Rodeberg David A, Erskine Courtney, Celis Esteban
Department of Pediatric Surgery, Childrens' Hospital of Pittsburgh, Pittsburgh, PA 15213, USA.
J Pediatr Surg. 2007 Aug;42(8):1396-402. doi: 10.1016/j.jpedsurg.2007.03.041.
Currently, novel therapies to improve survival of patients with rhabdomyosarcoma (RMS) are being investigated. One of the new approaches involves immunotherapy using tumor-specific T-lymphocytes. An effective prolonged immune-mediated response against tumor cells is dependent upon the response of helper T-lymphocytes (HTLs) to tumor-associated antigens in the presence of histocompatibility lymphocyte antigen surface proteins.
Rhabdomyosarcoma tumor lysate-pulsed human dendritic cells were used to stimulate HTL precursors (naive CD4+ T-cells) in vitro. After 3 rounds of antigen stimulation with antigen-presenting cells, the T-cells were tested for reactivity (T-cell proliferation assays) against a large panel of tumor lysate-pulsed autologous antigen-presenting cells.
Using peripheral blood mononuclear cells from normal naive donors, we have been able to generate HTL clones that recognize and proliferate to multiple tumor cell lines. The HTLs were induced using lysate from a single alveolar RMS tumor cell line (RMS13). The clones generated recognized all of the alveolar RMS cell lines (RMS13, Rh18, Rh28, Rh30, and Rh41), prostate cancer cell lines (LNCAP and LAPC4), melanoma cell lines (Mel 624 and G361), and breast cancer cell line (SKBR3). Helper T-lymphocytes recognition was also confirmed by interferon-gamma production. The clones did not recognize colon, lymphoma, ovarian carcinoma, ERMS or Epstein-Barr virus (EBV) transformed B-cells. This recognition was histocompatibility lymphocyte antigen class II restricted and was not an allogeneic response.
The results of this work demonstrate that HTLs, exposed to RMS lysate, are able to recognize and respond to a broad range of tumor types suggesting that a common antigen exist among these different tumors. These findings suggest novel treatment strategies for patients with RMS using tumor lysate to induce antitumor immune responses.
目前,正在研究提高横纹肌肉瘤(RMS)患者生存率的新型疗法。新方法之一涉及使用肿瘤特异性T淋巴细胞进行免疫治疗。针对肿瘤细胞的有效持久免疫介导反应取决于辅助性T淋巴细胞(HTL)在组织相容性淋巴细胞抗原表面蛋白存在的情况下对肿瘤相关抗原的反应。
横纹肌肉瘤肿瘤裂解物脉冲处理的人树突状细胞用于体外刺激HTL前体(初始CD4 + T细胞)。在用抗原呈递细胞进行三轮抗原刺激后,测试T细胞对大量肿瘤裂解物脉冲处理的自体抗原呈递细胞的反应性(T细胞增殖测定)。
使用来自正常初始供体的外周血单核细胞,我们能够产生识别多种肿瘤细胞系并对其增殖的HTL克隆。使用来自单个肺泡RMS肿瘤细胞系(RMS13)的裂解物诱导HTL。产生的克隆识别所有肺泡RMS细胞系(RMS13、Rh18、Rh28、Rh30和Rh41)、前列腺癌细胞系(LNCAP和LAPC4)、黑色素瘤细胞系(Mel 624和G361)以及乳腺癌细胞系(SKBR3)。通过γ干扰素产生也证实了辅助性T淋巴细胞的识别。这些克隆不识别结肠、淋巴瘤、卵巢癌、胚胎性RMS或爱泼斯坦 - 巴尔病毒(EBV)转化的B细胞。这种识别受组织相容性淋巴细胞抗原II类限制,不是同种异体反应。
这项工作的结果表明,暴露于RMS裂解物的HTL能够识别并对多种肿瘤类型作出反应,这表明这些不同肿瘤之间存在共同抗原。这些发现提示了使用肿瘤裂解物诱导抗肿瘤免疫反应来治疗RMS患者的新策略。