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分泌粒细胞-巨噬细胞集落刺激因子的异基因肿瘤细胞免疫疗法可产生与自体肿瘤细胞免疫疗法相当的强效抗肿瘤反应。

Allogeneic GM-CSF-secreting tumor cell immunotherapies generate potent anti-tumor responses comparable to autologous tumor cell immunotherapies.

作者信息

Li Betty, Simmons Andrew, Du Thomas, Lin Carol, Moskalenko Marina, Gonzalez-Edick Melissa, VanRoey Melinda, Jooss Karin

机构信息

Cell Genesys Inc., South San Francisco, CA, USA.

出版信息

Clin Immunol. 2009 Nov;133(2):184-97. doi: 10.1016/j.clim.2009.07.008. Epub 2009 Aug 7.

Abstract

Clinical studies of cell-based immunotherapies have included both patient-specific (autologous) and non-patient-specific (allogeneic) approaches. Major concerns in using allogeneic immunotherapies are that the induced immune responses may be predominantly directed against the allogeneic HLA molecules of the cellular immunotherapy and not against its potential tumor antigens and that only the allogeneic responses will be enhanced when the immunotherapies are combined with immune checkpoint regulators in an effort to enhance overall immunotherapy potency. To evaluate these possibilities, studies were performed using the GM-CSF-secreting B16F1 cell line as autologous immunotherapy (Auto) and the same cell line modified to over-express the MHC molecule K(d) to generate an immunotherapy that expresses an allogeneic component (Allo) when injected into C57/Bl6 mice. The goal was to compare the specific anti-tumor immune responses induced by these two immunotherapies, which share an identical antigen repertoire, with the exception of the allogeneic MHC class I molecule expressed by the Allo cells, and have identical GM-CSF-secretion levels. Both immunotherapies provided similar therapeutic benefit to tumor-bearing animals with a trend towards a more pronounced tumor growth delay in animals injected with the Allo immunotherapy. This correlated with a significant increase in the number of activated DCs and T-cells in the DLN of Allo-treated animals. In addition, persistent infiltration of effector CD8(+) T-cells was detected in the tumors of animals treated with the Allo immunotherapy, which correlated with a trend towards a greater antigen-specific T-cell response in these animals. When combined with the immune checkpoint regulator anti-PD-1, tumor-specific and allogeneic immune responses were equally enhanced. Thus, the ability of an allogeneic tumor cell immunotherapy to induce a therapeutic anti-tumor immune response is comparable, if not superior, to an autologous tumor cell immunotherapy and its anti-tumor potency can be enhanced when combined with immunomodulatory compounds.

摘要

基于细胞的免疫疗法的临床研究包括患者特异性(自体)和非患者特异性(同种异体)方法。使用同种异体免疫疗法的主要担忧在于,诱导的免疫反应可能主要针对细胞免疫疗法的同种异体HLA分子,而非其潜在的肿瘤抗原,并且当免疫疗法与免疫检查点调节剂联合使用以增强整体免疫疗法效力时,只会增强同种异体反应。为了评估这些可能性,研究使用分泌GM-CSF的B16F1细胞系作为自体免疫疗法(Auto),并对同一细胞系进行改造以过度表达MHC分子K(d),从而生成一种免疫疗法,当注入C57/Bl6小鼠时表达同种异体成分(Allo)。目的是比较这两种免疫疗法诱导的特异性抗肿瘤免疫反应,除了Allo细胞表达的同种异体MHC I类分子外,它们具有相同的抗原库,并且GM-CSF分泌水平相同。两种免疫疗法都为荷瘤动物提供了相似的治疗益处,接受Allo免疫疗法注射的动物的肿瘤生长延迟趋势更为明显。这与Allo治疗动物的引流淋巴结中活化的DC和T细胞数量显著增加相关。此外,在接受Allo免疫疗法治疗的动物肿瘤中检测到效应CD8(+) T细胞的持续浸润,这与这些动物中更大的抗原特异性T细胞反应趋势相关。当与免疫检查点调节剂抗PD-1联合使用时,肿瘤特异性和同种异体免疫反应均得到同等增强。因此,同种异体肿瘤细胞免疫疗法诱导治疗性抗肿瘤免疫反应的能力即使不优于自体肿瘤细胞免疫疗法,也是相当的,并且当与免疫调节化合物联合使用时,其抗肿瘤效力可以增强。

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