Department of Melanoma Medical Oncology, University of Texas, MD Anderson Cancer Center, Houston, TX 77030, USA.
J Immunother. 2010 May;33(4):371-81. doi: 10.1097/CJI.0b013e3181cd1180.
Adoptive cell transfer of expanded, autologous tumor-infiltrating lymphocytes (TIL) into lymphodepleted melanoma patients can induce the regression of bulky, metastatic disease. To generate the large numbers of T cells needed for infusion, TIL undergo a rapid expansion protocol (REP) in vitro using anti-CD3 antibody, interleukin-2, and irradiated peripheral blood feeder cells that typically results in an approximately 1000-fold expansion over 14 days. However, we have found that the conventional REP (C-REP) often favors the expansion of CD4+ T cells at the expense of tumor antigen-specific CD8+ T cells, which are the most potent cytolytic effector cells. In this study, we demonstrate that addition of transforming growth factor (TGF)-beta1 to the TIL culture at the onset of rapid expansion (T-REP ) maintained the percentage of CD8+ T cells while not inhibiting overall T-cell expansion. Of T cells expanded from different melanoma patient tumors, 13 of 15 TIL demonstrated improved yields and percentages of both CD8+ and MART-1 melanoma antigen-specific T cells after 14 days of expansion in TGF-beta1 compared with the C-REP. This was associated with a marked improvement in the antitumor activity of the resulting bulk TIL culture in terms of interferon-gamma production and melanoma tumor-specific cytotoxic T-lymphocyte activity. In addition, T-REP T cells demonstrated a higher potential for continued expansion in vitro for up to 3 weeks after the expansion compared with C-REP T cells, suggesting that they may also be capable of increased persistence after adoptive cell transfer. Our results suggest that TGF-beta1-expanded TIL have attributes that might predict efficacy superior to that of conventional TIL.
过继输注扩增的自体肿瘤浸润淋巴细胞(TIL)可使黑色素瘤患者大块转移病灶消退。为了获得输注所需的大量 T 细胞,TIL 在体外采用抗 CD3 抗体、白细胞介素-2 和辐照外周血饲养细胞进行快速扩增方案(REP),通常在 14 天内可扩增约 1000 倍。然而,我们发现常规 REP(C-REP)通常有利于 CD4+T 细胞的扩增,而不是肿瘤抗原特异性 CD8+T 细胞,后者是最有效的细胞毒性效应细胞。在这项研究中,我们证明在快速扩增起始时(T-REP)向 TIL 培养物中添加转化生长因子(TGF)-β1 可以维持 CD8+T 细胞的百分比,而不抑制总 T 细胞的扩增。在 TGF-β1 中,与 C-REP 相比,从 15 个不同黑色素瘤患者肿瘤中扩增的 T 细胞中,有 13 个在 14 天的扩增后,CD8+和 MART-1 黑色素瘤抗原特异性 T 细胞的产量和百分比均得到改善。这与产生的大量 TIL 培养物的抗肿瘤活性有明显改善有关,表现在干扰素-γ产生和黑色素瘤肿瘤特异性细胞毒性 T 淋巴细胞活性方面。此外,与 C-REP T 细胞相比,T-REP T 细胞在扩增后长达 3 周的时间内具有更高的体外持续扩增潜力,这表明它们在过继细胞转移后也可能具有更长的持久性。我们的结果表明,TGF-β1 扩增的 TIL 具有可能预测疗效优于常规 TIL 的特性。
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