Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
J Immunother Cancer. 2020 Jan;8(1). doi: 10.1136/jitc-2019-000244.
Macrophages and dendritic cells lacking the transcription factor nuclear factor kappa B p50 are skewed toward a proinflammatory phenotype, with increased cytokine expression and enhanced T cell activation; additionally, murine melanoma, fibrosarcoma, colon carcinoma, and glioblastoma grow slower in p50 mice. We therefore evaluated the efficacy of p50-negative immature myeloid cells (p50-IMCs) adoptively transferred into tumor-bearing hosts. Immature cells were used to maximize tumor localization, and pretreatment with 5-fluorouracil (5FU) was examined due to its potential to impair marrow production of myeloid cells, to target tumor myeloid cells and to release tumor neoantigens.
Wild-type (WT)-IMC or p50-IMC were generated by culturing lineage-negative marrow cells from WT or p50 mice in media containing thrombopoietin, stem cell factor and Flt3 ligand for 6 days followed by monocyte colony-stimulating factor for 1 day on ultralow attachment plates. Mice inoculated with Hi-Myc prostate cancer (PCa) cells or K-Ras pancreatic ductal carcinoma (PDC)-luciferase cells received 5FU followed 5 days later by three doses of 10 immature myeloid cells (IMC) every 3-4 days.
PCa cells grew slower in p50 mice, and absence of host p50 prolonged the survival of mice inoculated orthotopically with PDC cells. IMC from Cytomegalovirus (CMV)-luciferase mice localized to tumor, nodes, spleen, marrow, and lung. 5FU followed by p50-IMC slowed PCa and PDC tumor growth, ~3-fold on average, in contrast to 5FU followed by WT-IMC, 5FU alone or p50-IMC alone. Slowed tumor growth was evident for 93% of PCa but only 53% of PDC tumors; we therefore focused on PCa for additional IMC analyses. In PCa, p50-IMC matured into F4/80 macrophages, as well as CD11bF4/80CD11c conventional dendritic cells (cDCs). In both tumor and draining lymph nodes, p50-IMC generated more macrophages and cDCs than WT-IMC. Activated tumor CD8 T cells were increased fivefold by p50-IMC compared with WT-IMC, and antibody-mediated CD8 T cell depletion obviated slower tumor growth induced by 5FU followed by p50-IMC.
5FU followed by p50-IMC slows the growth of murine prostate and pancreatic carcinoma and depends on CD8 T cell activation. Deletion of p50 in patient-derived marrow CD34 cells and subsequent production of IMC for adoptive transfer may contribute to the therapy of these and additional cancers.
缺乏转录因子核因子 kappa B p50 的巨噬细胞和树突状细胞偏向于促炎表型,细胞因子表达增加,T 细胞激活增强;此外,p50 小鼠中的鼠黑色素瘤、纤维肉瘤、结肠腺癌和神经胶质瘤生长更慢。因此,我们评估了转导到荷瘤宿主中的 p50 阴性未成熟髓样细胞(p50-IMC)的疗效。使用未成熟细胞来最大程度地定位肿瘤,并检查 5-氟尿嘧啶(5FU)的预处理,因为它有可能损害骨髓产生髓样细胞,靶向肿瘤髓样细胞并释放肿瘤新抗原。
通过在含有血小板生成素、干细胞因子和 Flt3 配体的培养基中培养来自 WT 或 p50 小鼠的谱系阴性骨髓细胞 6 天,然后在超低附着平板上用单核细胞集落刺激因子培养 1 天,生成 WT-IMC 或 p50-IMC。接种高 Myc 前列腺癌(PCa)细胞或 K-Ras 胰腺导管癌(PDC)-荧光素酶细胞的小鼠接受 5FU 治疗,5 天后接受三次每 3-4 天一次的 10 个未成熟髓样细胞(IMC)剂量。
PCa 细胞在 p50 小鼠中生长较慢,而宿主 p50 的缺失延长了 PDC 细胞原位接种的小鼠的存活时间。来自巨细胞病毒(CMV)-荧光素酶小鼠的 IMC 定位于肿瘤、淋巴结、脾脏、骨髓和肺。与 5FU 后转导 WT-IMC、5FU 单独或 p50-IMC 单独相比,5FU 后转导 p50-IMC 平均使 PCa 和 PDC 肿瘤生长减缓了约 3 倍。PCa 肿瘤生长减缓的比例为 93%,而 PDC 肿瘤生长减缓的比例仅为 53%;因此,我们将重点放在 PCa 上进行进一步的 IMC 分析。在 PCa 中,p50-IMC 成熟为 F4/80 巨噬细胞,以及 CD11bF4/80CD11c 常规树突状细胞(cDC)。在肿瘤和引流淋巴结中,p50-IMC 产生的巨噬细胞和 cDC 比 WT-IMC 多。与 WT-IMC 相比,p50-IMC 使激活的肿瘤 CD8 T 细胞增加了五倍,并且抗体介导的 CD8 T 细胞耗竭消除了 5FU 后转导 p50-IMC 诱导的肿瘤生长减缓。
5FU 后转导 p50-IMC 可减缓鼠前列腺癌和胰腺癌的生长,并依赖于 CD8 T 细胞的激活。患者来源的骨髓 CD34 细胞中 p50 的缺失以及随后用于过继转移的 IMC 的产生可能有助于这些和其他癌症的治疗。