一种采用经基因改造以表达肿瘤相关抗原HER2的树突状细胞的免疫治疗方法。

An immunotherapy approach with dendritic cells genetically modified to express the tumor-associated antigen, HER2.

作者信息

Nabekura Tsukasa, Nagasawa Toshiro, Nakauchi Hiromitsu, Onodera Masafumi

机构信息

Division of Clinical and Experimental Hematology, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan.

出版信息

Cancer Immunol Immunother. 2008 May;57(5):611-22. doi: 10.1007/s00262-007-0399-8. Epub 2007 Sep 5.

Abstract

Dendritic cells (DC), genetically modified to express ovalbumin by the retroviral vector GCDNsap, can elicit stronger anti-tumor immunity than those loaded with the peptides. To assess the clinical feasibility of the strategy, such DC were prepared by differentiation of hematopoietic progenitor cells transduced with the human epidermal growth factor receptor 2 (HER2). When inoculated in mice, the DC primed both HER2-specific cytotoxic T lymphocytes and type 1 T helper lymphocytes, resulting in production of HER2-specific antibody. Of importance is that the antibody mediated antibody-dependent cellular cytotoxicity and opsonization. The potent anti-tumor effects were also confirmed by results of experiments using HER2-transgenic mice. Inoculation of HER2-transduced DC resulted in longer disease-free survival of treated mice that showed significant reduction of primary and metastatic tumors. Interestingly, footpad inoculation resulted in stronger anti-tumor effects compared to subcutaneous administration and induced higher levels of the HER2-specific antibody, suggesting that an important role of humoral immunity in anti-tumor effects for malignancies with membrane-type tumor-associated antigens (TAA). Taken together, vaccination of the TAA-transduced DC may represent a promising form of therapy for breast cancers expressing HER2.

摘要

通过逆转录病毒载体GCDNsap进行基因改造以表达卵清蛋白的树突状细胞(DC),比负载肽的树突状细胞能引发更强的抗肿瘤免疫。为评估该策略的临床可行性,通过用人类表皮生长因子受体2(HER2)转导的造血祖细胞分化来制备此类DC。当接种到小鼠体内时,这些DC可引发HER2特异性细胞毒性T淋巴细胞和1型辅助性T淋巴细胞,从而产生HER2特异性抗体。重要的是,该抗体介导抗体依赖性细胞毒性和调理作用。使用HER2转基因小鼠的实验结果也证实了其强大的抗肿瘤作用。接种HER2转导的DC可使治疗小鼠的无病生存期延长,且原发性和转移性肿瘤显著减少。有趣的是,与皮下给药相比,足垫接种产生更强的抗肿瘤作用,并诱导更高水平的HER2特异性抗体,这表明体液免疫在针对具有膜型肿瘤相关抗原(TAA)的恶性肿瘤的抗肿瘤作用中起重要作用。综上所述,接种TAA转导的DC可能是治疗表达HER2的乳腺癌的一种有前景的治疗形式。

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