Department of Urology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Department of Urology, School of Medicine, International University of Health and Welfare, 852 Hatakeda, Narita, Chiba, 286-0124, Japan.
Cancer Immunol Immunother. 2021 Sep;70(9):2529-2543. doi: 10.1007/s00262-021-02870-2. Epub 2021 Feb 11.
Intravesical Bovis bacillus Calmette-Guérin (BCG) therapy is the most effective immunotherapy for bladder cancer, but it sometime causes serious side effects because of its inclusion of live bacteria. It is necessary to develop a more active but less toxic immunotherapeutic agent. Trehalose 6,6'-dimycolate (TDM), the most abundant hydrophobic glycolipid of the BCG cell wall, has been reported to show various immunostimulatory activities such as granulomagenesis and adjuvant activity. Here, we developed cationic liposomes incorporating TDM purified from Mycobacterium bovis BCG Connaught, and we investigated the antitumor effect of the cationic liposome TDM (Lip-TDM). Lip-TDM exerted an antitumor effect in bladder cancer, colon cancer, and melanoma-bearing mouse models that was comparable or even superior to that of BCG, with no body weight loss or granuloma formation. The antitumor effect of Lip-TDM disappeared in two types of mice: those with depletion of CD8 T cells, and those with knockout of macrophage-inducible C-type lectin (Mincle) which recognize TDM. Lip-TDM treatment enhanced the maturation and migration of dendritic cells in the tumor microenvironment in a Mincle-dependent manner. Our results elucidate mechanisms that underlie Lip-TDM treatment and suggest that Lip-TDM has potential as a safe and effective treatment for various cancers.
卡介苗(BCG)膀胱内治疗是膀胱癌最有效的免疫疗法,但由于其包含活细菌,有时会引起严重的副作用。因此,有必要开发一种更活跃但毒性更小的免疫治疗剂。海藻糖 6,6'-二-mycolate(TDM)是 BCG 细胞壁中最丰富的疏水性糖脂,已被报道具有多种免疫刺激活性,如肉芽肿形成和佐剂活性。在这里,我们开发了含有从卡介苗康诺特分离的 TDM 的阳离子脂质体,并研究了阳离子脂质体 TDM(Lip-TDM)的抗肿瘤作用。Lip-TDM 在膀胱癌、结肠癌和黑色素瘤荷瘤小鼠模型中表现出抗肿瘤作用,与 BCG 相当,甚至更优,没有体重减轻或肉芽肿形成。Lip-TDM 的抗肿瘤作用在两种类型的小鼠中消失:一种是耗尽 CD8 T 细胞的小鼠,另一种是巨噬细胞诱导的 C 型凝集素(Mincle)敲除的小鼠,Mincle 识别 TDM。Lip-TDM 治疗以 Mincle 依赖性方式增强肿瘤微环境中树突状细胞的成熟和迁移。我们的结果阐明了 Lip-TDM 治疗的机制,并表明 Lip-TDM 具有作为各种癌症安全有效治疗的潜力。