表达 IL-15/IL-15Rα/CD80 的 AML 细胞疫苗可消除白血病小鼠的微小残留病。

IL-15/IL-15Rα/CD80-expressing AML cell vaccines eradicate minimal residual disease in leukemic mice.

机构信息

Department of Medicine, University of California San Francisco School of Medicine, San Francisco, CA.

Human Retrovirus Section, Vaccine Branch, National Cancer Institute, National Institutes of Health, Frederick, MD; and.

出版信息

Blood Adv. 2018 Nov 27;2(22):3177-3192. doi: 10.1182/bloodadvances.2018019026.

Abstract

Engineered autologous acute myeloid leukemia (AML) cells present multiple leukemia-associated and patient-specific antigens and as such hold promise as immunotherapeutic vaccines. However, prior vaccines have not reliably induced effective antileukemic immunity, in part because AML blasts have immune inhibitory effects and lack expression of the critical costimulatory molecule CD80. To enhance induction of leukemia-specific cytolytic activity, 32Dp210 murine AML cells were engineered to express either CD80 alone, or the immunostimulatory cytokine interleukin-15 (IL-15) with its receptor α (IL-15Rα), or heterodimeric IL-15/IL-15Rα together with CD80 and tested as irradiated cell vaccines. IL-15 is a γc-chain cytokine, with unique properties suited to stimulating antitumor immunity, including stimulation of both natural killer and CD8 memory T cells. Coexpression of IL-15 and IL-15Rα markedly increases IL-15 stability and secretion. Non-tumor-bearing mice vaccinated with irradiated 32Dp210-IL-15/IL-15Rα/CD80 and challenged with 32Dp210 leukemia had greater survival than did mice treated with 32Dp210-CD80 or 32Dp210-IL-15/IL-15Rα vaccines, whereas no unvaccinated mice inoculated with leukemia survived. In mice with established leukemia, treatment with 32Dp210-IL-15/IL-15Rα/CD80 vaccination stimulated unprecedented antileukemic immunity enabling 80% survival, an effect that was abrogated by anti-CD8 antibody-mediated depletion in vivo. Because, clinically, AML vaccines are administered as postremission therapy, we established a novel model in which mice with high leukemic burdens were treated with cytotoxic therapy to induce remission (<5% marrow blasts). Postremission vaccination with 32Dp210-IL-15/IL-15Rα/CD80 achieved 50% overall survival in these mice, whereas all unvaccinated mice achieving remission subsequently relapsed. These studies demonstrate that combined expression of IL-15/IL-15Rα and CD80 by syngeneic AML vaccines stimulates effective and long-lasting antileukemic immunity.

摘要

工程化自体急性髓系白血病 (AML) 细胞呈现多种白血病相关和患者特异性抗原,因此具有作为免疫治疗疫苗的潜力。然而,先前的疫苗并没有可靠地诱导有效的抗白血病免疫,部分原因是 AML 白血病细胞具有免疫抑制作用并且缺乏关键共刺激分子 CD80 的表达。为了增强对白血病特异性细胞毒性活性的诱导,将 32Dp210 鼠 AML 细胞工程改造为单独表达 CD80,或表达免疫刺激细胞因子白细胞介素-15 (IL-15) 及其受体 α (IL-15Rα),或异二聚体 IL-15/IL-15Rα 与 CD80 一起,并作为照射细胞疫苗进行测试。IL-15 是一种 γc 链细胞因子,具有独特的特性,适合刺激抗肿瘤免疫,包括刺激自然杀伤细胞和 CD8 记忆 T 细胞。IL-15 和 IL-15Rα 的共表达显着增加了 IL-15 的稳定性和分泌。用照射的 32Dp210-IL-15/IL-15Rα/CD80 疫苗接种的无肿瘤小鼠,并接受 32Dp210 白血病攻击的小鼠比用 32Dp210-CD80 或 32Dp210-IL-15/IL-15Rα 疫苗治疗的小鼠具有更高的存活率,而未接种白血病的小鼠没有存活。在患有已建立的白血病的小鼠中,用 32Dp210-IL-15/IL-15Rα/CD80 疫苗接种治疗刺激了前所未有的抗白血病免疫,使 80%的小鼠存活,而体内耗尽 CD8 抗体则消除了这种作用。因为在临床上,AML 疫苗被作为缓解后治疗剂给予,所以我们建立了一种新的模型,其中患有高白血病负担的小鼠接受细胞毒性治疗以诱导缓解(<5%骨髓白血病细胞)。在这些小鼠中,用 32Dp210-IL-15/IL-15Rα/CD80 进行缓解后疫苗接种可实现 50%的总存活率,而所有达到缓解但未接种疫苗的小鼠随后均复发。这些研究表明,通过同种异体 AML 疫苗共同表达 IL-15/IL-15Rα 和 CD80 可刺激有效的、持久的抗白血病免疫。

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