Pilipow Karolina, Roberto Alessandra, Roederer Mario, Waldmann Thomas A, Mavilio Domenico, Lugli Enrico
Laboratory of Translational Immunology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
Cancer Res. 2015 Dec 15;75(24):5187-5193. doi: 10.1158/0008-5472.CAN-15-1498. Epub 2015 Dec 1.
Preclinical models revealed that the immune system can mediate rejection of established tumors, but direct evidence in humans has been limited to largely immunogenic tumors, such as melanoma. The recent success of immune checkpoint inhibitors and adoptive T-cell transfer immunotherapy in clinical trials has instilled new hope for the use of T-cell immunotherapy in the treatment of cancer. IL15, a potent immunostimulatory cytokine, both potentiates host T-cells and natural killer (NK) cell immune responses and promotes the generation of long-lived memory T cells with superior functional capacity, with potential use in adoptive T-cell transfer protocols. IL15 has been recently tested in the clinic and showed dramatic effects at the level of responding NK and CD8(+) memory T cells. The recent advances in the knowledge of IL15-dependent regulation of T-cell responses, gene expression, and metabolic adaptation have important implications for the use of IL15 in T-cell-based immunotherapy of cancer.
临床前模型显示,免疫系统能够介导对已形成肿瘤的排斥反应,但在人类中的直接证据主要局限于免疫原性较强的肿瘤,如黑色素瘤。免疫检查点抑制剂和过继性T细胞转移免疫疗法在临床试验中的近期成功,为T细胞免疫疗法用于癌症治疗注入了新的希望。白细胞介素15(IL15)是一种强效免疫刺激细胞因子,既能增强宿主T细胞和自然杀伤(NK)细胞的免疫反应,又能促进具有卓越功能能力的长寿记忆T细胞的生成,在过继性T细胞转移方案中具有潜在用途。IL15最近已在临床上进行了测试,并在应答性NK细胞和CD8(+)记忆T细胞水平上显示出显著效果。近期在IL15依赖性T细胞反应调节、基因表达和代谢适应方面的知识进展,对IL15在基于T细胞的癌症免疫疗法中的应用具有重要意义。