Zhou He, Luo Yunping, Mizutani Masato, Mizutani Noriko, Becker Jürgen C, Primus F James, Xiang Rong, Reisfeld Ralph A
Department of Immunology, The Scripps Research Institute, La Jolla, California 92037, USA.
J Clin Invest. 2004 Jun;113(12):1792-8. doi: 10.1172/JCI21107.
A lack of relevant animal models has hampered preclinical screening and critical evaluation of the efficacy of human vaccines in vivo. Carcinoembryonic antigen-A2Kb (CEA-A2Kb) double transgenic mice provide a biologically relevant model for preclinical screening and critical evaluation of human CEA vaccine efficacy in vivo, particularly because such animals are peripherally tolerant of CEA. We established the utility of this model by demonstrating that an oral DNA minigene vaccine induces effective HLA-A2-restricted, CEA-specific antitumor CTL responses. This finding is supported by three lines of evidence: (a). an effective HLA-A2-restricted, CEA(691)-specific CTL response; (b). specific in vitro killing of CEA-A2Kb transduced MC-38 colon carcinoma cells; and (c). protective immunity induced in vaccinated mice against challenges of these tumor cells. Importantly, peripheral T cell tolerance against CEA in CEA-A2Kb double transgenic mice was broken by the CEA(691) (IMIGVLVGV) minigene vaccine. In conclusion, CEA-A2Kb double transgenic mice were demonstrated to be good candidates for in vivo testing of human CEA-based vaccines. This result suggests a potential for these vaccines in future human vaccine development. The feasibility of using nonmutated self-antigens as targets for therapeutic vaccinations was indicated, provided that such antigens are presented in an immunogenic context; that is, as a DNA minigene in a bacterial carrier system.
缺乏相关动物模型阻碍了人类疫苗体内疗效的临床前筛选和关键评估。癌胚抗原-A2Kb(CEA-A2Kb)双转基因小鼠为人类CEA疫苗体内疗效的临床前筛选和关键评估提供了一个生物学相关模型,特别是因为此类动物对CEA具有外周耐受性。我们通过证明口服DNA小基因疫苗可诱导有效的HLA-A2限制性、CEA特异性抗肿瘤CTL反应,确立了该模型的实用性。这一发现得到了三方面证据的支持:(a)有效的HLA-A2限制性、CEA(691)特异性CTL反应;(b)对CEA-A2Kb转导的MC-38结肠癌细胞的特异性体外杀伤;(c)接种疫苗的小鼠中诱导产生的针对这些肿瘤细胞攻击的保护性免疫。重要的是,CEA(691)(IMIGVLVGV)小基因疫苗打破了CEA-A2Kb双转基因小鼠中针对CEA的外周T细胞耐受性。总之,CEA-A2Kb双转基因小鼠被证明是用于人类CEA疫苗体内测试的良好候选者。这一结果表明这些疫苗在未来人类疫苗开发中的潜力。这表明使用非突变自身抗原作为治疗性疫苗接种靶点的可行性,前提是此类抗原以免疫原性形式呈现;即作为细菌载体系统中的DNA小基因。
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