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使用腺病毒载体进行肺内干扰素-β基因治疗在小鼠肺支气管源性腺癌原位模型中具有高效性。

Intrapulmonary IFN-beta gene therapy using an adenoviral vector is highly effective in a murine orthotopic model of bronchogenic adenocarcinoma of the lung.

作者信息

Wilderman Michael J, Sun Jing, Jassar Arminder S, Kapoor Veena, Khan Mohamed, Vachani Anil, Suzuki Eiji, Kinniry Paul A, Sterman Daniel H, Kaiser Larry R, Albelda Steven M

机构信息

Thoracic Oncology Research Laboratory, University of Pennsylvania Medical School, Philadelphia, Pennsylvania 19014-6160, USA.

出版信息

Cancer Res. 2005 Sep 15;65(18):8379-87. doi: 10.1158/0008-5472.CAN-05-0920.

DOI:10.1158/0008-5472.CAN-05-0920
PMID:16166316
Abstract

Given previous work showing that an adenoviral vector expressing IFN-beta (Ad.IFNbeta) was highly effective in eradicating i.p. mesothelioma tumors, the antitumor efficacy of this agent was evaluated in an orthotopic model of bronchogenic adenocarcinoma of the lung. These transgenic mice have a conditionally expressed, oncogenic K-rasG12D allele that can be activated by intratracheal administration of an adenovirus expressing Cre recombinase (Ad.Cre). K-rasG12D mutant mice were given Ad.Cre intranasally to activate the oncogene. Mice were then given 10(9) plaque-forming units of a control vector (Ad.LacZ) or Ad.IFNbeta intranasally 3 and 4 weeks later, a time when lung tumors had been established. Cells derived from K-ras-mutated lung tumors were also grown in the flanks of mice to study mechanisms of therapeutic responses. In two separate experiments, untreated tumor-bearing mice all died by day 57 (median survival, 49 days). Ad.LacZ-treated mice all died by day 71 (median survival, 65 days). In contrast, 90% to 100% of mice treated with Ad.IFNbeta were long-term survivors (>120 days; P < 0.001). In addition, immunity to re-challenge with tumor cells was induced. In vitro and flank tumor studies showed that Ad.IFNbeta induced direct tumor cell killing and that depleting natural killer or CD8+ T cells, but not CD4+ T cells, with antibodies attenuated the effect of Ad.IFNbeta. These studies, showing remarkable antitumor activity in this orthotopic lung cancer model, provide strong preclinical support for a trial of Ad.IFNbeta to treat human non-small cell lung cancer.

摘要

鉴于先前的研究表明,表达干扰素-β的腺病毒载体(Ad.IFNβ)在根除腹腔间皮瘤肿瘤方面非常有效,因此在肺支气管源性腺癌的原位模型中评估了该药物的抗肿瘤疗效。这些转基因小鼠具有条件性表达的致癌K-rasG12D等位基因,可通过气管内给予表达Cre重组酶的腺病毒(Ad.Cre)来激活。给K-rasG12D突变小鼠经鼻给予Ad.Cre以激活癌基因。然后在3周和4周后经鼻给小鼠给予10^9个空斑形成单位的对照载体(Ad.LacZ)或Ad.IFNβ,此时肺部肿瘤已经形成。源自K-ras突变肺肿瘤的细胞也在小鼠侧腹生长,以研究治疗反应的机制。在两项独立实验中,未治疗的荷瘤小鼠均在第57天死亡(中位生存期,49天)。Ad.LacZ治疗的小鼠均在第71天死亡(中位生存期,65天)。相比之下,用Ad.IFNβ治疗的小鼠中有90%至100%是长期存活者(>120天;P<0.001)。此外,还诱导了对肿瘤细胞再攻击的免疫力。体外和侧腹肿瘤研究表明,Ad.IFNβ诱导直接肿瘤细胞杀伤,并且用抗体耗尽自然杀伤细胞或CD8+T细胞而非CD4+T细胞会减弱Ad.IFNβ的作用。这些研究在该原位肺癌模型中显示出显著的抗肿瘤活性,并为Ad.IFNβ治疗人类非小细胞肺癌的试验提供了有力的临床前支持。

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