Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.
Department of Inflammation and Immunity, Cleveland Clinic, Lerner Research Institute, 9500 Euclid Avenue NE40, Cleveland, OH, 44195, USA.
Cancer Immunol Immunother. 2019 Mar;68(3):395-405. doi: 10.1007/s00262-018-2280-3. Epub 2018 Dec 14.
Optimal ex vivo expansion protocols for adoptive cell therapy (ACT) must yield T cells able to effectively home to tumors and survive the inhospitable conditions of the tumor microenvironment (TME), while simultaneously exerting persistent anti-tumor effector functions. Our previous work has shown that ex vivo activation in the presence of IL-12 can induce optimal expansion of murine CD8 T cells, thus resulting in significant tumor regression after ACT mostly via sustained secretion of IFN-γ. In this report, we further elucidate the mechanism of this potency, showing that IL-12 additionally counteracts the negative regulatory effects of autocrine IFN-γ. IL-12 not only downregulates PD-1 expression by T cells, thus minimizing the effects of IFN-γ-induced PD-L1 upregulation by tumor stromal cells, but also inhibits IFNγR2 expression, thereby protecting T cells from IFN-γ-induced cell death. Thus, the enhanced anti-tumor activity of CD8 T cells expanded ex vivo in the presence of IL-12 is due not only to the ability of IL-12-stimulated cells to secrete sustained levels of IFN-γ, but also to the additional capacity of IL-12 to counter the negative regulatory effects of autocrine IFN-γ.
最优的过继细胞治疗(ACT)体外扩增方案必须产生能够有效归巢到肿瘤并在肿瘤微环境(TME)恶劣条件下存活的 T 细胞,同时发挥持久的抗肿瘤效应功能。我们之前的工作表明,在白细胞介素-12(IL-12)存在的情况下进行体外激活可以诱导最佳的小鼠 CD8 T 细胞扩增,从而在 ACT 后导致显著的肿瘤消退,主要通过持续分泌 IFN-γ。在本报告中,我们进一步阐明了这种效力的机制,表明 IL-12 还可以对抗自分泌 IFN-γ 的负调节作用。IL-12 不仅通过降低 T 细胞表达 PD-1,从而最大程度地减少肿瘤基质细胞中 IFN-γ 诱导的 PD-L1 上调的作用,还可以抑制 IFNγR2 的表达,从而保护 T 细胞免受 IFN-γ 诱导的细胞死亡。因此,在 IL-12 存在下体外扩增的 CD8 T 细胞的增强抗肿瘤活性不仅归因于 IL-12 刺激细胞分泌持续水平 IFN-γ 的能力,还归因于 IL-12 对抗自分泌 IFN-γ 的负调节作用的额外能力。