提高过继性 T 细胞疗法治疗黑色素瘤的方法:IFN-γ 增强输注细胞产品的抗癌反应。

Methods to improve adoptive T-cell therapy for melanoma: IFN-γ enhances anticancer responses of cell products for infusion.

机构信息

Department of Haematology, Center for Cancer Immune Therapy, Copenhagen University Hospital at Herlev, Herlev, Denmark.

出版信息

J Invest Dermatol. 2013 Feb;133(2):545-52. doi: 10.1038/jid.2012.336. Epub 2012 Sep 27.

Abstract

Further development of adoptive T-cell therapy (ACT) with autologous tumor-infiltrating lymphocytes (TILs) has the potential to markedly change the long-term prognosis of patients with metastatic melanoma, and modifications of the original protocol that can improve its clinical efficacy are highly desirable. In this study, we demonstrated that a high in vitro tumor reactivity of infusion products was associated with clinical responses upon adoptive transfer. In addition, we systematically characterized the responses of a series of TIL products to relevant autologous short term-cultured melanoma cell lines from 12 patients. We provide evidence that antitumor reactivity of both CD8(+) and CD4(+) T cells could be enhanced in most TIL products by autologous melanoma sensitization by pretreatment with low-dose IFN-γ. IFN-γ selectively enhanced responses to tumor-associated antigens other than melanoma differentiation antigens. In addition, IFN-γ treatment was invariably associated with restored/increased cancer immunogenicity as demonstrated by upregulation of major histocompatibility complex molecules. These findings suggest a potential synergism between IFN-γ and ACT, and have important implications for clinical development of combination strategies for the treatment of metastatic melanoma.

摘要

过继性 T 细胞疗法(ACT)采用自体肿瘤浸润淋巴细胞(TIL),具有显著改善转移性黑色素瘤患者长期预后的潜力,我们期望对原始方案进行改进,以提高其临床疗效。在本研究中,我们证实输注产品具有高体外肿瘤反应性与过继转移后的临床反应相关。此外,我们系统地分析了 12 名患者的一系列 TIL 产品对相关自体短期培养黑色素瘤细胞系的反应。我们提供的证据表明,通过用低剂量 IFN-γ预处理进行自体黑色素瘤致敏,大多数 TIL 产品中 CD8(+)和 CD4(+)T 细胞的抗肿瘤反应性可以增强。IFN-γ 选择性增强对肿瘤相关抗原而非黑色素瘤分化抗原的反应。此外,IFN-γ 治疗总是与增加主要组织相容性复合体分子的表达,从而恢复/增加癌症免疫原性相关。这些发现提示 IFN-γ 和 ACT 之间存在潜在的协同作用,对联合策略治疗转移性黑色素瘤的临床发展具有重要意义。

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