放射治疗联合瘤内树突状细胞疫苗接种可增强过继性T细胞转移的治疗效果。
Radiotherapy combined with intratumoral dendritic cell vaccination enhances the therapeutic efficacy of adoptive T-cell transfer.
作者信息
Teitz-Tennenbaum Seagal, Li Qiao, Davis Mary A, Wilder-Romans Kari, Hoff Janet, Li Mu, Chang Alfred E
机构信息
Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan 48109-0932, USA.
出版信息
J Immunother. 2009 Jul-Aug;32(6):602-12. doi: 10.1097/CJI.0b013e3181a95165.
Treatment of C57BL/6 mice with cyclophosphamide (100 mg/kg) and fludarabine (200 mg/kg) induced nonmyeloablative lymphodepletion without inhibiting D5 melanoma tumor growth. Using this model, we found that induction of lymphopenia before adoptive transfer of ex vivo anti-CD3/CD28 activated and interleukin-2 expanded D5-G6 tumor draining lymph node cells enhanced the antitumor efficacy of the infused cells in both pulmonary metastases and subcutaneous D5 bearing mice. However, induction of lymphopenia did not promote intratumoral or extratumoral proliferation or accumulation of the infused cells. We have previously shown that radiotherapy enhances the therapeutic efficacy of intratumoral unpulsed dendritic cell vaccination in subcutaneous murine tumor models by augmenting the induction of antitumor cellular immune responses. Here, we confirmed this finding in a murine metastatic melanoma liver tumor model. Furthermore, local tumor irradiation combined with intratumoral dendritic cell administration significantly enhanced the therapeutic efficacy of tumor-reactive T cell adoptive transfer in this lymphodepleted liver tumor model. This was evident by reduced liver tumor size, decreased incidence of spontaneous intra-abdominal metastasis, and prolonged survival, resulting in 46% of mice cured. This enhanced antitumor activity was associated with a selective increase in proliferation, accumulation, and function of CD4+ rather than CD8+ infused cells. This multimodality regimen may have translational applications for the treatment of human cancers.
用环磷酰胺(100毫克/千克)和氟达拉滨(200毫克/千克)处理C57BL/6小鼠可诱导非清髓性淋巴细胞清除,而不抑制D5黑色素瘤肿瘤生长。利用该模型,我们发现,在过继转移体外抗CD3/CD28激活并经白细胞介素-2扩增的D5-G6肿瘤引流淋巴结细胞之前诱导淋巴细胞减少,可增强注入细胞对肺转移瘤和皮下接种D5肿瘤小鼠的抗肿瘤疗效。然而,淋巴细胞减少的诱导并未促进注入细胞在肿瘤内或肿瘤外的增殖或积累。我们之前已经表明,在皮下小鼠肿瘤模型中,放疗通过增强抗肿瘤细胞免疫反应的诱导来提高肿瘤内未负载树突状细胞疫苗接种的治疗效果。在此,我们在小鼠转移性黑色素瘤肝肿瘤模型中证实了这一发现。此外,在这个淋巴细胞清除的肝肿瘤模型中,局部肿瘤照射联合肿瘤内树突状细胞给药显著增强了肿瘤反应性T细胞过继转移的治疗效果。这表现为肝肿瘤大小减小、自发性腹腔内转移发生率降低和生存期延长,46%的小鼠得以治愈。这种增强后的抗肿瘤活性与注入细胞中CD4+而非CD8+细胞的增殖、积累和功能的选择性增加有关。这种多模式方案可能在人类癌症治疗中具有转化应用价值。
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