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采用同种异体自杀基因修饰的杀伤细胞进行过继免疫治疗肝细胞癌的体内概念验证。

In vivo proof of concept of adoptive immunotherapy for hepatocellular carcinoma using allogeneic suicide gene-modified killer cells.

机构信息

Inserm, U1110, Strasbourg, France; Université de Strasbourg, Strasbourg, France; Current address: Transplantation and Clinical Virology, Department Biomedicine, University of Basel, Basel, Switzerland.

Inserm, U1110, Strasbourg, France; Université de Strasbourg, Strasbourg, France.

出版信息

Mol Ther. 2014 Mar;22(3):634-644. doi: 10.1038/mt.2013.277. Epub 2013 Dec 6.

Abstract

Cell therapy based on alloreactivity has completed clinical proof of concept against hematological malignancies. However, the efficacy of alloreactivity as a therapeutic approach to treat solid tumors is unknown. Using cell culture and animal models, we aimed to investigate the efficacy and safety of allogeneic suicide gene-modified killer cells as a cell-based therapy for hepatocellular carcinoma (HCC), for which treatment options are limited. Allogeneic killer cells from healthy donors were isolated, expanded, and phenotypically characterized. Antitumor cytotoxic activity and safety were studied using a panel of human or murine HCC cell lines engrafted in immunodeficient or immunocompetent mouse models. Human allogeneic suicide gene-modified killer cells (aSGMKCs) exhibit a high, rapid, interleukin-2-dependent, and non-major histocompatibility complex class I-restricted in vitro cytotoxicity toward human hepatoma cells, mainly mediated by natural killer (NK) and NK-like T cells. In vivo evaluation of this cell therapy product demonstrates a marked, rapid, and sustained regression of HCC. Preferential liver homing of effector cells contributed to its marked efficacy. Calcineurin inhibitors allowed preventing rejection of allogeneic lymphocytes by the host immune system without impairing their antitumor activity. Our results demonstrate proof of concept for aSGMKCs as immunotherapy for HCC and open perspectives for the clinical development of this approach.

摘要

基于同种异体反应的细胞疗法已经在治疗血液恶性肿瘤方面完成了临床概念验证。然而,同种异体反应作为治疗实体瘤的方法的疗效尚不清楚。本研究使用细胞培养和动物模型,旨在研究同种异体自杀基因修饰的杀伤细胞作为细胞疗法治疗肝细胞癌(HCC)的疗效和安全性,因为 HCC 的治疗选择有限。从健康供体中分离、扩增并表型鉴定同种异体杀伤细胞。使用一组人或鼠 HCC 细胞系在免疫缺陷或免疫功能正常的小鼠模型中研究抗肿瘤细胞毒性作用和安全性。人同种异体自杀基因修饰的杀伤细胞(aSGMKCs)对人肝癌细胞表现出高、快速、白细胞介素 2 依赖性和非主要组织相容性复合体 I 限制的体外细胞毒性,主要由自然杀伤(NK)和 NK 样 T 细胞介导。该细胞治疗产品的体内评估表明 HCC 有明显、快速和持续的消退。效应细胞的优先肝脏归巢有助于其显著疗效。钙调神经磷酸酶抑制剂允许宿主免疫系统不排斥同种异体淋巴细胞而不损害其抗肿瘤活性。我们的研究结果证明了 aSGMKCs 作为 HCC 免疫疗法的概念验证,并为该方法的临床开发开辟了前景。

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