Department of Biological Engineering, Massachusetts Institute of Technology (MIT), Cambridge, USA; Koch Institute for Integrative Cancer Research, MIT, Cambridge, USA.
J Control Release. 2013 Dec 10;172(2):426-35. doi: 10.1016/j.jconrel.2013.05.037. Epub 2013 Jun 11.
In adoptive cell therapy (ACT), autologous tumor-specific T-cells isolated from cancer patients are activated and expanded ex vivo, then infused back into the individual to eliminate metastatic tumors. A major limitation of this promising approach is the rapid loss of ACT T-cell effector function in vivo due to the highly immunosuppressive environment in tumors. Protection of T-cells from immunosuppressive signals can be achieved by systemic administration of supporting adjuvant drugs such as interleukins, chemotherapy, and other immunomodulators, but these adjuvant treatments are often accompanied by serious toxicities and may still fail to optimally stimulate lymphocytes in all tumor and lymphoid compartments. Here we propose a novel strategy to repeatedly stimulate or track ACT T-cells, using cytokines or ACT-cell-specific antibodies as ligands to target PEGylated liposomes to transferred T-cells in vivo. Using F(ab')2 fragments against a unique cell surface antigen on ACT cells (Thy1.1) or an engineered interleukin-2 (IL-2) molecule on an Fc framework as targeting ligands, we demonstrate that >95% of ACT cells can be conjugated with liposomes following a single injection in vivo. Further, we show that IL-2-conjugated liposomes both target ACT cells and are capable of inducing repeated waves of ACT T-cell proliferation in tumor-bearing mice. These results demonstrate the feasibility of repeated functional targeting of T-cells in vivo, which will enable delivery of imaging contrast agents, immunomodulators, or chemotherapy agents in adoptive cell therapy regimens.
在过继细胞疗法(ACT)中,从癌症患者中分离的自体肿瘤特异性 T 细胞在体外被激活和扩增,然后回输给个体以消除转移性肿瘤。这种有前途的方法的一个主要限制是由于肿瘤中高度免疫抑制的环境,ACT T 细胞效应功能在体内迅速丧失。通过全身给予支持性佐剂药物(如白细胞介素、化疗和其他免疫调节剂)可以保护 T 细胞免受免疫抑制信号的影响,但这些佐剂治疗常常伴有严重的毒性,并且仍可能无法在所有肿瘤和淋巴区室中最佳地刺激淋巴细胞。在这里,我们提出了一种新的策略,使用细胞因子或 ACT 细胞特异性抗体作为配体,将聚乙二醇化脂质体靶向体内转移的 T 细胞,以重复刺激或跟踪 ACT 细胞。使用针对 ACT 细胞上独特的细胞表面抗原(Thy1.1)的 F(ab')2 片段或在 Fc 框架上的工程化白细胞介素 2(IL-2)分子作为靶向配体,我们证明,在体内单次注射后,超过 95%的 ACT 细胞可以与脂质体偶联。此外,我们还表明,IL-2 缀合的脂质体既能靶向 ACT 细胞,又能在荷瘤小鼠中诱导 ACT T 细胞的重复增殖波。这些结果证明了在体内重复进行 T 细胞功能靶向的可行性,这将使在过继细胞治疗方案中能够递送成像造影剂、免疫调节剂或化疗剂。