Morales Johanna K, Kmieciak Maciej, Graham Laura, Feldmesser Marta, Bear Harry D, Manjili Masoud H
Department of Microbiology and Immunology, VCU School of Medicine, Massey Cancer Center, Richmond, VA 23298, USA.
Cancer Immunol Immunother. 2009 Jun;58(6):941-53. doi: 10.1007/s00262-008-0609-z. Epub 2008 Nov 1.
Adoptive immunotherapy (AIT) using ex vivo-expanded HER-2/neu-specific T cells has shown initial promising results against disseminated tumor cells in the bone marrow. However, it has failed to promote objective responses against primary tumors. We report for the first time that alternating gamma chain cytokines (IL-2, IL-7 and IL-15) ex vivo can expand the neu-specific lymphocytes that can kill breast tumors in vitro. However, the anti-tumor efficacy of these neu-specific T cells was compromised by the increased levels of myeloid-derived suppressor cells (MDSC) during the premalignant stage in FVBN202 transgenic mouse model of breast carcinoma. Combination of AIT with the depletion of MDSC, in vivo, resulted in the regression of neu positive primary tumors. Importantly, neu-specific antibody responses were restored only when AIT was combined with the depletion of MDSC. In vitro studies determined that MDSC caused inhibition of T cell proliferation in a contact-dependent manner. Together, these results suggest that combination of AIT with depletion or inhibition of MDSC could lead to the regression of mammary tumors.
采用体外扩增的HER-2/neu特异性T细胞进行的过继性免疫治疗(AIT)已显示出针对骨髓中播散性肿瘤细胞的初步良好效果。然而,它未能促进针对原发性肿瘤的客观反应。我们首次报告,体外交替使用γ链细胞因子(IL-2、IL-7和IL-15)可扩增在体外能杀死乳腺肿瘤的neu特异性淋巴细胞。然而,在FVBN202乳腺癌转基因小鼠模型的癌前阶段,这些neu特异性T细胞的抗肿瘤功效因髓系来源抑制细胞(MDSC)水平升高而受到损害。在体内,AIT与MDSC清除相结合导致neu阳性原发性肿瘤消退。重要的是,只有当AIT与MDSC清除相结合时,neu特异性抗体反应才得以恢复。体外研究确定,MDSC以接触依赖的方式导致T细胞增殖受到抑制。总之,这些结果表明,AIT与MDSC清除或抑制相结合可能导致乳腺肿瘤消退。