Division of Immunology, Transplantation and Infectious Diseases IRCCS San Raffaele Scientific Institute, Milan, Italy Vita-Salute San Raffaele University, Milan, Italy.
Division of Immunology, Transplantation and Infectious Diseases IRCCS San Raffaele Scientific Institute, Milan, Italy.
EMBO Mol Med. 2016 Feb 1;8(2):155-70. doi: 10.15252/emmm.201505395.
Colorectal cancer (CRC) metastatic dissemination to the liver is one of the most life-threatening malignancies in humans and represents the leading cause of CRC-related mortality. Herein, we adopted a gene transfer strategy into mouse hematopoietic stem/progenitor cells to generate immune-competent mice in which TEMs-a subset of Tie2(+) monocytes/macrophages found at peritumoral sites-express interferon-alpha (IFNα), a pleiotropic cytokine with anti-tumor effects. Utilizing this strategy in mouse models of CRC liver metastasis, we show that TEMs accumulate in the proximity of hepatic metastatic areas and that TEM-mediated delivery of IFNα inhibits tumor growth when administered prior to metastasis challenge as well as on established hepatic lesions, improving overall survival. Further analyses unveiled that local delivery of IFNα does not inhibit homing but limits the early phases of hepatic CRC cell expansion by acting on the radio-resistant hepatic microenvironment. TEM-mediated IFNα expression was not associated with systemic side effects, hematopoietic toxicity, or inability to respond to a virus challenge. Along with the notion that TEMs were detected in the proximity of CRC metastases in human livers, these results raise the possibility to employ similar gene/cell therapies as tumor site-specific drug-delivery strategies in patients with CRC.
结直肠癌(CRC)肝转移是人类最具威胁生命的恶性肿瘤之一,也是 CRC 相关死亡的主要原因。在此,我们采用基因转移策略将干扰素-α(IFNα)导入小鼠造血干细胞/祖细胞中,使表达 IFNα的肿瘤相关迁移型内皮细胞(TEMs)在免疫功能正常的小鼠中大量产生。TEMs 是肿瘤周围组织中存在的 Tie2(+)单核细胞/巨噬细胞的一个亚群,在 CRC 肝转移的小鼠模型中,我们发现 TEMs 聚集在肝转移部位附近,在转移前或肝转移形成后给予 TEM 介导的 IFNα 治疗,可抑制肿瘤生长,提高整体存活率。进一步的分析揭示,IFNα 的局部递送不会抑制归巢,但通过作用于辐射抗性的肝微环境,限制了肝 CRC 细胞在早期的扩张。TEM 介导的 IFNα 表达与全身副作用、造血毒性或不能对病毒挑战作出反应无关。随着 TEMs 在人类 CRC 肝转移附近被检测到的观点提出,这些结果为在 CRC 患者中采用类似的基因/细胞治疗作为肿瘤部位特异性药物递送策略提供了可能性。