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Response to 'Hyperbaric oxygen facilitates teniposide-induced cGAS-STING activation to enhance the antitumor efficacy of PD-1 antibody in HCC' by Yang et al
  1. Kun Li1,
  2. Yunfei Qin2 and
  3. Linsen Ye1
  1. 1Department of Hepatic Surgery and Liver Transplantation Center, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China
  2. 2Department of Biotherapy Center, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China
  1. Correspondence to Dr Linsen Ye; ye_linsen{at}

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We are very grateful to the authors for their letter in which they present some suggestions regarding the establishment of a mouse hepatocellular carcinoma (HCC) tumor model.1 We believe that these new insights are valuable and worthy of careful consideration by many researchers. The letter mainly focuses on two issues: (1) whether the Hepa1-6 tumor model selected for this study was appropriate and (2) whether subcutaneous tumor models used for evaluating anti-PD-1 efficacy were suitable. Here, we respond to the letter authors.

Hepa1-6 is one of the classic cell lines for establishing a mouse HCC model and has been widely used for the investigation of the tumor immune microenvironment (TIME) of HCC by numerous laboratories around the world.2–13 Undoubtedly, human HCC features a highly heterogeneous TIME,14 15 and it is impossible to replicate it using any mouse tumor model with complete accuracy.16 The authors mentioned that Won Jin Ho et al reported that the TIBx tumor model more closely simulated the immunosuppressive TIME of human HCC, and we certainly believe this is an excellent suggestion. However, the application of the TIBx model to immuno-oncology research seems to have been reported relatively infrequently thus far. In addition, we observed that the Hepa1-6 tumor model exhibited severe TIME hypoxia and adequate infiltration of the main immune cell subsets, including immunosuppressive M2-like macrophages and regulatory T cells, which met our experimental needs. Therefore, we selected the orthotopic Hepa1-6 model for the TIME survey; of course, it will be necessary to introduce the TIBx model into our subsequent research.

For anti-PD-1 sensitization experiments, we are of the opinion that the subcutaneous tumor model has multiple advantages because it is convenient for tumor inoculation, rechallenge, standardization, and dynamic volume measurement. In fact, numerous studies have also adopted a subcutaneous model to assess the therapeutic effect of monoclonal antibodies,17–26 suggesting that it is widely accepted as a classic tumor model for cancer immunotherapy research.

Based on the findings from this mainstream Hepa1-6 HCC tumor model, we propose potential clinical strategies to strengthen anti-PD-1 therapeutic efficacy. Hence, further investigation of this synergistic mechanism in unresectable HCC patients with more complicated tumor heterogeneity merits more attention.

We wish to thank the authors again for their attention to our research.

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  • Contributors KL drafted the manuscript; all authors reviewed and proofread it prior to submission.

  • Funding This work was supported by: National Natural Science Foundation of China (No. 81800559).

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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