INSERM U970 PARCC, 75015 Paris, France.
Université Paris Descartes, Faculté de Médecine, 75006 Paris, France.
Sci Transl Med. 2013 Feb 13;5(172):172ra20. doi: 10.1126/scitranslmed.3004888.
Although many human cancers are located in mucosal sites, most cancer vaccines are tested against subcutaneous tumors in preclinical models. We therefore wondered whether mucosa-specific homing instructions to the immune system might influence mucosal tumor outgrowth. We showed that the growth of orthotopic head and neck or lung cancers was inhibited when a cancer vaccine was delivered by the intranasal mucosal route but not the intramuscular route. This antitumor effect was dependent on CD8⁺ T cells. Indeed, only intranasal vaccination elicited mucosal-specific CD8⁺ T cells expressing the mucosal integrin CD49a. Blockade of CD49a decreased intratumoral CD8⁺ T cell infiltration and the efficacy of cancer vaccine on mucosal tumor. We then showed that after intranasal vaccination, dendritic cells from lung parenchyma, but not those from spleen, induced the expression of CD49a on cocultured specific CD8⁺ T cells. Tumor-infiltrating lymphocytes from human mucosal lung cancer also expressed CD49a, which supports the relevance and possible extrapolation of these results in humans. We thus identified a link between the route of vaccination and the induction of a mucosal homing program on induced CD8⁺ T cells that controlled their trafficking. Immunization route directly affected the efficacy of the cancer vaccine to control mucosal tumors.
尽管许多人类癌症位于黏膜部位,但大多数癌症疫苗都是在临床前模型中针对皮下肿瘤进行测试的。因此,我们想知道是否可以通过向免疫系统提供黏膜特异性归巢指令来影响黏膜肿瘤的生长。我们发现,当癌症疫苗通过鼻内黏膜途径而不是肌肉内途径给药时,原位头颈部或肺癌的生长受到抑制。这种抗肿瘤作用依赖于 CD8⁺ T 细胞。事实上,只有鼻内接种才能引发表达黏膜整合素 CD49a 的黏膜特异性 CD8⁺ T 细胞。阻断 CD49a 会减少肿瘤内 CD8⁺ T 细胞浸润,并降低癌症疫苗对黏膜肿瘤的疗效。然后,我们发现鼻内接种后,来自肺实质的树突状细胞而非来自脾脏的树突状细胞会诱导共培养的特异性 CD8⁺ T 细胞表达 CD49a。人黏膜性肺癌浸润的淋巴细胞也表达 CD49a,这支持了这些结果在人类中的相关性和可能的推断。因此,我们确定了疫苗接种途径与诱导诱导 CD8⁺ T 细胞上黏膜归巢程序之间的联系,该程序控制了它们的迁移。免疫接种途径直接影响癌症疫苗控制黏膜肿瘤的疗效。
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