="yes">Tg(TcraTcrb)1100Mjb/J</italic> (OT-I), C57Bl/6 <italic toggle="yes">Tg14(act/EGFP)Osby</italic> (OT-I-enhanced green fluorescent protein (EGFP)) mice were bred at Cima Universidad de Navarra in specific pathogen-free conditions. <italic toggle="yes">Batf3</italic> KO,<xref ref-type="bibr" rid="R25">25</xref> <italic toggle="yes">Sting1</italic> KO<xref ref-type="bibr" rid="R26">26</xref> and <italic toggle="yes">Ifnar1</italic> KO<xref ref-type="bibr" rid="R27">27</xref> mice were kindly provided, respectively, by Kenneth M Murphy (Washington University, St. Louis, MO), by Gloria González Aseguinolaza (Cima Universidad de Navarra, Pamplona, Spain) and by Matthew Albert (Institut Pasteur, Paris, France). The MC38hEGFR cell line was kindly provided by Pablo Umaña (Roche). This cell line was stably transfected with Lipofectamine 2000 (Thermo Fisher Scientific, San Jose, California, USA) with pCI-neo plasmid expressing membrane-bound ovalbumin (OVA) (#25099, Addgene, Cambridge, Massachusetts, USA). MC38hEGFROVA clones were established by limiting dilution. MC38hEGFROVA was chosen because of suitability for ADCC experiments and convenience for detection but control replicate experiments to those shown in <xref ref-type="fig" rid="F1">figure 1</xref> with MC38OVA without EGFR were performed rendering comparable results. OVA expression was confirmed by intracellular OVA staining (ab85584, Abcam, Cambridge, UK) and real-time PCR. The MC38hEGFROVA, EG7, MC38, B16OVA, CHO FLT3-L FLAG cell lines were maintained at 37°C in 5% CO<sub>2</sub> and were grown in Roswell Park Memorial Institute medium (RPMI) Medium 1640+Glutamax (Gibco Invitrogen, Carlsbad, California, USA) containing 10% heat-inactivated fetal bovine serum (FBS) (Gibco), 100 IU/mL penicillin and 100 µg/mL streptomycin (Gibco) and 50 µM 2-Mercaptoethanol (Gibco). The MC38hEGFROVA cell line was grown with 6 µg/mL of Puromycin (Gibco) and 400 µg/mL of Geneticin (Gibco). To avoid loss of transgene expression, B16OVA and EG7 were maintained with 400 µg/mL of Geneticin.</p><fig position="float" id="F1" orientation="portrait"><object-id pub-id-type="publisher-id">F1</object-id><label>Figure 1</label><caption><p>Cellular cytotoxicity induces the release of danger-associated molecular patterns by dying cancer cells in culture. (A) MC38hEGFROVA cells were incubated for 48 hours with IFNγ (15 UI/mL) and gp100 peptide (100 ng/mL). Subsequently, in vitro preactivated Pmel-1-derived splenocytes were added at a ratio of 10:1. calreticulin surface expression on dying tumor cells (CD45<sup>-</sup> 7-AAD<sup>-</sup>) was analyzed after 24 hours by flow cytometry. Representative experiments are presented in dot plots and histograms indicating MFI. (B) Supernatants from the cocultures were analyzed for the concentration of HMGB1 by ELISA. As controls, tumor cells, or T cells with or without pulsed peptide were used. Data are mean±SEM n=4 for coculture with peptide and n=5 for other groups (C) MC38hEGFROVA cells were incubated with in vivo activated NK cells at a ratio of 3.5:1 for 24 hours. Subsequently, calreticulin surface expression on dying tumor cells (CD45<sup>-</sup> 7-AAD<sup>-</sup>) was analyzed by flow cytometry. Representative experiments are presented in dot plots and histograms indicating MFI. (D) HMGB1 concentrations in the supernatant were determined by ELISA. As controls, tumor cells or NK cells alone were used. Data are mean±SEM n=5 for all groups. One-way ANOVA test with Tukey’s multiple comparisons tests, ***p&lt;0.001. Results are representative of at least two experiments performed. ANOVA, analysis of variance; HMGB1, high mobility group box 1; IFNγ, interferon-γ; MFI, mean fluorescence intensity; NK, natural killer; CTLs. cytotoxic T lymphocytes; AF647, Alexa Fluor 647.</p></caption><graphic xlink:href="jitc-2019-000325f01" position="float" orientation="portrait" xlink:type="simple"/></fig><p>The HT29 cell line was cultured as other cells but without 2-mercaptoethanol supplementation in the culture medium.