给予低剂量联合抗 CTLA4、抗 CD137 和抗 OX40 进入小鼠肿瘤或肿瘤引流淋巴结附近可诱导全身性肿瘤消退。
Administration of low-dose combination anti-CTLA4, anti-CD137, and anti-OX40 into murine tumor or proximal to the tumor draining lymph node induces systemic tumor regression.
机构信息
Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Division of Hematology, QEII Health Sciences Centre, Dalhousie University, Rm 422, Bethune Building, 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada.
出版信息
Cancer Immunol Immunother. 2018 Jan;67(1):47-60. doi: 10.1007/s00262-017-2059-y. Epub 2017 Sep 13.
The delivery of immunomodulators directly into the tumor potentially harnesses the existing antigen, tumor-specific infiltrating lymphocytes, and antigen presenting cells. This can confer specificity and generate a potent systemic anti-tumor immune response with lower doses and less toxicity compared to systemic administration, in effect an in situ vaccine. Here, we test this concept using the novel combination of immunomodulators anti-CTLA4, -CD137, and -OX40. The triple combination administered intratumorally at low doses to one tumor of a dual tumor mouse model had dramatic local and systemic anti-tumor efficacy in lymphoma (A20) and solid tumor (MC38) models, consistent with an abscopal effect. The minimal effective dose was 10 μg each. The effect was dependent on CD8 T-cells. Intratumoral administration resulted in superior local and distant tumor control compared to systemic routes, supporting the in situ vaccine concept. In a single tumor A20 model, injection close to the tDLN resulted in similar efficacy as intratumoral and significantly better than targeting a non-tDLN, supporting the role of the tDLN as a viable immunotherapy target in addition to the tumor itself. Distribution studies confirmed expected concentration of antibodies in tumor and tDLN, in keeping with the anti-tumor results. Overall intratumoral or peri-tDLN administration of the novel combination of anti-CTLA4, anti-CD137, and anti-OX40, all agents in the clinic or clinical trials, demonstrates potent systemic anti-tumor effects. This immunotherapeutic combination is promising for future clinical development via both these safe and highly efficacious routes of administration.
将免疫调节剂直接递送到肿瘤部位,可能会利用现有的抗原、肿瘤特异性浸润淋巴细胞和抗原提呈细胞。与全身给药相比,这可以赋予其特异性,并产生更强的全身抗肿瘤免疫反应,所需剂量更低,毒性更小,实际上是一种原位疫苗。在这里,我们使用新型免疫调节剂抗 CTLA4、抗 CD137 和抗 OX40 的组合来测试这一概念。在双肿瘤小鼠模型的一个肿瘤中,以低剂量瘤内给予三联药物,在淋巴瘤(A20)和实体瘤(MC38)模型中具有显著的局部和全身抗肿瘤疗效,与远隔效应一致。最小有效剂量为每个 10μg。该效果依赖于 CD8 T 细胞。与全身给药途径相比,瘤内给药可获得更好的局部和远处肿瘤控制,支持原位疫苗概念。在单个肿瘤 A20 模型中,注射到接近 tDLN 的部位与瘤内注射具有相似的疗效,明显优于靶向非 tDLN,支持 tDLN 作为除肿瘤本身之外的可行免疫治疗靶标。分布研究证实了预期的抗体在肿瘤和 tDLN 中的浓度,与抗肿瘤结果一致。新型抗 CTLA4、抗 CD137 和抗 OX40 免疫调节剂联合的瘤内或 tDLN 周围给药,所有药物均在临床或临床试验中,均显示出强大的全身抗肿瘤作用。这种免疫治疗组合通过这两种安全高效的给药途径具有很大的临床开发潜力。
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