Authors' Affiliations: Aminex Therapeutics, Inc., Kenmore, Washington.
Cancer Immunol Res. 2014 Mar;2(3):274-85. doi: 10.1158/2326-6066.CIR-13-0120-T. Epub 2013 Oct 7.
Correcting T-cell immunosuppression may unleash powerful antitumor responses; however, knowledge about the mechanisms and modifiers that may be targeted to improve therapy remains incomplete. Here, we report that polyamine elevation in cancer, a common metabolic aberration in aggressive lesions, contributes significantly to tumor immunosuppression and that a polyamine depletion strategy can exert antitumor effects that may also promote immunity. A polyamine-blocking therapy (PBT) that combines the well-characterized ornithine decarboxylase (ODC) inhibitor difluoromethylornithine (DFMO) with AMXT 1501, a novel inhibitor of the polyamine transport system, blocked tumor growth in immunocompetent mice but not in athymic nude mice lacking T cells. PBT had little effect on the proliferation of epithelial tumor cells, but it increased the number of apoptotic cells. Analysis of CD45(+) tumor immune infiltrates revealed that PBT decreased levels of Gr-1(+)CD11b(+) myeloid suppressor cells and increased CD3(+) T cells. Strikingly, in a model of neoadjuvant therapy, mice administered with PBT one week before surgical resection of engrafted mammary tumors exhibited resistance to subsequent tumor rechallenge. Collectively, our results indicate that therapies targeting polyamine metabolism do not act exclusively as antiproliferative agents, but also act strongly to prevent immune escape by the tumor. PBT may offer a general approach to heighten immune responses in cancer.
纠正 T 细胞免疫抑制可能会释放出强大的抗肿瘤反应;然而,关于可能被靶向以改善治疗的机制和调节剂的知识仍然不完整。在这里,我们报告癌症中多胺的升高,这是侵袭性病变中常见的代谢异常,会导致肿瘤免疫抑制,而多胺耗竭策略可以发挥抗肿瘤作用,还可以促进免疫。一种多胺阻断疗法(PBT),将经过充分研究的鸟氨酸脱羧酶(ODC)抑制剂二氟甲基鸟氨酸(DFMO)与 AMXT 1501 结合使用,这是一种新型多胺转运系统抑制剂,可阻断免疫功能正常的小鼠中的肿瘤生长,但不能阻断缺乏 T 细胞的免疫缺陷裸鼠中的肿瘤生长。PBT 对上皮肿瘤细胞的增殖几乎没有影响,但它增加了凋亡细胞的数量。对 CD45(+)肿瘤免疫浸润物的分析表明,PBT 降低了 Gr-1(+)CD11b(+)髓源性抑制细胞的水平,并增加了 CD3(+)T 细胞的数量。引人注目的是,在新辅助治疗模型中,在移植乳腺肿瘤切除前一周给予 PBT 的小鼠对随后的肿瘤再挑战表现出耐药性。总的来说,我们的结果表明,靶向多胺代谢的疗法不仅作为抗增殖剂起作用,而且还能强烈防止肿瘤发生免疫逃逸。PBT 可能为提高癌症中的免疫反应提供一种通用方法。
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