Geoerger B, Tang C B, Cesano A, Visonneau S, Marwaha S, Judy K D, Sutton L N, Santoli D, Phillips P C
Children's Hospital of Philadelphia, Division of Neuro-oncology, PA 19104, USA.
Neuro Oncol. 2000 Apr;2(2):103-13. doi: 10.1093/neuonc/2.2.103.
Malignant glioma in adults and primitive neuroectodermal tumors/medulloblastomas in children are the most common malignant primary brain tumors that either respond poorly to current treatment or tend to recur. Adoptive therapy with TALL-104 cells-an IL-2-dependent, major histocompatibility complex nonrestricted, cytotoxic T-cell line-has demonstrated significant antitumor activity against a broad range of implanted or spontaneously arising tumors. This study investigates distribution of systemically and locally administered TALL-104 cells and their efficacy in effecting survival of a rat model of human brain tumor. In vitro, TALL-104 cells showed significant cytotoxic activity when added to human glioblastoma cell lines U-87 MG, U-251 MG, and A1690; the medulloblastoma cell lines DAOY, D283 Med, and D341 Med; and the epidermoid cancer cell line A431. In brain tumor-bearing rats, the amount of fluorescent dye-labeled TALL-104 cells in brain increased after they were given by intracarotid injection as compared with i.v. cell administration. However, TALL-104 cells rapidly decreased to low levels within 1 h after intracarotid injection. This finding suggests that TALL-104 cells given systemically may not invade brain or tumor tissues, but rather may remain in the vascular system, making this approach less efficient for brain tumor treatment. In a model of athymic rats engrafted with human A431 carcinoma brain tumor, repetitive local administration of TALL-104 cells directly into the tumor bed resulted in a significant increase in survival time compared with control animals. Therefore, local therapy with TALL-104 cells may be a novel and highly effective treatment approach for malignant brain tumors.
成人间变性胶质瘤和儿童原始神经外胚层肿瘤/髓母细胞瘤是最常见的恶性原发性脑肿瘤,对当前治疗反应不佳或易于复发。用TALL - 104细胞进行过继性治疗——一种依赖白细胞介素-2、主要组织相容性复合体非限制性的细胞毒性T细胞系——已显示出对多种植入性或自发性肿瘤具有显著的抗肿瘤活性。本研究调查了全身和局部给药的TALL - 104细胞的分布及其对人脑肿瘤大鼠模型生存的影响。在体外,当将TALL - 104细胞添加到人胶质母细胞瘤细胞系U - 87 MG、U - 251 MG和A1690;髓母细胞瘤细胞系DAOY、D283 Med和D341 Med;以及表皮样癌细胞系A431中时,TALL - 104细胞显示出显著的细胞毒性活性。在荷脑肿瘤大鼠中,与静脉注射细胞相比,经颈动脉注射荧光染料标记的TALL - 104细胞后,脑中的细胞数量增加。然而,经颈动脉注射后1小时内,TALL - 104细胞迅速降至低水平。这一发现表明,全身给药的TALL - 104细胞可能不会侵入脑或肿瘤组织,而是可能留在血管系统中,使得这种方法对脑肿瘤治疗的效率较低。在植入人A431癌性脑肿瘤的无胸腺大鼠模型中,与对照动物相比,将TALL - 104细胞直接重复局部给药至肿瘤床可显著延长生存时间。因此,用TALL - 104细胞进行局部治疗可能是一种治疗恶性脑肿瘤的新型高效方法。