Liu Aichun, Guardino Alice, Chinsangaram Lek, Goldstein Matthew J, Panicali Dennis, Levy Ronald
Division of Oncology, Stanford University School of Medicine, 269 Campus Drive, Stanford, CA 94305, USA.
Cancer Res. 2007 Jul 15;67(14):7037-44. doi: 10.1158/0008-5472.CAN-07-0224.
The interaction between CD40 ligand (CD40L, CD154) and its receptor CD40 on antigen-presenting cells is essential for the initiation of cell-mediated and humoral immune responses. Malignant B cells also express CD40 and respond to CD40L by enhancing expression of costimulatory molecules. In this study, we investigated the therapeutic antitumor effect of intratumoral administration of recombinant fowlpox virus encoding murine CD40L (rF-mCD40L) in a murine B-cell lymphoma model. BALB/c mice with established s.c. and widely metastatic A20 lymphoma tumors were treated with intratumoral injections of rF-mCD40L together with systemic chemotherapy. This combined chemoimmunotherapy resulted in complete tumor regression and long-term survival of the mice. Some tumor cells in the injected sites expressed the CD40L transgene and had increased expression of the CD80 and CD86 costimulatory molecules. The therapeutic effect was dependent on CD8 but not on CD4 T cells. Moreover, there was a requirement that the recombinant CD40L virus be injected directly into the tumor, as opposed to peritumoral or distant sites. Thus, rF-mCD40L injected directly into the tumor microenvironment enhances the immunogenicity of tumor B cells. The results support future plans for intratumoral injection of rF-mCD40L in patients with lymphoma.
抗原呈递细胞上的CD40配体(CD40L,CD154)与其受体CD40之间的相互作用对于细胞介导的免疫反应和体液免疫反应的启动至关重要。恶性B细胞也表达CD40,并通过增强共刺激分子的表达来对CD40L作出反应。在本研究中,我们在小鼠B细胞淋巴瘤模型中研究了瘤内注射编码小鼠CD40L的重组鸡痘病毒(rF-mCD40L)的治疗性抗肿瘤作用。对已建立皮下广泛转移的A20淋巴瘤肿瘤的BALB/c小鼠进行瘤内注射rF-mCD40L并联合全身化疗。这种联合化学免疫疗法导致小鼠肿瘤完全消退并长期存活。注射部位的一些肿瘤细胞表达CD40L转基因,并增加了CD80和CD86共刺激分子的表达。治疗效果依赖于CD8 T细胞而非CD4 T细胞。此外,需要将重组CD40L病毒直接注射到肿瘤中,而不是注射到肿瘤周围或远处部位。因此,直接注射到肿瘤微环境中的rF-mCD40L增强了肿瘤B细胞的免疫原性。这些结果支持了未来对淋巴瘤患者进行瘤内注射rF-mCD40L的计划。