Parney I F, Farr-Jones M A, Chang L J, Petruk K C
Department of Surgery, University of Alberta, Edmonton, Canada.
Neurosurgery. 2000 May;46(5):1169-77; discussion 1177-8. doi: 10.1097/00006123-200005000-00030.
Human gliomas are known to be immunosuppressive. Recent reports have suggested novel strategies to overcome this immunosuppression, including immunogene therapy. We examined expression of 10 immunologically important molecules by human gliomas in vitro, and we discuss the implications for immunogene therapy.
Early passage human glioma cultures and established human glioma cell lines were analyzed by flow cytometry for expression of Class I and II major histocompatibility complex (MHC), B7-2 (CD86), and Fas (CD95). Culture supernatants were assayed by enzyme-linked immunosorbent assay for interleukin (IL)-6, IL-10, IL-12, transforming growth factor beta2, prostaglandin E2, and granulocyte-macrophage colony-stimulating factor levels.
All cultures (16 of 16 samples) expressed Class I MHC and Fas, but few expressed Class II MHC (1 of 16 samples) or B7-2 (0 of 16 samples). Nearly all expressed high levels of IL-6 (19 of 21 samples; mean, 36.5 +/- 10.8 ng/10(6) cells/d) and prostaglandin E2 (21 of 21 samples; mean, 15.6 +/- 4.5 ng/10(6) cells/d) levels, and many expressed transforming growth factor beta2 (13 of 21 samples; mean, 8.6 +/- 3.7 ng/10(6) cells/d). Although several cultures (6 of 14 samples) expressed granulocyte-macrophage colony-stimulating factor, expression levels were very low (mean, 0.2 +/- 0.1 ng/10(6) cells/d). Few cultures (4 of 21 samples) expressed measurable IL-10, and none (0 of 22 samples) expressed IL-12.
Class I MHC and Fas expression suggests that human glioma cells may be susceptible to Class I MHC-dependent cytotoxic T cell recognition and Fas-mediated killing. Unfortunately, transforming growth factor beta2 and prostaglandin E2 probably impair T cell activation, and IL-6 may shift immunity to less effective humoral (T helper 2) responses. Proinflammatory gene expression (B7-2, granulocyte-macrophage colony-stimulating factor, and/or IL-12) is lacking. Together, these results suggest that modifying glioma cells via proinflammatory gene transfer or immunoinhibitory gene suppression might stimulate immune responses that are effective against unmodified tumors.
已知人类胶质瘤具有免疫抑制作用。最近的报告提出了克服这种免疫抑制的新策略,包括免疫基因治疗。我们检测了人类胶质瘤在体外10种免疫重要分子的表达,并讨论其对免疫基因治疗的意义。
采用流式细胞术分析早期传代的人类胶质瘤培养物和已建立的人类胶质瘤细胞系中I类和II类主要组织相容性复合体(MHC)、B7-2(CD86)和Fas(CD95)的表达。通过酶联免疫吸附测定法检测培养上清液中白细胞介素(IL)-6、IL-10、IL-12、转化生长因子β2、前列腺素E2和粒细胞-巨噬细胞集落刺激因子的水平。
所有培养物(16个样本中的16个)均表达I类MHC和Fas,但很少表达II类MHC(16个样本中的1个)或B7-2(16个样本中的0个)。几乎所有培养物均表达高水平的IL-6(21个样本中的19个;平均值,36.5±10.8 ng/10⁶细胞/d)和前列腺素E2(21个样本中的21个;平均值,15.6±4.5 ng/10⁶细胞/d),许多培养物表达转化生长因子β2(21个样本中的13个;平均值,8.6±3.7 ng/10⁶细胞/d)。虽然有几个培养物(14个样本中的6个)表达粒细胞-巨噬细胞集落刺激因子,但其表达水平非常低(平均值,0.2±0.1 ng/10⁶细胞/d)。很少有培养物(21个样本中的4个)表达可测量的IL-10,没有一个(22个样本中的0个)表达IL-12。
I类MHC和Fas的表达表明人类胶质瘤细胞可能易受I类MHC依赖性细胞毒性T细胞识别和Fas介导的杀伤作用。不幸的是,转化生长因子β2和前列腺素E2可能会损害T细胞活化,而IL-6可能会使免疫转向效果较差的体液(辅助性T细胞2)反应。缺乏促炎基因表达(B7-2、粒细胞-巨噬细胞集落刺激因子和/或IL-12)。总之,这些结果表明,通过促炎基因转移或免疫抑制基因抑制来修饰胶质瘤细胞可能会刺激针对未修饰肿瘤的有效免疫反应。