Department of Melanoma Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, TX, USA.
PLoS One. 2013;8(4):e60031. doi: 10.1371/journal.pone.0060031. Epub 2013 Apr 1.
Adoptive T-cell therapy (ACT) using tumor-infiltrating lymphocytes (TIL) can induce tumor regression in up to 50% or more of patients with unresectable metastatic melanoma. However, current methods to expand melanoma TIL, especially the "rapid expansion protocol" (REP) were not designed to enhance the generation of optimal effector-memory CD8(+) T cells for infusion. One approach to this problem is to manipulate specific co-stimulatory signaling pathways to enhance CD8(+) effector-memory T-cell expansion. In this study, we determined the effects of activating the TNF-R family member 4-1BB/CD137, specifically induced in activated CD8(+) T cells, on the yield, phenotype, and functional activity of expanded CD8(+) T cells during the REP. We found that CD8(+) TIL up-regulate 4-1BB expression early during the REP after initial TCR stimulation, but neither the PBMC feeder cells in the REP or the activated TIL expressed 4-1BB ligand. However, addition of an exogenous agonistic anti-4-1BB IgG4 (BMS 663513) to the REP significantly enhanced the frequency and total yield of CD8(+) T cells as well as their maintenance of CD28 and increased their anti-tumor CTL activity. Gene expression analysis found an increase in bcl-2 and survivin expression induced by 4-1BB that was associated with an enhanced survival capability of CD8(+) post-REP TIL when re-cultured in the absence or presence of cytokines. Our findings suggest that adding an agonistic anti-4-1BB antibody during the time of TIL REP initiation produces a CD8(+) T cell population capable of improved effector function and survival. This may greatly improve TIL persistence and anti-tumor activity in vivo after adoptive transfer into patients.
过继性 T 细胞疗法(ACT)使用肿瘤浸润淋巴细胞(TIL)可以诱导多达 50%或更多不可切除转移性黑色素瘤患者的肿瘤消退。然而,目前用于扩增黑色素瘤 TIL 的方法,特别是“快速扩增方案”(REP),并不是为了增强用于输注的最佳效应记忆 CD8(+)T 细胞的产生而设计的。解决这个问题的一种方法是操纵特定的共刺激信号通路来增强 CD8(+)效应记忆 T 细胞的扩增。在这项研究中,我们确定了激活 TNF-R 家族成员 4-1BB/CD137 的效果,特别是在激活的 CD8(+)T 细胞中诱导的 4-1BB,对 REP 期间扩增的 CD8(+)T 细胞的产量、表型和功能活性的影响。我们发现,在初始 TCR 刺激后,REP 早期 TIL 中的 CD8(+)T 细胞会上调 4-1BB 的表达,但 REP 中的 PBMC 饲养细胞或激活的 TIL 均不表达 4-1BB 配体。然而,向 REP 添加外源性激动性抗 4-1BB IgG4(BMS 663513)可显著提高 CD8(+)T 细胞的频率和总产量,以及它们保持 CD28 的能力,并增强其抗肿瘤 CTL 活性。基因表达分析发现,4-1BB 诱导的 bcl-2 和 survivin 表达增加,与 REP 后 CD8(+)TIL 在缺乏或存在细胞因子时重新培养时的生存能力增强有关。我们的研究结果表明,在 TIL REP 启动时添加激动性抗 4-1BB 抗体可产生具有改善的效应功能和生存能力的 CD8(+)T 细胞群体。这可能会极大地改善 TIL 在体内过继转移到患者后持续存在和抗肿瘤活性。
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