Department of Dermatology and the Netherlands Institute for Pigment Disorders, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
PLoS One. 2010 May 13;5(5):e10626. doi: 10.1371/journal.pone.0010626.
BACKGROUND: Presently melanoma still lacks adequate treatment options for metastatic disease. While melanoma is exceptionally challenging to standard regimens, it is suited for treatment with immunotherapy based on its immunogenicity. Since treatment-related skin depigmentation is considered a favourable prognostic sign during melanoma intervention, we here aimed at the reverse approach of directly inducing vitiligo as a shortcut to effective anti-melanoma immunity. METHODOLOGY AND PRINCIPAL FINDINGS: We developed an effective and simple to use form of immunotherapy by combining the topical skin-bleaching agent monobenzone with immune-stimulatory imiquimod cream and cytosine-guanine oligodeoxynucleotides (CpG) injections (MIC therapy). This powerful new approach promptly induced a melanoma antigen-specific immune response, which abolished subcutaneous B16.F10 melanoma growth in up to 85% of C57BL/6 mice. Importantly, this regimen induced over 100 days of tumor-free survival in up to 60% of the mice, and forcefully suppressed tumor growth upon re-challenge either 65- or 165 days after MIC treatment cessation. CONCLUSIONS: MIC therapy is effective in eradicating melanoma, by vigilantly incorporating NK-, B- and T cells in its therapeutic effect. Based on these results, the MIC regimen presents a high-yield, low-cost and simple therapy, readily applicable in the clinic.
背景:目前黑色素瘤仍然缺乏转移性疾病的充分治疗选择。虽然黑色素瘤对标准方案极具挑战性,但由于其免疫原性,它适合免疫疗法治疗。由于治疗相关的皮肤色素脱失被认为是黑色素瘤干预期间的一个有利预后标志,因此我们旨在采用直接诱导白癜风的反向方法作为有效抗黑色素瘤免疫的捷径。
方法和主要发现:我们通过将局部皮肤漂白剂单苯佐卡因与免疫刺激性咪喹莫特乳膏和胞嘧啶-鸟嘌呤寡脱氧核苷酸(CpG)注射剂(MIC 治疗)相结合,开发了一种有效且易于使用的免疫疗法。这种强大的新方法迅速诱导了一种黑色素瘤抗原特异性免疫反应,在多达 85%的 C57BL/6 小鼠中消除了皮下 B16.F10 黑色素瘤的生长。重要的是,该方案在高达 60%的小鼠中诱导了超过 100 天的无肿瘤生存,并且在 MIC 治疗停止后 65 或 165 天重新挑战时强烈抑制了肿瘤生长。
结论:MIC 疗法通过在治疗效果中谨慎纳入 NK、B 和 T 细胞,有效地根除黑色素瘤。基于这些结果,MIC 方案代表了一种高产、低成本和简单的治疗方法,易于在临床上应用。
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