General Surgery Department, Hainan Branch of Chinese PLA General Hospital, Sanya, Hainan, PR China.
Oncol Rep. 2012 Nov;28(5):1743-9. doi: 10.3892/or.2012.2013. Epub 2012 Sep 3.
Adoptive cellular transfer has been employed for cancer immunotherapy, including patients with gastric cancer. However, little is known about the distribution of effector cells after their injection via different pathways. In this study, we used human gastric cancer cells (BGC823) tagged with enhanced green fluorescent protein (EGPF) to establish a subcutaneous gastric cancer model in nude mice. Cytokine-induced killer (CIK) cells and cytotoxic T lymphocytes (CTLs) were generated from human peripheral blood and labeled with red fluorescent PKH26. A portion of CIK cells was armed with CEA/CD3-bispecific single-chain antibody. When CIK cells were injected into nude mice with established subcutaneous gastric cancer via peritumoral (p.t.), intravenous (i.v.) and intraperitoneal (i.p.) infusion respectively, the distribution of cells was observed using a live fluorescence imaging system. We found that only a very small number of CIK cells could travel to the tumor site after i.p. or i.v. infusion, and they inhibited subcutaneous tumor growth in vivo only immediately following injection. In contrast, p.t. injection resulted in a significantly higher accumulation of CIK cells at the tumor site for 48 hours and mediated the greatest tumor inhibition compared with the other two injection methods. In addition, we compared the antitumor activity of CIK, CEA/CD3-bscAb-CIK and CTL cells in vitro and in vivo after p.t. injection. Among the three types of immune cells, CTLs demonstrated the strongest antitumor activity both in vitro and in vivo. CEA/CD3-bispecific single chain antibody could effectively link T lymphocytes and tumor cells expressing CEA, and resulted in significantly higher accumulation of CIK cells at the tumor site compared with the parental CIK cells. This study indicates that peritumoral injection of immune effector cells by minimally invasive surgical procedures represents an effective delivery method of adoptive cellular immunotherapy. Tumor-specific immune cells, such as CTLs, are a better choice of effector cells than CIKs in cellular immunotherapy. Furthermore, CD3+ immune cells armed with the CEA/CD3-bispecific single chain antibody could more effectively travel to and accumulate at the site of tumors expressing CEA, such as gastric cancer.
过继细胞转移已被用于癌症免疫治疗,包括胃癌患者。然而,对于它们通过不同途径注射后的效应细胞分布知之甚少。在这项研究中,我们使用标记有增强型绿色荧光蛋白(EGFP)的人胃癌细胞(BGC823)建立了裸鼠皮下胃癌模型。细胞因子诱导的杀伤(CIK)细胞和细胞毒性 T 淋巴细胞(CTL)来源于人外周血,并标记有红色荧光 PKH26。一部分 CIK 细胞被武装以 CEA/CD3 双特异性单链抗体。当 CIK 细胞分别通过肿瘤周围(p.t.)、静脉(i.v.)和腹腔(i.p.)输注注入已建立的皮下胃癌裸鼠时,使用活体荧光成像系统观察细胞的分布。我们发现,只有非常少数量的 CIK 细胞可以在 i.p.或 i.v.输注后转移到肿瘤部位,并且它们仅在注射后立即在体内抑制皮下肿瘤生长。相比之下,p.t.注射导致 CIK 细胞在肿瘤部位的积聚显著增加,在 48 小时内介导最大的肿瘤抑制作用,与其他两种注射方法相比。此外,我们比较了 p.t.注射后三种免疫细胞(CIK、CEA/CD3-bscAb-CIK 和 CTL)在体外和体内的抗肿瘤活性。在三种免疫细胞中,CTL 在体外和体内均表现出最强的抗肿瘤活性。CEA/CD3 双特异性单链抗体可以有效地将 T 淋巴细胞与表达 CEA 的肿瘤细胞连接起来,与亲本 CIK 细胞相比,导致 CIK 细胞在肿瘤部位的积聚显著增加。这项研究表明,通过微创外科手术过继细胞免疫治疗中,肿瘤周围注射免疫效应细胞是一种有效的递送方法。肿瘤特异性免疫细胞,如 CTL,是细胞免疫治疗中比 CIK 更好的效应细胞选择。此外,武装有 CEA/CD3 双特异性单链抗体的 CD3+免疫细胞可以更有效地到达并积聚在表达 CEA 的肿瘤部位,如胃癌。
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