Department of Immunology, Cleveland Clinic, NE62, 9500 Euclid Ave, Cleveland, OH 44195, USA.
Breast Cancer Res Treat. 2012 Jul;134(1):61-70. doi: 10.1007/s10549-011-1912-5. Epub 2011 Dec 16.
Cancer progenitor cells are critical for tumor initiation and recurrence so they are an important therapeutic target. We tested whether T cells could recognize tumor antigens expressed by breast cancer progenitor cells and acquire therapeutic activity against established metastases or delay onset of spontaneous tumors. Breast tumors were derived from HER2/neu transgenic mice and propagated in vitro under conditions that selected progenitor cells which were then used as an irradiated whole cell vaccine. A minor subset of recently sensitized T cells was isolated from vaccine-draining lymph nodes then activated in vitro to achieve numerical expansion. We show that the tumor progenitor cell vaccines reversed tolerance to a known HER2/neu epitope, otherwise inhibited by Treg cells. Additional shared tumor antigens were recognized because a Neuneg subclone also induced a Th1 type immune response against breast tumors. Adoptive transfer of in vitro activated lymph node T cells-mediated regression of established metastases from multiple independently derived breast tumor lines. Moreover, adoptive transfer of effector T cells into Neu-tolerant mice, months before the onset of spontaneous tumors, significantly postponed tumor development. Interestingly, T-cell-mediated lysis of metastases stimulated an IgG response to HER2/neu as well as other shared antigens. In summary, tumor progenitor cells contain shared antigens which can lead to a cross-protective T-cell response. Moreover, antigens acquired during immune-mediated tumor destruction are presented in a manner conducive to reversal of tolerance and Ig class switching. These complementary effector mechanisms might augment therapy by eliminating refractory breast cancer stem cells.
肿瘤祖细胞对于肿瘤的起始和复发至关重要,因此它们是一个重要的治疗靶点。我们测试了 T 细胞是否能够识别乳腺癌祖细胞表达的肿瘤抗原,并获得对已建立的转移或延迟自发肿瘤发生的治疗活性。乳腺肿瘤源自 HER2/neu 转基因小鼠,并在选择祖细胞的条件下在体外繁殖,然后将其用作辐照全细胞疫苗。从疫苗引流淋巴结中分离出一小部分最近致敏的 T 细胞,然后在体外激活以实现数量扩增。我们表明,肿瘤祖细胞疫苗逆转了对已知 HER2/neu 表位的耐受,否则会被 Treg 细胞抑制。由于 Neuneg 亚克隆也诱导针对乳腺肿瘤的 Th1 型免疫反应,因此还识别了其他共同的肿瘤抗原。体外激活的淋巴结 T 细胞的过继转移介导了来自多个独立衍生的乳腺肿瘤系的已建立转移的消退。此外,在自发肿瘤发生前数月将效应 T 细胞过继转移到 Neu 耐受小鼠中,显著推迟了肿瘤的发展。有趣的是,T 细胞介导的转移细胞溶解刺激了针对 HER2/neu 以及其他共同抗原的 IgG 反应。总之,肿瘤祖细胞包含共同抗原,可导致交叉保护的 T 细胞反应。此外,在免疫介导的肿瘤破坏过程中获得的抗原以有利于逆转耐受和 Ig 类转换的方式呈现。这些互补的效应机制可能通过消除耐药性的乳腺癌干细胞来增强治疗效果。
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