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靶向原发性肿瘤以产生细胞毒性T淋巴细胞(CTL),从而有效根除自发性转移灶。

Targeting the primary tumor to generate CTL for the effective eradication of spontaneous metastases.

作者信息

Yu Ping, Lee Youjin, Wang Yang, Liu Xiaojuan, Auh Sogyong, Gajewski Thomas F, Schreiber Hans, You Zhaoyang, Kaynor Campbell, Wang Xinzhong, Fu Yang-Xin

机构信息

Committee on Immunology and Department of Pathology, University of Chicago, Chicago, IL 60637, USA.

出版信息

J Immunol. 2007 Aug 1;179(3):1960-8. doi: 10.4049/jimmunol.179.3.1960.

Abstract

Metastatic disease is the major cause of morbidity and mortality in cancer. Although surgery, chemotherapy, or radiation can often control primary tumor growth, successful eradication of disseminated metastases remains rare. We have now tested whether direct targeting tumor tissues to generate antitumor immune response before surgical excision produces sufficient CTL against micrometastases. One unsolved problem is whether such response allows coming CTL to be educated and then exit the tumor site. Another unsolved problem is whether these CTL can then patrol and effectively eliminate spontaneously metastasized tumor cells in the periphery. In this study, we have shown that adenovirus-expressing TNFSF14 [LIGHT (name derived from homologous to lymphotoxins, shows inducible expression, and competes with herpes simplex virus glycoprotein D for herpes virus entry mediator, a receptor expressed by T lymphocytes); Ad-LIGHT] inoculated directly into primary 4T1 tumor, a highly aggressive, spontaneously metastasizing mammary carcinoma, followed by surgical removal of the primary tumor can eradicate established and disseminated metastatic tumor cells in the peripheral tissues. Furthermore, we clearly show with a fibrosarcoma model Ag104L(d) that local treatment can generate plenty of tumor-specific CTL that exit the primary tumor and infiltrate distal tumors to completely eradicate distal tumors. Therefore, targeting the primary tumor with Ad-LIGHT before surgical excision is a new strategy to elicit better immune response for the eradication of spontaneous metastases.

摘要

转移性疾病是癌症发病和死亡的主要原因。尽管手术、化疗或放疗通常可以控制原发性肿瘤的生长,但成功根除播散性转移灶仍然很少见。我们现在测试了在手术切除前直接靶向肿瘤组织以产生抗肿瘤免疫反应是否能产生足够的细胞毒性T淋巴细胞(CTL)来对抗微转移灶。一个未解决的问题是这种反应是否能使即将到来的CTL得到训练并随后离开肿瘤部位。另一个未解决的问题是这些CTL随后是否能在外周巡逻并有效清除自发转移的肿瘤细胞。在本研究中,我们表明,将表达肿瘤坏死因子配体超家族成员14 [LIGHT(名称源自与淋巴毒素同源,显示诱导性表达,并与单纯疱疹病毒糖蛋白D竞争疱疹病毒进入介质,一种由T淋巴细胞表达的受体);腺病毒-LIGHT] 直接接种到原发性4T1肿瘤(一种高度侵袭性、自发转移的乳腺癌)中,随后手术切除原发性肿瘤,可以根除外周组织中已形成并播散的转移性肿瘤细胞。此外,我们在纤维肉瘤模型Ag104L(d)中清楚地表明,局部治疗可以产生大量肿瘤特异性CTL,这些CTL离开原发性肿瘤并浸润远端肿瘤以完全根除远端肿瘤。因此,在手术切除前用腺病毒-LIGHT靶向原发性肿瘤是一种引发更好免疫反应以根除自发转移灶的新策略。

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