Hammond-McKibben D, Lake P, Zhang J, Tart-Risher N, Hugo R, Weetall M
Transplantation Research, Novartis Pharmaceuticals, Summit, New Jersey, USA.
J Pharmacol Exp Ther. 2001 Jun;297(3):1144-51.
We describe a high-capacity in vivo assay to measure drug-mediated transplant immunosuppression using a mouse model of Sa1 tumor rejection. Sa1 grew poorly and was rejected by 14 days in immunocompetent allogeneic recipient mice. In nude (nu/nu) mice, Sa1 grew more rapidly and was not rejected, confirming the T cell dependence of this response. In immunocompetent animals, administration of immunosuppressive agents resulted in increased tumor growth relative to vehicle-treated animals. Treatment with immunosuppressive drugs such as cyclosporin A (CsA), 40-O-(2-hydroxyethyl)-rapamycin (SDZ RAD), or 2-amino-2-[2-(4-octylphenyl)ethyl]-1,2-propanediol hydrochloride (FTY720) produced dose-dependent inhibition of tumor rejection. By contrast, the drugs did not affect Sa1 tumor growth in nu/nu mice, which is consistent with their predicted indirect effect on tumor size by suppressing immunity, rather than by directly stimulating Sa1 growth. Drug potency, which is usually not described for immunosuppressive agents, was calculated from the linear relationship between drug dose and tumor volume. The potency of CsA was inversely related to the stringency of the histocompatibility barrier. Another advantage of this assay is that the endpoint is an objective size measurement over a short time period, compared with transplant models where the endpoint may not be reached for many weeks and may be more subjective. In addition, this model can measure the potency of combination drug treatments and compare new immunosuppressive drug regimens. For example, the administration of SDZ RAD or FTY720 with CsA resulted in a more than additive increase in potency, compared with the sum of the drugs as single agents.
我们描述了一种高容量的体内试验,该试验使用Sa1肿瘤排斥的小鼠模型来测量药物介导的移植免疫抑制作用。在具有免疫活性的同种异体受体小鼠中,Sa1生长缓慢,并在14天内被排斥。在裸(nu/nu)小鼠中,Sa1生长更快且未被排斥,这证实了该反应对T细胞的依赖性。在具有免疫活性的动物中,与给予赋形剂处理的动物相比,给予免疫抑制剂导致肿瘤生长增加。用免疫抑制药物如环孢素A(CsA)、40-O-(2-羟乙基)-雷帕霉素(SDZ RAD)或盐酸2-氨基-2-[2-(4-辛基苯基)乙基]-1,2-丙二醇(FTY720)进行治疗产生了剂量依赖性的肿瘤排斥抑制作用。相比之下,这些药物对nu/nu小鼠中的Sa1肿瘤生长没有影响,这与其通过抑制免疫而非直接刺激Sa1生长对肿瘤大小产生的预期间接作用一致。通常未针对免疫抑制剂描述的药物效力,是根据药物剂量与肿瘤体积之间的线性关系计算得出的。CsA的效力与组织相容性屏障的严格程度呈负相关。该试验的另一个优点是,与移植模型相比,其终点是在短时间内进行的客观大小测量,在移植模型中,终点可能在数周内都无法达到,而且可能更具主观性。此外,该模型可以测量联合药物治疗的效力,并比较新的免疫抑制药物方案。例如,与单独使用药物的总和相比,将SDZ RAD或FTY720与CsA联合使用导致效力增加超过相加作用。