吲哚美辛增强 MUC1 肽疫苗对 MUC1 转基因小鼠乳腺癌的抗肿瘤疗效。

Indomethacin enhances anti-tumor efficacy of a MUC1 peptide vaccine against breast cancer in MUC1 transgenic mice.

机构信息

Department of Biological Sciences, University of North Carolina at Charlotte, Charlotte, NC, United States of America.

Molecular Biology and Genomics Laboratory, Carolinas Medical Center, Charlotte, NC, United States of America.

出版信息

PLoS One. 2019 Nov 6;14(11):e0224309. doi: 10.1371/journal.pone.0224309. eCollection 2019.

Abstract

In recent years, vaccines against tumor antigens have shown potential for combating invasive cancers, including primary tumors and metastatic lesions. This is particularly pertinent for breast cancer, which is the second-leading cause of cancer-related death in women. MUC1 is a glycoprotein that is normally expressed on glandular epithelium, but is overexpressed and under-glycosylated in most human cancers, including the majority of breast cancers. This under-glycosylation exposes the MUC1 protein core on the tumor-associated form of the protein. We have previously shown that a vaccine consisting of MUC1 core peptides stimulates a tumor-specific immune response. However, this immune response is dampened by the immunosuppressive microenvironment within breast tumors. Thus, in the present study, we investigated the effectiveness of MUC1 vaccination in combination with four different drugs that inhibit different components of the COX pathway: indomethacin (COX-1 and COX-2 inhibitor), celecoxib (COX-2 inhibitor), 1-methyl tryptophan (indoleamine 2,3 dioxygenase inhibitor), and AH6809 (prostaglandin E2 receptor antagonist). These treatment regimens were explored for the treatment of orthotopic MUC1-expressing breast tumors in mice transgenic for human MUC1. We found that the combination of vaccine and indomethacin resulted in a significant reduction in tumor burden. Indomethacin did not increase tumor-specific immune responses over vaccine alone, but rather appeared to reduce the proliferation and increase apoptosis of tumor cells, thus rendering them susceptible to immune cell killing.

摘要

近年来,针对肿瘤抗原的疫苗在对抗侵袭性癌症方面显示出了潜力,包括原发性肿瘤和转移性病变。这对于乳腺癌尤为重要,乳腺癌是女性癌症相关死亡的第二大原因。MUC1 是一种糖蛋白,通常在腺上皮表达,但在大多数人类癌症中过度表达和低聚糖化,包括大多数乳腺癌。这种低聚糖化使 MUC1 蛋白核心暴露在肿瘤相关形式的蛋白上。我们之前已经表明,由 MUC1 核心肽组成的疫苗可刺激肿瘤特异性免疫反应。然而,这种免疫反应被乳腺肿瘤内的免疫抑制微环境所抑制。因此,在本研究中,我们研究了 MUC1 疫苗接种与四种不同药物联合使用的效果,这四种药物抑制 COX 途径的不同成分:吲哚美辛(COX-1 和 COX-2 抑制剂)、塞来昔布(COX-2 抑制剂)、1-甲基色氨酸(吲哚胺 2,3 双加氧酶抑制剂)和 AH6809(前列腺素 E2 受体拮抗剂)。这些治疗方案被探索用于治疗在人类 MUC1 转基因小鼠中表达 MUC1 的原位乳腺癌。我们发现,疫苗和吲哚美辛的联合使用导致肿瘤负担显著减少。吲哚美辛并没有使肿瘤特异性免疫反应超过单独使用疫苗,而是似乎减少了肿瘤细胞的增殖并增加了细胞凋亡,从而使它们易受免疫细胞杀伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/6834267/d46b386f4a83/pone.0224309.g001.jpg

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