Boisteau O, Gautier F, Cordel S, Henry F, Harb J, Douillard J Y, Vallette F M, Meflah K, Grégoire M
INSERM U419, Institut de Biologie, 44035 Nantes, France.
Apoptosis. 1997;2(4):403-12. doi: 10.1023/a:1026461825570.
We have recently demonstrated that a treatment combining the cell differentiating agent sodium butyrate (NaBut) and interleukin-2 (IL2) resulted in a remission of established peritoneal colorectal carcinomatosis in rats. NaBut or IL2 treatment alone, never cured these tumour-bearing rats. In the present investigation, we report that NaBut-treatments induce apoptosis in the colonic cancer cells both in vitro and in vivo. We postulated that the significant therapeutic effect of NaBut/IL2 treatment can be mainly attributed to a NaBut-induced apoptosis of the tumoural cells increasing their immunogenicity. Indeed, treatment which combined apoptotic bodies (apobodies) as cell vaccine, plus IL2 immunotherapy significantly increased tumour remission and survival rate of the vaccinated rats, whereas IL2 treatment alone did not. We observed that the cured rats presented long-term protection against subsequent challenge with the parental tumour cells. This latter result suggests that these treatments generate an immune protection. This was confirmed by the presence, in the sera of the cured rats, of anti-tumoural antibodies directed against both the apobodies and the tumour cells, but not against normal colonocytes. In addition, we show that injections of apobodies before administration of the parental tumour cells results in a partial protection. We provide the first evidence that apobodies, derived from cancer cells after NaBut-treatment, induce a specific immune response against parental tumours cells. These data suggest that the distinctive immunologic properties of apobodies could provide a valuable tool in colorectal cancer immunotherapy.
我们最近证明,将细胞分化剂丁酸钠(NaBut)和白细胞介素-2(IL2)联合使用的治疗方法可使大鼠已形成的腹膜结直肠癌转移灶缓解。单独使用NaBut或IL2治疗,从未治愈这些荷瘤大鼠。在本研究中,我们报告NaBut治疗在体外和体内均可诱导结肠癌细胞凋亡。我们推测,NaBut/IL2治疗的显著治疗效果主要归因于NaBut诱导肿瘤细胞凋亡,从而增加其免疫原性。事实上,将凋亡小体(apobodies)作为细胞疫苗联合IL2免疫疗法的治疗方法显著提高了接种大鼠的肿瘤缓解率和生存率,而单独使用IL2治疗则没有。我们观察到治愈的大鼠对随后亲本肿瘤细胞的攻击具有长期保护作用。后一结果表明这些治疗产生了免疫保护。治愈大鼠血清中存在针对凋亡小体和肿瘤细胞而非正常结肠细胞的抗肿瘤抗体,这证实了这一点。此外,我们表明在接种亲本肿瘤细胞之前注射凋亡小体可产生部分保护作用。我们提供了首个证据,即经NaBut处理后的癌细胞来源的凋亡小体可诱导针对亲本肿瘤细胞的特异性免疫反应。这些数据表明,凋亡小体独特的免疫学特性可为结直肠癌免疫治疗提供有价值的工具。