Hüber Christian M, Doisne Jean-Marc, Colucci Francesco
Department of Obstetrics and Gynaecology, University of Cambridge School of Clinical Medicine, National Institute for Health Research (NIHR) Cambridge Biomedical Research Centre, Cambridge, UK.
Eur J Immunol. 2015 Jun;45(6):1727-35. doi: 10.1002/eji.201445200. Epub 2015 Apr 17.
Mismatched hematopoietic cell transplants for treating leukemia are complicated by graft versus host disease (GvHD). Here, we show that adoptively transferred IL-12/15/18-preactivated NK cells suppress GvHD in a mouse model of fully mismatched hematopoietic cell transplantation. These IL-12/15/18-preactivated NK cells maintained Eomesodermin (Eomes) and T-bet expression upon transfer and, while there was no evidence of direct killing of donor T cells or host DCs by the IL-12/15/18-preactivated NK cells, proliferation of donor T cells was inhibited. Strikingly, the graft versus leukemia effect mediated by donor T cells was retained, resulting in improved overall survival of mice that received lymphoma cells, donor allogeneic T cells, and IL-12/15/18-preactivated NK cells. These results suggest that IL-12/15/18-preactivated NK cells may be useful in improving immunotherapy of mismatched hematopoietic cell transplantation. Compared with previously proposed protocols, our findings suggest that in vitro NK-cell preactivation with this cytokine cocktail offers the significant advantage that cytokines do not need to be administered systemically to sustain NK-cell activity, thus avoiding toxicity.
用于治疗白血病的不匹配造血细胞移植会因移植物抗宿主病(GvHD)而变得复杂。在此,我们表明,过继转移经白细胞介素12/15/18预激活的自然杀伤(NK)细胞可在完全不匹配造血细胞移植的小鼠模型中抑制GvHD。这些经白细胞介素12/15/18预激活的NK细胞在转移后维持了胚外中胚层决定蛋白(Eomes)和T盒转录因子(T-bet)的表达,并且,虽然没有证据表明经白细胞介素12/15/18预激活的NK细胞直接杀伤供体T细胞或宿主树突状细胞(DC),但供体T细胞的增殖受到了抑制。引人注目的是,供体T细胞介导的移植物抗白血病效应得以保留,从而提高了接受淋巴瘤细胞、供体同种异体T细胞和经白细胞介素12/15/18预激活的NK细胞的小鼠的总体生存率。这些结果表明,经白细胞介素12/15/18预激活的NK细胞可能有助于改善不匹配造血细胞移植的免疫治疗。与先前提出的方案相比,我们的研究结果表明,用这种细胞因子鸡尾酒体外预激活NK细胞具有显著优势,即无需全身性给予细胞因子来维持NK细胞活性,从而避免毒性。
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