针对慢性粒细胞白血病的肿瘤抗原靶向免疫疗法:它仍然可行吗?
Tumour antigen-targeted immunotherapy for chronic myeloid leukaemia: is it still viable?
作者信息
Riley Catherine L, Mathieu Morgan G, Clark Richard E, McArdle Stephanie E B, Rees Robert C
机构信息
The John Van Geest Cancer Research Centre, School of Science and Technology, Nottingham Trent University, Nottingham NG11 8NS, UK.
出版信息
Cancer Immunol Immunother. 2009 Sep;58(9):1489-99. doi: 10.1007/s00262-009-0675-x. Epub 2009 Mar 4.
In haematological cancers, malignant cells circulate in the blood and lymphatic system. This may make leukaemic cells easier to target by immunotherapy than in other types of cancer. Various immunotherapy strategies have been trialled in several leukaemias including chronic myeloid leukaemia (CML) and in general, these have been aimed at targeting tumour-associated antigens (TAA). There are numerous TAA expressed by CML patients including WT1, proteinase 3, BCR-ABL and HAGE amongst others. The immunogenicity of the CML-specific tumour antigen, BCR-ABL, has been the subject of much debate and its role in the development of the disease and its unique sequence spanning the breakpoint region make it an ideal target for immunotherapy. However, there are a limited number of immunogenic epitopes across the junctional region, which are restricted to only a few HLA types, namely A2, A3 and B7 (Clark et al. in Blood 98:2887-2893, 2001). The second CML-associated antigen is the helicase antigen HAGE, a cancer-testis antigen found to be over-expressed in more than 50% of myeloid leukaemias (Adams et al. in Leukaemia 16:2238-2242, 2002). Very little is known about the function of this antigen and its significance to CML. However, its membership of the DEAD-box family of ATP-dependent RNA helicases and the involvement of other members of this family in tumour cell proliferation (Eberle et al. in Br J Cancer 86:1957-1962, 2002; Yang et al. in Cell Signal 17:1495-504, 2005) suggest a crucial role in the RNA metabolism of tumour cells. For these reasons, HAGE also seems to be a good target for immunotherapy as it would be applicable for the majority of patients with CML. This review aims to discuss the potential of immunotherapy for the treatment of leukaemia, in particular CML, and the prospect of targeting three CML associated antigens: BCR, ABL and HAGE. During his career, Prof. Tony Dodi made a significant contribution in this area of leukaemia research, confirming the identity of immunogenic HLA-A3 and B7-restricted peptides as targets for CTL. Published, as a highlighted paper in Clark et al. (Blood 98:2887-2893, 2001), this study demonstrated the expression of MHC-peptide complexes on the surface of CML cells and the presence of tetramer-positive CTL activity in CML patients positive for these two HLA alleles. His drive and dedication for research excellence will be remembered by all who knew and worked with him.
在血液系统癌症中,恶性细胞在血液和淋巴系统中循环。这可能使白血病细胞比其他类型的癌症更容易被免疫疗法靶向。多种免疫疗法策略已在包括慢性髓性白血病(CML)在内的几种白血病中进行了试验,总体而言,这些策略旨在靶向肿瘤相关抗原(TAA)。CML患者表达多种TAA,包括WT1、蛋白酶3、BCR-ABL和HAGE等。CML特异性肿瘤抗原BCR-ABL的免疫原性一直是众多争论的主题,其在疾病发展中的作用以及跨越断点区域的独特序列使其成为免疫疗法的理想靶点。然而,整个连接区域的免疫原性表位数量有限,仅局限于少数几种HLA类型,即A2、A3和B7(Clark等人,《血液》98:2887 - 2893,2001年)。第二种与CML相关的抗原是解旋酶抗原HAGE,一种癌胚抗原,发现在超过50%的髓性白血病中过度表达(Adams等人,《白血病》16:2238 - 2242,2002年)。人们对这种抗原的功能及其对CML的意义知之甚少。然而,它属于依赖ATP的RNA解旋酶DEAD-box家族,且该家族的其他成员参与肿瘤细胞增殖(Eberle等人,《英国癌症杂志》86:1957 - 1962,2002年;Yang等人,《细胞信号》17:1495 - 504,2005年),这表明它在肿瘤细胞的RNA代谢中起关键作用。基于这些原因,HAGE似乎也是免疫疗法的一个良好靶点,因为它适用于大多数CML患者。本综述旨在讨论免疫疗法治疗白血病,特别是CML的潜力,以及靶向三种与CML相关抗原:BCR、ABL和HAGE的前景。在其职业生涯中,托尼·多迪教授在白血病研究的这一领域做出了重大贡献,确认了免疫原性HLA - A3和B7限制性肽作为CTL靶点的身份。作为一篇重点论文发表在Clark等人(《血液》98:2887 - 2893,2001年)的研究中,该研究证明了MHC - 肽复合物在CML细胞表面的表达以及在这两个HLA等位基因呈阳性的CML患者中存在四聚体阳性CTL活性。所有认识他并与他共事过的人都将铭记他对卓越研究的干劲和奉献精神。