Department of Microbiology and Immunology, Virginia Commonwealth University, Massey Cancer Center, Richmond, VA 23298, USA.
J Immunol. 2011 Jul 15;187(2):708-17. doi: 10.4049/jimmunol.1100502. Epub 2011 Jun 13.
Attempts to cure breast cancer by adoptive cellular therapy (ACT) have not been successful. This is primarily due to the presence of tumor-induced immune-suppressive mechanisms as well as the failure of tumor-reactive T cells to provide long-term memory responses in vivo. To address these clinically important challenges, we developed an ex vivo protocol for the expansion of tumor-reactive immune cells obtained from tumor-bearing animals prior to or after local radiation therapy. We used an Ag-free protocol that included bryostatin 1/ionomycin and sequential common γ-chain cytokines (IL-7/IL-15 + IL-2). The proposed protocol expanded tumor-reactive T cells as well as activated non-T cells, including NKT cells, NK cells, and IFN-γ-producing killer dendritic cells. Antitumor efficacy of T cells depended on the presence of non-T cells. The effector non-T cells also rendered T cells resistant to myeloid-derived suppressor cells. Radiation therapy altered phenotypic distribution and differentiation of T cells as well as their ability to generate central memory T cells. ACT by means of the expanded cells protected animals from tumor challenge and generated long-term memory responses against the tumor, provided that leukocytes were derived from tumor-bearing animals prior to radiation therapy. The ex vivo protocol was also able to expand HER-2/neu-specific T cells derived from the PBMC of a single patient with breast carcinoma. These data suggest that the proposed ACT protocol should be studied further in breast cancer patients.
采用过继细胞疗法(ACT)治疗乳腺癌的尝试尚未成功。这主要是由于肿瘤诱导的免疫抑制机制的存在,以及肿瘤反应性 T 细胞无法在体内提供长期记忆反应。为了解决这些具有临床重要意义的挑战,我们开发了一种体外方案,用于扩增来自荷瘤动物的肿瘤反应性免疫细胞,无论是在局部放射治疗之前还是之后。我们使用了一种无 Ag 方案,该方案包括 bryostatin 1/ionomycin 和顺序共同 γ 链细胞因子(IL-7/IL-15 + IL-2)。该方案可扩增肿瘤反应性 T 细胞以及激活的非 T 细胞,包括 NKT 细胞、NK 细胞和 IFN-γ 产生的杀伤树突状细胞。T 细胞的抗肿瘤功效取决于非 T 细胞的存在。效应非 T 细胞还使 T 细胞对髓源抑制细胞具有抗性。放射治疗改变了 T 细胞的表型分布和分化,以及它们生成中央记忆 T 细胞的能力。通过扩增细胞进行的 ACT 可保护动物免受肿瘤挑战,并对肿瘤产生长期记忆反应,前提是白细胞源自放射治疗前的荷瘤动物。该体外方案还能够扩增源自乳腺癌患者 PBMC 的 HER-2/neu 特异性 T 细胞。这些数据表明,应该进一步在乳腺癌患者中研究该拟议的 ACT 方案。
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