Department of Microbiology and Immunology, University of Nevada School of Medicine, Reno, Nevada, United States of America.
PLoS One. 2012;7(10):e48049. doi: 10.1371/journal.pone.0048049. Epub 2012 Oct 25.
The primary tumor represents a potential source of antigens for priming immune responses for disseminated disease. Current means of debulking tumors involves the use of cytoreductive conditioning that impairs immune cells or removal by surgery. We hypothesized that activation of the immune system could occur through the localized release of tumor antigens and induction of tumor death due to physical disruption of tumor architecture and destruction of the primary tumor in situ. This was accomplished by intratumor injection of magneto-rheological fluid (MRF) consisting of iron microparticles, in Balb/c mice bearing orthotopic 4T1 breast cancer, followed by local application of a magnetic field resulting in immediate coalescence of the particles, tumor cell death, slower growth of primary tumors as well as decreased tumor progression in distant sites and metastatic spread. This treatment was associated with increased activation of DCs in the draining lymph nodes and recruitment of both DCs and CD8(+)T cells to the tumor. The particles remained within the tumor and no toxicities were observed. The immune induction observed was significantly greater compared to cryoablation. Further anti-tumor effects were observed when MRF/magnet therapy was combined with systemic low dose immunotherapy. Thus, mechanical disruption of the primary tumor with MRF/magnetic field application represents a novel means to induce systemic immune activation in cancer.
原发肿瘤代表了播散性疾病免疫反应的潜在抗原来源。目前的肿瘤减瘤方法包括使用细胞减灭性调理,这会损害免疫细胞或通过手术切除。我们假设,通过局部释放肿瘤抗原和由于肿瘤结构的物理破坏以及原位原发性肿瘤的破坏而导致的肿瘤死亡,可以激活免疫系统。这是通过在荷有原位 4T1 乳腺癌的 Balb/c 小鼠中注射由铁微粒组成的磁流变液(MRF)来实现的,然后局部施加磁场导致颗粒立即聚集、肿瘤细胞死亡、原发性肿瘤生长缓慢以及远处部位肿瘤进展和转移扩散减少。这种治疗与引流淋巴结中 DC 的激活以及 DC 和 CD8(+)T 细胞向肿瘤的募集增加有关。颗粒仍留在肿瘤内,未观察到毒性。与冷冻消融相比,观察到的免疫诱导明显更大。当 MRF/磁疗与全身低剂量免疫疗法联合使用时,还观察到了进一步的抗肿瘤作用。因此,用 MRF/磁场应用机械破坏原发性肿瘤代表了诱导癌症全身免疫激活的一种新方法。