联合使用Flt3配体和粒细胞巨噬细胞集落刺激因子治疗可促进树突状细胞增强肿瘤浸润及抗肿瘤CD8(+) T细胞的交叉启动,但作为一种治疗方法无效。

Combinational FLt3 ligand and granulocyte macrophage colony-stimulating factor treatment promotes enhanced tumor infiltration by dendritic cells and antitumor CD8(+) T-cell cross-priming but is ineffective as a therapy.

作者信息

Berhanu Aklile, Huang Jian, Alber Sean M, Watkins Simon C, Storkus Walter J

机构信息

Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.

出版信息

Cancer Res. 2006 May 1;66(9):4895-903. doi: 10.1158/0008-5472.CAN-05-2384.

Abstract

Dendritic cells play significant roles in the development and maintenance of antitumor immune responses. Therapeutic recruitment of dendritic cells into the tumor microenvironment has the potential to result in enhanced antitumor T-cell cross-priming against a broad array of naturally processed and presented tumor-associated antigens. We have observed that the treatment of BALB/c mice bearing syngeneic CMS4 sarcomas with the combination of recombinant Flt3 ligand and recombinant granulocyte-macrophage colony-stimulating factor (GM-CSF) for five sequential days is sufficient to optimize the number of tumor-infiltrating dendritic cells (TIDC). However, despite the significant increase in the number of TIDCs, the therapeutic benefit of Flt3 ligand and GM-CSF treatment is minimal. Therapy-associated TIDCs do not exhibit a "suppressed" or "suppressor" phenotype in vitro, and their enhanced numbers in cytokine-treated mice were associated with increased levels of peripheral antitumor CD8(+) T effector cells and with an augmented population of CD8(+) tumor-infiltrating lymphocytes (TIL). These data suggest that Flt3 ligand + GM-CSF therapy of murine tumors fails at a mechanistic point that is downstream of specific T-cell priming by therapy-induced TIDCs and the recruitment of these T cells into the tumor microenvironment. Based on the enhanced infiltration of tumors by CD4(+)CD25(+) TIL in Flt3 ligand + GM-CSF-treated mice, this could reflect the dominant influence of regulatory T cells in situ.

摘要

树突状细胞在抗肿瘤免疫反应的发展和维持中发挥着重要作用。将树突状细胞治疗性募集到肿瘤微环境中有可能增强抗肿瘤T细胞针对多种天然加工和呈递的肿瘤相关抗原的交叉启动。我们观察到,用重组Flt3配体和重组粒细胞-巨噬细胞集落刺激因子(GM-CSF)连续五天联合治疗携带同基因CMS4肉瘤的BALB/c小鼠,足以优化肿瘤浸润树突状细胞(TIDC)的数量。然而,尽管TIDC数量显著增加,但Flt3配体和GM-CSF治疗的治疗益处却微乎其微。与治疗相关的TIDC在体外未表现出“抑制”或“抑制性”表型,并且它们在细胞因子处理的小鼠中数量增加与外周抗肿瘤CD8(+) T效应细胞水平升高以及CD8(+)肿瘤浸润淋巴细胞(TIL)群体增加有关。这些数据表明,小鼠肿瘤的Flt3配体+GM-CSF治疗在机制上在治疗诱导的TIDC特异性T细胞启动以及这些T细胞募集到肿瘤微环境的下游环节失败。基于Flt3配体+GM-CSF治疗的小鼠中CD4(+)CD25(+) TIL对肿瘤的浸润增强,这可能反映了调节性T细胞在原位的主导影响。

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