细胞因子诱导的记忆样自然杀伤细胞,对急性白血病母细胞和实体瘤细胞具有高反应性,适用于过继性免疫治疗方法。
Cytokine-Induced Memory-Like NK Cells with High Reactivity against Acute Leukemia Blasts and Solid Tumor Cells Suitable for Adoptive Immunotherapy Approaches.
作者信息
Tanzi Matteo, Consonni Michela, Falco Michela, Ferulli Federica, Montini Enrica, Pasi Annamaria, Cacciatore Rosalia, Brugnatelli Silvia, Pedrazzoli Paolo, Zecca Marco, Boghen Stella, Dellabona Paolo, Casorati Giulia, Montagna Daniela
机构信息
Cell Factory, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Laboratory of Immunology Transplantation, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
出版信息
Cancers (Basel). 2021 Mar 30;13(7):1577. doi: 10.3390/cancers13071577.
The limited efficacy of Natural Killer (NK) cell-based immunotherapy results in part from the suboptimal expansion and persistence of the infused cells. Recent reports suggest that the generation of NK cells with memory-like properties upon in vitro activation with defined cytokines might be an effective way of ensuring long-lasting NK cell function in vivo. Here, we demonstrate that activation with IL-12, IL-15 and IL-18 followed by a one-week culture with optimal doses of Interleukin (IL-2) and IL-15 generates substantial numbers of memory-like NK cells able to persist for at least three weeks when injected into NOD scid gamma (NSG) mice. This approach induces haploidentical donor-derived memory-like NK cells that are highly lytic against patients' myeloid or lymphoid leukemia blasts, independent of the presence of alloreactive cell populations in the donor and with negligible reactivity against patients' non-malignant cells. Memory-like NK cells able to lyse autologous tumor cells can also be generated from patients with solid malignancies. The anti-tumor activity of allogenic and autologous memory-like NK cells is significantly greater than that displayed by NK cells stimulated overnight with IL-2, supporting their potential therapeutic value both in patients affected by high-risk acute leukemia after haploidentical hematopoietic stem cell transplantation and in patients with advanced solid malignancies.
基于自然杀伤(NK)细胞的免疫疗法疗效有限,部分原因在于注入细胞的扩增和持久性欠佳。近期报告表明,用特定细胞因子进行体外激活后产生具有记忆样特性的NK细胞,可能是确保体内NK细胞功能持久的有效方法。在此,我们证明,先用白细胞介素(IL)-12、IL-15和IL-18激活,然后用最佳剂量的IL-2和IL-15进行为期一周的培养,可产生大量记忆样NK细胞,将其注入NOD scid gamma(NSG)小鼠后能够持续至少三周。这种方法可诱导单倍体相合供体来源的记忆样NK细胞,这些细胞对患者的髓系或淋巴系白血病母细胞具有高度杀伤性,与供体中是否存在同种反应性细胞群体无关,且对患者的非恶性细胞反应可忽略不计。能够裂解自体肿瘤细胞的记忆样NK细胞也可从实体恶性肿瘤患者中产生。同种异体和自体记忆样NK细胞的抗肿瘤活性明显高于用IL-2过夜刺激的NK细胞,这支持了它们在单倍体相合造血干细胞移植后受高危急性白血病影响的患者以及晚期实体恶性肿瘤患者中的潜在治疗价值。