Donia M, Junker N, Ellebaek E, Andersen M H, Straten P T, Svane I M
Center for Cancer Immune Therapy, Department of Haematology, Copenhagen University Hospital at Herlev, Herlev, DenmarkDepartment of Biomedical Sciences, University of Catania, Catania, ItalyDepartment of Oncology, Copenhagen University Hospital at Herlev, Herlev, Denmark.
Scand J Immunol. 2012 Feb;75(2):157-67. doi: 10.1111/j.1365-3083.2011.02640.x.
Adoptive cell therapy (ACT) with ex vivo expanded tumour-infiltrating lymphocytes (TILs) in combination with IL-2 is an effective treatment for metastatic melanoma. Modified protocols of cell expansion may allow the treatment of most enrolled patients and improve the efficacy of adoptively transferred cells. The aims of this study were to establish and validate the novel 'Young TIL' method at our institution and perform a head-to-head comparison of clinical-grade products generated with this protocol opposed to the conventional 'Standard TIL', which we are currently using in a pilot ACT trial for patients with melanoma. Our results confirm that 'Young TILs' display an earlier differentiation state, with higher CD27 and lower CD56 expression. In addition, CD8(+) TILs expressing CD27 had longer telomeres compared with the CD27(-). A recently described subset of NK cells, endowed with a high expression of CD56 (CD56(bright)), was detected for the first time in both types of cultures but at a higher frequency on Young TILs. Young and Standard TILs' reactivity against autologous tumours was similar, with significant expression of TNF-α/IFN-γ/CD107a by CD8(+) TILs detected in all cultures analysed. However, either slow expansion with high-dose IL-2 only or large numerical expansion with a rapid expansion protocol, which is required for current therapeutic protocols, significantly modified TIL phenotype by reducing the frequency of less differentiated, cancer-specific TILs. These studies further support the adoption of the Young TIL method in our current ACT trial and highlight the importance of continuous quality control of expansion protocols.
过继性细胞疗法(ACT)联合白细胞介素-2(IL-2)使用体外扩增的肿瘤浸润淋巴细胞(TILs)是转移性黑色素瘤的一种有效治疗方法。细胞扩增方案的改进可能使大多数入组患者得到治疗,并提高过继转移细胞的疗效。本研究的目的是在我们机构建立并验证新型“年轻TIL”方法,并对用该方案产生的临床级产品与我们目前在黑色素瘤患者的ACT试点试验中使用的传统“标准TIL”进行直接比较。我们的结果证实,“年轻TILs”表现出更早的分化状态,CD27表达较高而CD56表达较低。此外,与CD27(-)的CD8(+)TILs相比,表达CD27的CD8(+)TILs具有更长的端粒。在两种培养物中首次检测到最近描述的一个NK细胞亚群,其具有高表达的CD56(CD56(bright)),但在年轻TILs上的频率更高。年轻TILs和标准TILs对自体肿瘤的反应性相似,在所有分析的培养物中均检测到CD8(+)TILs显著表达TNF-α/IFN-γ/CD107a。然而,仅用高剂量IL-2进行缓慢扩增或采用当前治疗方案所需的快速扩增方案进行大量扩增,都会通过降低分化程度较低的癌症特异性TILs的频率而显著改变TIL表型。这些研究进一步支持在我们目前的ACT试验中采用年轻TIL方法,并强调了扩增方案持续质量控制的重要性。
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