Ochsenbein A F, Sierro S, Odermatt B, Pericin M, Karrer U, Hermans J, Hemmi S, Hengartner H, Zinkernagel R M
Institute of Experimental Immunology, University Hospital, CH-8091 Zurich, Switzerland.
Nature. 2001 Jun 28;411(6841):1058-64. doi: 10.1038/35082583.
The vertebrate immune system has evolved to protect against infections that threaten survival before reproduction. Clinically manifest tumours mostly arise after the reproductive years and somatic mutations allow even otherwise antigenic tumours to evade the attention of the immune system. Moreover, the lack of immunological co-stimulatory molecules on solid tumours could result in T-cell tolerance; that is, the failure of T cells to respond. However, this may not generally apply. Here we report several important findings regarding the immune response to tumours, on the basis of studies of several tumour types. First, tumour-specific induction of protective cytotoxic T cells (CTLs) depends on sufficient tumour cells reaching secondary lymphatic organs early and for a long enough duration. Second, diffusely invading systemic tumours delete CTLs. Third, tumours that stay strictly outside secondary lymphatic organs, or that are within these organs but separated from T cells by barriers, are ignored by T cells but do not delete them. Fourth, co-stimulatory molecules on tumour cells do not influence CTL priming but enhance primed CTL responses in peripheral solid tumours. Last, cross priming of CTLs by tumour antigens, mediated by major histocompatibility complex (MHC) class I molecules of antigen-presenting host cells, is inefficient and not protective. These rules of T-cell induction and maintenance not only change previous views but also rationales for anti-tumour immunotherapy.
脊椎动物的免疫系统已经进化到能够抵御那些在繁殖前威胁生存的感染。临床上出现的肿瘤大多发生在生殖年龄之后,体细胞突变使得即使是原本具有抗原性的肿瘤也能逃避免疫系统的关注。此外,实体瘤上缺乏免疫共刺激分子可能导致T细胞耐受,即T细胞无法做出反应。然而,这可能并不普遍适用。在此,我们基于对几种肿瘤类型的研究,报告了关于肿瘤免疫反应的几个重要发现。第一,肿瘤特异性诱导保护性细胞毒性T细胞(CTL)取决于足够数量的肿瘤细胞早期并在足够长的时间内到达二级淋巴器官。第二,弥漫性侵袭性全身肿瘤会清除CTL。第三,严格位于二级淋巴器官之外,或位于这些器官内但被屏障与T细胞隔开的肿瘤会被T细胞忽视,但不会清除它们。第四,肿瘤细胞上的共刺激分子不影响CTL的启动,但会增强外周实体瘤中已启动的CTL反应。最后,由抗原呈递宿主细胞的主要组织相容性复合体(MHC)I类分子介导的肿瘤抗原对CTL的交叉启动效率低下且无保护作用。这些T细胞诱导和维持的规则不仅改变了以前的观点,也改变了抗肿瘤免疫治疗的基本原理。
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