</p><p>X-63 granulocyte macrophage-colony stimulating factor (GM-CSF) was grown in Iscove’s modified Dulbecco medium (Sigma-Aldrich, St. Louis, Missouri, USA) supplemented with 1 mg/mL of Geneticin with 5% FCS, 100 IU/mL penicillin and 100 µg/mL streptomycin.</p></sec><sec id="s2-2"><title>Murine lymphocyte activation</title><p>Spleens from euthanized Pmel-1 mice were excised and splenocytes isolated mechanically and cultured at a concentration of 1.5×10<sup>6</sup>/mL for 48 hours with 100 ng/mL of human gp100<sub>25-33</sub> (KVPRNQDWL, RP20344, GenScript, Piscataway, New Jersey, USA). After 48 hours, we added fresh media and 30 IU/mL of IL-2 (Proleukin, Novartis) and kept the culture for 48 hours.</p><p>To generate murine activated NK cells, we injected at a high hydrostatic pressure into the tail vein of RAG1 mice 10 µg of Apo-Sushi-IL-15 expressing plasmid<xref ref-type="bibr" rid="R28">28</xref> in 2 mL of physiological saline solution. We harvested spleens after 3 days and isolated murine NK cells by negative selection following the manufacturer’s instructions (NK Cell Isolation Kit II mouse, Miltenyi Biotec, Bergisch Gladbach, Germany).</p></sec><sec id="s2-3"><title>In vitro killing</title><p>To obtain T cell-derived tumor debris, MC38hEGFROVA cells were incubated for 48 hours with 15 IU/mL of murine IFNγ (Miltenyi Biotec) to increase expression of MHC-I and 100 ng/mL of human gp100 peptide (KVPRNQDWL). Of important note, freeze and thaw as well as doxorubicin-killed cells were also preincubated with IFNγ. Following activation during 48 hours, Pmel-1 splenocytes were mixed with MC38hEGFROVA at a ratio of 10:1 in the presence of 30 IU/mL of IL-2 and 100 ng/mL of human gp100 and cultured for 3 days.</p><p>To obtain NK cell-derived tumor debris, in vivo activated NK cells (following the protocol described above) were cocultured with MC38hEGFROVA cells at a ratio of 3.5:1 with 200 IU/mL of IL-2 for 3 days.</p><p>Cell debris was washed twice in ice-cold phosphate buffered saline (PBS) and pellets resuspended in ice-cold PBS to be used in the immunization experiments.</p><p>To remove cytotoxic effector cells from the immunizing debris in the indicated experiments, debris was treated for 60 min in 5 mL of distilled H<sub>2</sub>O and washed with PBS buffer following centrifugation at 4000 rpm for 10 min at 4°C.</p><p>Cytotoxic NK and cytotoxic T lymphocytes (CTLs) were studied by FACS using the following fluorochrome-tagged antibodies: anti mouse CD3 phycoerythrin (PE)-Cy7 (17A2, 1:200, Biolegend, San Diego, CA), CD8 BV510 (53–6.7, 1:200, Biolegend), PD1 FITC (29F.1A12, 1:200, Biolegend), Tim3 PerCP-Cy5.5 (RMT3-23, 1:200, Biolegend), CD137 APC (17B5, 1:200, Biolegend), NK.1.1 PerCP-Cy5.5 (PK136, 1: 200, Biolegend), NKp46 APC (29A1.4, 1:200, Biolegend), KLRG1 BV421 (2F1/KLRG1, 1:200, Biolegend), NKG2D biotinylated (MI-6, 1: 200, eBiosciences, San Diego, California, USA), Streptavidin Alexa Fluor 488 (1:100, Biolegend), DX5 PE (DX5, 1:200, BD Biosciences, San Jose, CA). Dead cells were excluded with Zombie Nir (Biolegend) staining.</p></sec><sec id="s2-4"><title>Immunogenic cell death markers</title><p>We set up cocultures of tumor cells and murine T cells or murine NK cells as described above, and 24 hours later, supernatants were collected for HMGB1 detection by ELISA (IBL International, Hamburg, Germany) or stored at −80°C until use. Tumor cells were analyzed for calreticulin expression. Cells were washed with Staining Buffer (0.5% FBS, 0.5% ethylenediaminetetraacetic acid (EDTA) 0.5 M, 1% penicillin/streptomycin) and stained for 30 min on ice with a mix containing: anti-mouse CD16/32 (S17011E, 1:100, Biolegend), CD45BV510 (30-F11, 1: 200, Biolegend) and Calreticulin Alexa Fluor 647 (1:100, Abcam). Cells were then washed and stained with a mix of AnnexinV FITC (1:20