Hartman Zachary C, Osada Takuya, Glass Oliver, Yang Xiao Y, Lei Gang-Jun, Lyerly H Kim, Clay Timothy M
Department of Surgery and Comprehensive Cancer Center and Department of Immunology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Cancer Res. 2010 Sep 15;70(18):7209-20. doi: 10.1158/0008-5472.CAN-10-0905. Epub 2010 Sep 7.
Although critical for initiating and regulating immune responses, the therapeutic use of individual cytokines as anticancer immunotherapeutic agents has achieved only modest clinical success. Consequently, many current strategies have focused on the use of specific immunotherapeutic agonists that engage individual receptors of innate immune networks, such as the Toll-like receptor (TLR) system, each resulting in specific patterns of gene expression, cytokine production, and inflammatory outcome. However, these immunotherapeutics are constrained by variable cellular TLR expression and responsiveness to particular TLR agonists, as well as the specific cellular context of different tumors. We hypothesized that overexpression of MyD88, a pivotal regulator of multiple TLR signaling pathways, could circumvent these constraints and mimic coordinated TLR signaling across all cell types in a ligand-independent fashion. To explore this hypothesis, we generated an adenoviral vector expressing MyD88 and show that Ad-MyD88 infection elicits extensive Th1-specific transcriptional and secreted cytokine signatures in all murine and human cell types tested in vitro and in vivo. Importantly, in vivo intratumoral injection of Ad-MyD88 into established tumor masses enhanced adaptive immune responses and inhibited local tumor immunosuppression, resulting in significantly inhibited local and systemic growth of multiple tumor types. Finally, Ad-MyD88 infection of primary human dendritic cells, tumor-associated fibroblasts, and colorectal carcinoma cells elicited significant Th1-type cytokine responses, resulting in enhanced tumor cell lysis and expansion of human tumor antigen-specific T cells. Thus, Ad-MyD88 initiated robust antitumor activity in established murine tumor microenvironments and in human contexts, suggesting its potential effectiveness as a clinical immunotherapeutic strategy.
尽管细胞因子对于启动和调节免疫反应至关重要,但将单个细胞因子用作抗癌免疫治疗剂的临床应用仅取得了有限的成功。因此,目前许多策略都集中在使用特定的免疫治疗激动剂上,这些激动剂作用于天然免疫网络的单个受体,如Toll样受体(TLR)系统,每种受体都会导致特定的基因表达模式、细胞因子产生和炎症结果。然而,这些免疫治疗方法受到细胞TLR表达的变异性、对特定TLR激动剂的反应性以及不同肿瘤的特定细胞环境的限制。我们假设,MyD88(多种TLR信号通路的关键调节因子)的过表达可以规避这些限制,并以不依赖配体的方式模拟所有细胞类型中协调的TLR信号传导。为了探索这一假设,我们构建了一种表达MyD88的腺病毒载体,并表明Ad-MyD88感染在体外和体内测试的所有小鼠和人类细胞类型中引发了广泛的Th1特异性转录和分泌细胞因子特征。重要的是,在体内将Ad-MyD88瘤内注射到已形成的肿瘤块中可增强适应性免疫反应并抑制局部肿瘤免疫抑制,从而显著抑制多种肿瘤类型的局部和全身生长。最后,Ad-MyD88感染原代人树突状细胞、肿瘤相关成纤维细胞和结肠癌细胞引发了显著的Th1型细胞因子反应,导致肿瘤细胞裂解增强和人肿瘤抗原特异性T细胞扩增。因此,Ad-MyD88在已建立的小鼠肿瘤微环境和人类环境中引发了强大的抗肿瘤活性,表明其作为临床免疫治疗策略的潜在有效性。