RT Journal Article SR Electronic T1 Respiratory complex I regulates dendritic cell maturation in explant model of human tumor immune microenvironment JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP e008053 DO 10.1136/jitc-2023-008053 VO 12 IS 4 A1 Turpin, Rita A1 Liu, Ruixian A1 Munne, Pauliina M A1 Peura, Aino A1 Rannikko, Jenna H A1 Philips, Gino A1 Boeckx, Bram A1 Salmelin, Natasha A1 Hurskainen, Elina A1 Suleymanova, Ilida A1 Aung, July A1 Vuorinen, Elisa M A1 Lehtinen, Laura A1 Mutka, Minna A1 Kovanen, Panu E A1 Niinikoski, Laura A1 Meretoja, Tuomo J A1 Mattson, Johanna A1 Mustjoki, Satu A1 Saavalainen, Päivi A1 Goga, Andrei A1 Lambrechts, Diether A1 Pouwels, Jeroen A1 Hollmén, Maija A1 Klefström, Juha YR 2024 UL http://jitc.bmj.com/content/12/4/e008053.abstract AB Background Combining cytotoxic chemotherapy or novel anticancer drugs with T-cell modulators holds great promise in treating advanced cancers. However, the response varies depending on the tumor immune microenvironment (TIME). Therefore, there is a clear need for pharmacologically tractable models of the TIME to dissect its influence on mono- and combination treatment response at the individual level.Methods Here we establish a patient-derived explant culture (PDEC) model of breast cancer, which retains the immune contexture of the primary tumor, recapitulating cytokine profiles and CD8+T cell cytotoxic activity.Results We explored the immunomodulatory action of a synthetic lethal BCL2 inhibitor venetoclax+metformin drug combination ex vivo, discovering metformin cannot overcome the lymphocyte-depleting action of venetoclax. Instead, metformin promotes dendritic cell maturation through inhibition of mitochondrial complex I, increasing their capacity to co-stimulate CD4+T cells and thus facilitating antitumor immunity.Conclusions Our results establish PDECs as a feasible model to identify immunomodulatory functions of anticancer drugs in the context of patient-specific TIME.Data are available upon reasonable request.