Bianco Stacie R, Sun Juan, Fosmire Susan P, Hance Kenneth, Padilla Marcia L, Ritt Michelle G, Getzy David M, Duke Richard C, Withrow Stephen J, Lana Susan, Matthiesen David T, Dow Steven W, Bellgrau Donald, Cutter Gary R, Helfand Stuart C, Modiano Jaime F
Center for Cancer Causation and Prevention, AMC Cancer Research Center and Donald Monk Cancer Research Foundation, Denver, Colorado 80214, USA.
Cancer Gene Ther. 2003 Sep;10(9):726-36. doi: 10.1038/sj.cgt.7700625.
We examined the feasibility of using tumor apoptosis at accessible sites to enhance antimelanoma immune responses in a model of spontaneous canine melanoma. We show that priming peripheral blood mononuclear cells with apoptotic melanoma cells significantly enhanced autologous and allogeneic lymphokine-activated killing of tumor cells. Since various pathways required for intrinsic apoptosis are often inactivated in melanoma, we used Fas ligand (FasL) overexpression to promote extrinsic apoptosis. FasL induced apoptosis in five of six cell lines. Each of the susceptible lines, but not the resistant one, expressed Fas mRNA. In addition, direct intratumoral administration of FasL DNA to tumor-bearing dogs was safe, with no adverse events reported over 7 days of observation. A reduction of tumor burden was seen in three of five dogs treated. The reduction of tumor volume was correlated with Fas expression by the tumors, although one dog with a Fas-negative tumor survived for 82 weeks after treatment. Our data show that overexpression of FasL is suitable to promote apoptosis of Fas(+) melanomas, and support the notion that priming immune responder cells with apoptotic tumor cells may enhance antitumor responses. The results also suggest that intratumoral administration of FasL offers a safe route for therapeutic gene delivery.
我们在自发性犬黑色素瘤模型中研究了利用可及部位的肿瘤凋亡来增强抗黑色素瘤免疫反应的可行性。我们发现,用凋亡的黑色素瘤细胞刺激外周血单个核细胞可显著增强自体和异体淋巴因子激活的肿瘤细胞杀伤作用。由于黑色素瘤中内在凋亡所需的各种途径常常失活,我们利用Fas配体(FasL)过表达来促进外在凋亡。FasL在六个细胞系中的五个中诱导了凋亡。每个敏感细胞系均表达Fas mRNA,而抗性细胞系则不表达。此外,对荷瘤犬进行瘤内直接注射FasL DNA是安全的,在7天的观察期内未报告不良事件。在接受治疗的五只犬中,有三只的肿瘤负荷有所减轻。肿瘤体积的减小与肿瘤的Fas表达相关,尽管一只肿瘤Fas阴性的犬在治疗后存活了82周。我们的数据表明,FasL过表达适合促进Fas(+)黑色素瘤的凋亡,并支持用凋亡肿瘤细胞刺激免疫反应细胞可能增强抗肿瘤反应的观点。结果还表明,瘤内注射FasL为治疗性基因递送提供了一条安全途径。