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同种异体天然淋巴细胞疗法对先前接受过颅脑放疗的胶质瘤患者的安全性。

The safety of allogeneic innate lymphocyte therapy for glioma patients with prior cranial irradiation.

作者信息

Pereboeva Larisa, Harkins Lualhati, Wong Shun, Lamb Lawrence S

机构信息

Division of Hematology and Oncology, School of Medicine, University of Alabama at Birmingham (UAB), 1824 6th Ave S, WTI 510C, Birmingham, AL, 35294, USA,

出版信息

Cancer Immunol Immunother. 2015 May;64(5):551-62. doi: 10.1007/s00262-015-1662-z. Epub 2015 Feb 13.

Abstract

The standard treatment of high-grade glioma presents a combination of radiotherapy, chemotherapy and surgery. Immunotherapy is proposed as a potential adjunct to standard cytotoxic regimens to target remaining microscopic disease following resection. We have shown ex vivo expanded/activated γδ T cells to be a promising innate lymphocyte therapy based on their recognition of stress antigens expressed on gliomas. However, successful integration of γδ T cell therapy protocols requires understanding the efficacy and safety of adoptively transferred immune cells in the post-treatment environment. The unique features of γδ T cell product and the environment (hypoxia, inflammation) can affect levels of expression of key cell receptors and secreted factors and either promote or hinder the feasibility of γδ T cell therapy. We investigated the potential for the γδ T cells to injure normal brain tissue that may have been stressed by treatment. We evaluated γδ T cell toxicity by assessing actual and correlative toxicity indicators in several available models including: (1) expression of stress markers on normal primary human astrocytes (as surrogate for brain parenchyma) after irradiation and temozolomide treatment, (2) cytotoxicity of γδ T cells on normal and irradiated primary astrocytes, (3) microglial activation and expression of stress-induced ligands in mouse brain after whole-brain irradiation and (4) expression of stress-induced markers on human brain tumors and on normal brain tissue. The lack of expression of stress-induced ligands in all tested models suggests that γδ T cell therapy is safe for brain tumor patients who undergo standard cytotoxic therapies.

摘要

高级别胶质瘤的标准治疗包括放疗、化疗和手术。免疫疗法被提议作为标准细胞毒性治疗方案的潜在辅助手段,以靶向切除后残留的微小病灶。我们已经证明,体外扩增/激活的γδT细胞基于其对胶质瘤上表达的应激抗原的识别,是一种有前景的天然淋巴细胞疗法。然而,γδT细胞治疗方案的成功整合需要了解过继转移免疫细胞在治疗后环境中的疗效和安全性。γδT细胞产品和环境(缺氧、炎症)的独特特征会影响关键细胞受体和分泌因子的表达水平,进而促进或阻碍γδT细胞治疗的可行性。我们研究了γδT细胞损伤可能因治疗而受到应激的正常脑组织的可能性。我们通过评估几种现有模型中的实际和相关毒性指标来评估γδT细胞毒性,这些模型包括:(1)照射和替莫唑胺治疗后正常原代人星形胶质细胞(作为脑实质的替代物)上应激标志物的表达,(2)γδT细胞对正常和照射后的原代星形胶质细胞的细胞毒性,(3)全脑照射后小鼠脑中的小胶质细胞激活和应激诱导配体的表达,以及(4)人脑肿瘤和正常脑组织上应激诱导标志物的表达。在所有测试模型中应激诱导配体均未表达,这表明γδT细胞疗法对接受标准细胞毒性疗法的脑肿瘤患者是安全的。

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