抗程序性细胞死亡蛋白1抗体与达沙替尼联合治疗在转移性结直肠癌小鼠模型中显示出疗效。

Anti-Programmed Cell Death-1 Antibody and Dasatinib Combination Therapy Exhibits Efficacy in Metastatic Colorectal Cancer Mouse Models.

作者信息

Kadota Hiroki, Yuge Ryo, Shimizu Daisuke, Miyamoto Ryo, Otani Rina, Hiyama Yuichi, Takigawa Hidehiko, Hayashi Ryohei, Urabe Yuji, Kitadai Yasuhiko, Oka Shiro, Tanaka Shinji

机构信息

Department of Gastroenterology, Hiroshima University Hospital, Hiroshima 734-8551, Japan.

Clinical Research Center in Hiroshima, Hiroshima University Hospital, Hiroshima 734-8551, Japan.

出版信息

Cancers (Basel). 2022 Dec 13;14(24):6146. doi: 10.3390/cancers14246146.

Abstract

In this study, we investigated the in vivo metastasis suppression effects of the platelet-derived growth factor receptor inhibitor dasatinib, which targets cancer-associated fibroblasts (CAFs), in combination with an anti-programmed cell death-1 (PD-1) antibody. We classified clinical CRC cases as inflamed, excluded, or desert using immunohistochemical analysis and evaluated the tumor stroma. The excluded type was the most common, and cases with high-volume stroma in the primary lesions also had a high stromal volume in the liver metastatic lesions. Liver-metastasis mouse models with different stromal volumes were established and treatment-induced changes in the tumor immune microenvironment were evaluated. The anti-PD-1 antibody alone exhibited a therapeutic effect for the liver metastases with low stromal volumes but not for the liver metastases with high stromal volumes. In contrast, antitumor effects were observed with anti-PD-1 antibody/dasatinib combination therapy even in the liver metastases with high stromal volumes. Combination therapy reduced the stromal volume, promoted immune cell infiltration, induced antitumor cytotoxic T-cell responses, activated antitumor immunity, and promoted tumor regression. These results suggest that CAFs play an important role in the immune evasion of CRC and that anti-PD-1 antibody/dasatinib combination therapy has potential as a treatment option for patients with metastatic CRC for whom immunotherapy alone is ineffective.

摘要

在本研究中,我们调查了靶向癌症相关成纤维细胞(CAFs)的血小板衍生生长因子受体抑制剂达沙替尼与抗程序性细胞死亡蛋白1(PD-1)抗体联合使用时的体内转移抑制作用。我们使用免疫组织化学分析将临床结直肠癌病例分为炎症型、排除型或荒漠型,并评估肿瘤基质。排除型最为常见,原发性病变中基质体积大的病例在肝转移病变中也有较大的基质体积。建立了具有不同基质体积的肝转移小鼠模型,并评估了治疗引起的肿瘤免疫微环境变化。单独使用抗PD-1抗体对基质体积小的肝转移有治疗效果,但对基质体积大的肝转移无效。相比之下,即使在基质体积大的肝转移中,抗PD-1抗体/达沙替尼联合治疗也观察到了抗肿瘤作用。联合治疗减少了基质体积,促进了免疫细胞浸润,诱导了抗肿瘤细胞毒性T细胞反应,激活了抗肿瘤免疫,并促进了肿瘤消退。这些结果表明,CAFs在结直肠癌的免疫逃逸中起重要作用,抗PD-1抗体/达沙替尼联合治疗有可能作为单独免疫治疗无效的转移性结直肠癌患者的一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9186/9776338/4bec090548e4/cancers-14-06146-g001.jpg

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