Department of Radiation Oncology, University of California, Los Angeles, CA 90095-1714, USA.
Immunology. 2009 Sep;128(1 Suppl):e797-804. doi: 10.1111/j.1365-2567.2009.03084.x. Epub 2009 Feb 17.
Radiation therapy affects the immune system. In addition to killing radiosensitive immune cells, it can induce functional changes in those cells that survive. Our recent studies showed that the exposure of dendritic cells (DCs) to radiation in vitro influences their ability to present tumour antigen in vivo. Here we show that local radiation therapy of B16 melanoma tumours inhibits the development of systemic immunity to the melanoma antigen MART-1. This inhibition could not be overcome by intratumoral injection of DCs expressing human MART-1 after radiation therapy, suggesting that a form of immune suppression might have developed. On the other hand, injection of MART-expressing DCs prior to tumour irradiation was able to prevent inhibition from developing. These results suggest that local radiation therapy may block the generation of immunity under some circumstances and that strategies may be required to prevent this and allow radiation-induced cell death to translate fully into the development of systemic immunity.
放射疗法会影响免疫系统。除了杀死对辐射敏感的免疫细胞外,它还可以诱导那些存活下来的细胞发生功能变化。我们最近的研究表明,树突状细胞(DC)在体外受到辐射照射会影响其在体内呈现肿瘤抗原的能力。在这里,我们表明,B16 黑色素瘤肿瘤的局部放射治疗会抑制对黑色素瘤抗原 MART-1 的全身性免疫的发展。在放射治疗后向肿瘤内注射表达人 MART-1 的 DC 并不能克服这种抑制,这表明可能已经发展出了某种形式的免疫抑制。另一方面,在肿瘤照射之前注射表达 MART 的 DC 能够防止抑制的发生。这些结果表明,在某些情况下,局部放射疗法可能会阻止免疫的产生,并且可能需要采取策略来防止这种情况发生,并使放射诱导的细胞死亡完全转化为全身性免疫的发展。