Escribà-Garcia Laura, Alvarez-Fernández Carmen, Caballero Ana Carolina, Schaub Robert, Sierra Jorge, Briones Javier
Hematology Service, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Laboratory of Experimental Hematology-IIB, Institut Recerca Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Oncoimmunology. 2018 Nov 26;8(2):e1546543. doi: 10.1080/2162402X.2018.1546543. eCollection 2019.
Invariant natural killer T (iNKT) cells are a small population of T lymphocytes that expresses an invariant T cell receptor with a unique specificity for glycolipid antigens. Their activation using the glycolipid α-galactosylceramide (α-GalCer) triggers innate and adaptive immune responses. The use of α-GalCer in preclinical models as a single antitumor treatment showed moderate effect, but its efficacy in cancer patients was less effective. In addition, this glycolipid induces long-term iNKT-cell anergy precluding the possibility of retreatment. Recently, the first murine iNKT-cell agonistic antibody, NKT14m, has been developed. Here, we analyzed, for the first time, the antitumor efficacy of NKT14m in a B-cell lymphoma model. In a therapeutic setting, a single dose of NKT14m had a moderate antitumor efficacy that was associated with an increase of IFN-γ producing iNKT cells even after a second dose of the NKT14m antibody. Importantly, the combination of a single dose of NKT14m with cyclophosphamide had a potent antitumor efficacy and long-lasting immunity . Our findings provide the first evidence of the antitumor efficacy of NKT14m antibody, showing that, either alone or in combination with chemotherapy, induces an effective antitumor response. These results open new opportunities for iNKT-cell mediated immunotherapy to treat B-cell lymphoma.
不变自然杀伤T(iNKT)细胞是一小部分T淋巴细胞,表达对糖脂抗原具有独特特异性的不变T细胞受体。使用糖脂α-半乳糖神经酰胺(α-GalCer)激活它们可触发先天性和适应性免疫反应。在临床前模型中,将α-GalCer作为单一抗肿瘤治疗方法显示出中等效果,但其在癌症患者中的疗效较差。此外,这种糖脂会诱导iNKT细胞长期无反应,排除了再次治疗的可能性。最近,首个小鼠iNKT细胞激动性抗体NKT14m已被开发出来。在此,我们首次分析了NKT14m在B细胞淋巴瘤模型中的抗肿瘤疗效。在治疗环境中,单剂量的NKT14m具有中等抗肿瘤疗效,即使在第二次注射NKT14m抗体后,也与产生IFN-γ的iNKT细胞增加有关。重要的是,单剂量的NKT14m与环磷酰胺联合使用具有强大的抗肿瘤疗效和持久的免疫力。我们的研究结果首次证明了NKT14m抗体的抗肿瘤疗效,表明其单独使用或与化疗联合使用均可诱导有效的抗肿瘤反应。这些结果为iNKT细胞介导的免疫疗法治疗B细胞淋巴瘤开辟了新的机会。