Binyamin Liat, Alpaugh R Katherine, Hughes Tracey L, Lutz Charles T, Campbell Kerry S, Weiner Louis M
Department of Medical Oncology and Division of Basic Science, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
J Immunol. 2008 May 1;180(9):6392-401. doi: 10.4049/jimmunol.180.9.6392.
Human NK cells lyse Ab-coated target cells through the process of Ab-dependent cellular cytotoxicity (ADCC). Improving ADCC responses is desirable because it is thought to be an important antitumor mechanism for some Abs. NK cell inhibitory receptors, such as killer cell Ig-like receptors, engage with MHC class I molecules on self-cells to block NK cell activation. Accordingly, we enhanced ADCC responses by blocking NK cell inhibitory receptors, thus perturbing induction of the self-recognition signal. In a cell line model of anti-lymphoma therapy, the combination of rituximab with an Ab that blocks inhibitory self-recognition yielded increased NK cell-mediated target cell lysis when compared with rituximab alone. To validate this proof-of-concept, we then used a more representative approach in which an individual's fresh primary NK cells encountered autologous, EBV-transformed B cells. In this system, rituximab and a combination of Abs that block NK cell inhibitory receptors yielded improved NK cell-mediated lysis over rituximab alone. The results show, for the first time, that disruption of inhibitory self-recognition can efficiently promote ADCC in a human model, applying an autologous system in which physiologic checkpoints are in place. This method provides an alternative approach to potentiate the therapeutic benefit of antitumor Abs that mediate ADCC.
人类自然杀伤细胞(NK细胞)通过抗体依赖性细胞毒性作用(ADCC)裂解抗体包被的靶细胞。改善ADCC反应是可取的,因为它被认为是某些抗体的一种重要抗肿瘤机制。NK细胞抑制性受体,如杀伤细胞免疫球蛋白样受体,与自身细胞上的MHC I类分子结合,以阻断NK细胞的激活。因此,我们通过阻断NK细胞抑制性受体来增强ADCC反应,从而干扰自身识别信号的诱导。在抗淋巴瘤治疗的细胞系模型中,与单独使用利妥昔单抗相比,利妥昔单抗与一种阻断抑制性自身识别的抗体联合使用时,NK细胞介导的靶细胞裂解增加。为了验证这一概念验证,我们随后采用了一种更具代表性的方法,即让个体的新鲜原代NK细胞与自体EBV转化的B细胞相遇。在这个系统中,与单独使用利妥昔单抗相比,利妥昔单抗和阻断NK细胞抑制性受体的抗体组合可改善NK细胞介导的裂解。结果首次表明,在一个存在生理检查点的自体系统的人类模型中,破坏抑制性自身识别可以有效地促进ADCC。这种方法为增强介导ADCC的抗肿瘤抗体的治疗益处提供了一种替代方法。