Butler Marcus O, Lee Jeng-Shin, Ansén Sascha, Neuberg Donna, Hodi F Stephen, Murray Andrew P, Drury Linda, Berezovskaya Alla, Mulligan Richard C, Nadler Lee M, Hirano Naoto
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA.
Clin Cancer Res. 2007 Mar 15;13(6):1857-67. doi: 10.1158/1078-0432.CCR-06-1905.
PURPOSE: Antitumor lymphocytes can be generated ex vivo unencumbered by immunoregulation found in vivo. Adoptive transfer of these cells is a promising therapeutic modality that could establish long-term antitumor immunity. However, the widespread use of adoptive therapy has been hampered by the difficulty of consistently generating potent antitumor lymphocytes in a timely manner for every patient. To overcome this, we sought to establish a clinical grade culture system that can reproducibly generate antigen-specific cytotoxic T lymphocytes (CTL). EXPERIMENTAL DESIGN: We created an off-the-shelf, standardized, and renewable artificial antigen-presenting cell (aAPC) line that coexpresses HLA class I, CD54, CD58, CD80, and the dendritic cell maturation marker CD83. We tested the ability of aAPC to generate tumor antigen-specific CTL under optimal culture conditions. The number, phenotype, effector function, and in vitro longevity of generated CTL were determined. RESULTS: Stimulation of CD8(+) T cells with peptide-pulsed aAPC generated large numbers of functional CTL that recognized a variety of tumor antigens. These CTLs, which possess a phenotype consistent with in vivo persistence, survived ex vivo for prolonged periods of time. Clinical grade aAPC(33), produced under current Good Manufacturing Practices guidelines, generated sufficient numbers of CTL within a short period of time. These CTL specifically lysed a variety of melanoma tumor lines naturally expressing a target melanoma antigen. Furthermore, antitumor CTL were easily generated in all melanoma patients examined. CONCLUSIONS: With clinical grade aAPC(33) in hand, we are now poised for clinical translation of ex vivo generated antitumor CTL for adoptive cell transfer.
目的:抗肿瘤淋巴细胞可在体外生成,不受体内免疫调节的限制。这些细胞的过继性转移是一种有前景的治疗方式,可建立长期抗肿瘤免疫。然而,由于难以及时为每位患者持续生成有效的抗肿瘤淋巴细胞,过继性疗法的广泛应用受到了阻碍。为克服这一问题,我们试图建立一种可重复生成抗原特异性细胞毒性T淋巴细胞(CTL)的临床级培养系统。 实验设计:我们创建了一种现成的、标准化且可再生的人工抗原呈递细胞(aAPC)系,其共表达HLA I类分子、CD54、CD58、CD80以及树突状细胞成熟标志物CD83。我们测试了aAPC在最佳培养条件下生成肿瘤抗原特异性CTL的能力。测定了所生成CTL的数量、表型、效应功能及体外存活时间。 结果:用肽脉冲aAPC刺激CD8(+) T细胞可生成大量识别多种肿瘤抗原的功能性CTL。这些CTL具有与体内持久性一致的表型,在体外可长时间存活。按照现行药品生产质量管理规范指南生产的临床级aAPC(33),能在短时间内生成足够数量的CTL。这些CTL可特异性裂解多种天然表达目标黑色素瘤抗原的黑色素瘤肿瘤细胞系。此外,在所检测的所有黑色素瘤患者中均能轻松生成抗肿瘤CTL。 结论:有了临床级aAPC(33),我们现在已准备好将体外生成的抗肿瘤CTL用于过继性细胞转移的临床转化。
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