肿瘤内树突状细胞通过调节脑胶质瘤微环境增强外周免疫接种的疗效。

Intra-tumoral dendritic cells increase efficacy of peripheral vaccination by modulation of glioma microenvironment.

机构信息

Unit of Molecular Neuro-Oncology, Fondazione I.R.C.C.S. Istituto Neurologico C. Besta, 20133 Milan, Italy.

出版信息

Neuro Oncol. 2010 Apr;12(4):377-88. doi: 10.1093/neuonc/nop024. Epub 2010 Jan 6.

Abstract

Pilot data showed that adding intratumoral (IT) injection of dendritic cells (DCs) prolongs survival of patients affected by glioblastoma multiforme (GBM) treated by subcutaneous (SC) delivery of DCs. Using a murine model resembling GBM, we investigated the immunological mechanisms underlying this effect. C57BL6/N mice received brain injections of GL261 glioma cells. Seven days later, mice were treated by 3 SC injections of DCs with or without 1 IT injection of DCs. DC maturation, induced by pulsing with GL261 lysates, was necessary to develop effective immune responses. IT injection of pulsed (pDC), but not unpulsed DCs (uDC), increased significantly the survival, either per se or in combination with SC-pDC (P < .001 vs controls). Mice treated by IT-pDC plus SC-pDC survived longer than mice treated by SC-pDC only (P = .03). Injected pDC were detectable in tumor parenchyma, but not in cervical lymph nodes. In gliomas injected with IT-pDC, CD8+ cells were significantly more abundant and Foxp3+ cells were significantly less abundant than in other groups. Using real-time polymerase chain reaction, we also found enhanced expression of IFN-gamma and TNF-alpha and decreased expression of transforming growth factor-beta (TGF-beta) and Foxp3 in mice treated with SC-pDC and IT-pDC. In vitro, pDC produced more TNF-alpha than uDC: addition of TNF-alpha to the medium decreased the proliferation of glioma cells. Overall, the results suggest that IT-pDC potentiates the anti-tumor immune response elicited by SC-pDC by pro-immune modulation of cytokines in the tumor microenvironment, decrease of Treg cells, and direct inhibition of tumor proliferation by TNF-alpha.

摘要

初步数据显示,在多形性胶质母细胞瘤(GBM)患者中,通过皮下(SC)递送树突状细胞(DC)治疗的同时,进行肿瘤内(IT)注射 DC 可延长患者的生存时间。使用类似于 GBM 的小鼠模型,我们研究了这种效应的免疫机制。C57BL6/N 小鼠接受 GL261 神经胶质瘤细胞脑内注射。7 天后,通过 3 次 SC 注射 DC 并在 IT 部位注射 1 次 DC 对小鼠进行治疗,或不进行 IT 注射。用 GL261 裂解物脉冲诱导 DC 成熟是产生有效免疫反应的必要条件。IT 注射脉冲(pDC)而非未脉冲 DC(uDC)可显著提高生存率,无论是单独使用还是与 SC-pDC 联合使用(P<0.001 与对照组相比)。接受 IT-pDC 加 SC-pDC 治疗的小鼠比仅接受 SC-pDC 治疗的小鼠存活时间更长(P=0.03)。在注射 pDC 后可在肿瘤实质中检测到,但在颈部淋巴结中未检测到。在注射 IT-pDC 的胶质瘤中,CD8+细胞明显更丰富,Foxp3+细胞明显更稀少,与其他组相比。使用实时聚合酶链反应,我们还发现接受 SC-pDC 和 IT-pDC 治疗的小鼠中 IFN-gamma 和 TNF-alpha 的表达增强,转化生长因子-β(TGF-β)和 Foxp3 的表达降低。体外,pDC 产生的 TNF-alpha 多于 uDC:向培养基中添加 TNF-alpha 可降低神经胶质瘤细胞的增殖。总体而言,这些结果表明,IT-pDC 通过在肿瘤微环境中调节细胞因子、减少 Treg 细胞以及通过 TNF-alpha 直接抑制肿瘤增殖来增强 SC-pDC 引发的抗肿瘤免疫反应。

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