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肿瘤而非肿瘤衍生细胞系具有肾上腺素能谱系特征,GD2+,并且对抗 GD2 抗体治疗有反应。

tumors, but not tumor-derived cell lines, are adrenergic lineage, GD2+, and responsive to anti-GD2 antibody therapy.

机构信息

Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Division of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

出版信息

Oncoimmunology. 2022 May 24;11(1):2075204. doi: 10.1080/2162402X.2022.2075204. eCollection 2022.

Abstract

Neuroblastoma is a commonly lethal solid tumor of childhood and intensive chemoradiotherapy treatment cures ~50% of children with high-risk disease. The addition of immunotherapy using dinutuximab, a monoclonal antibody directed against the GD2 disialoganglioside expressed on neuroblasts, improves survival when incorporated into front-line therapy and shows robust activity in regressing relapsed disease when combined with chemotherapy. Still, many children succumb to neuroblastoma progression despite receiving dinutuximab-based immunotherapy, and efforts to counteract the immune suppressive signals responsible are warranted. Animal models of human cancers provide useful platforms to study immunotherapies. transgenic mice are immunocompetent and develop neuroblastomas at autochthonous sites due to enforced expression in developing neural crest tissues. However, GD2-directed immunotherapy in this model has been underutilized due to the prevailing notion that neuroblasts express insufficient GD2 to be targeted. We demonstrate that neuroblasts in -driven tumors express GD2 at levels comparable to human neuroblastomas but rapidly lose GD2 expression when explanted ex vivo to establish tumor cell lines. This occurs in association with a transition from an adrenergic to mesenchymal differentiation state. Importantly, not only is GD2 expression retained on tumors in situ, treatment with a murine anti-GD2 antibody, 14G2a, markedly extends survival in such mice, including durable complete responses. Tumors in 14G2a-treated mice have fewer macrophage and myeloid-derived suppressor cells in their tumor microenvironment. Our findings support the utility of this model to inform immunotherapy approaches for neuroblastoma and potential opportunities to investigate drivers of adrenergic to mesenchymal fate decisions.

摘要

神经母细胞瘤是一种常见的致命性儿童实体瘤,强化化疗和放疗可治愈约 50%的高危疾病患儿。将针对神经母细胞表面表达的 GD2 二唾液酸神经节苷脂的单克隆抗体——迪努妥昔单抗(dinutuximab)免疫疗法加入到一线治疗中,可以提高生存率,并且在与化疗联合使用时对缓解复发性疾病具有强大的活性。尽管接受了基于迪努妥昔单抗的免疫治疗,许多儿童仍死于神经母细胞瘤进展,因此有必要努力对抗导致免疫抑制的信号。人类癌症的动物模型为研究免疫疗法提供了有用的平台。 转基因小鼠具有免疫能力,并由于在发育中的神经嵴组织中强制表达而在同源部位发展出神经母细胞瘤。然而,由于普遍认为神经母细胞表达的 GD2 不足以作为靶点,因此该模型中针对 GD2 的免疫疗法一直未得到充分利用。我们证明, 驱动的肿瘤中的神经母细胞表达的 GD2 水平与人类神经母细胞瘤相当,但当在体外外植以建立肿瘤细胞系时,GD2 表达迅速丢失。这与从肾上腺素能到间充质分化状态的转变有关。重要的是,不仅在原位肿瘤上保留了 GD2 表达,用抗 GD2 鼠单克隆抗体 14G2a 治疗也显著延长了此类小鼠的存活时间,包括持久的完全缓解。在 14G2a 治疗的小鼠中,肿瘤微环境中的巨噬细胞和髓源性抑制细胞更少。我们的发现支持该模型用于为神经母细胞瘤提供免疫治疗方法,并为研究肾上腺素能到间充质命运决定的驱动因素提供潜在机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/868b/9132414/0bf09275b376/KONI_A_2075204_F0001_OC.jpg

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