中性粒细胞激活治疗癌症。
Neutrophil-activating therapy for the treatment of cancer.
机构信息
Program in Immunology, Stanford University, Stanford, CA 94305, USA; Department of Pathology, Stanford University, Stanford, CA 94305, USA.
Department of Pathology, Stanford University, Stanford, CA 94305, USA.
出版信息
Cancer Cell. 2023 Feb 13;41(2):356-372.e10. doi: 10.1016/j.ccell.2023.01.002. Epub 2023 Jan 26.
Despite their cytotoxic capacity, neutrophils are often co-opted by cancers to promote immunosuppression, tumor growth, and metastasis. Consequently, these cells have received little attention as potential cancer immunotherapeutic agents. Here, we demonstrate in mouse models that neutrophils can be harnessed to induce eradication of tumors and reduce metastatic seeding through the combined actions of tumor necrosis factor, CD40 agonist, and tumor-binding antibody. The same combination activates human neutrophils in vitro, enabling their lysis of human tumor cells. Mechanistically, this therapy induces rapid mobilization and tumor infiltration of neutrophils along with complement activation in tumors. Complement component C5a activates neutrophils to produce leukotriene B, which stimulates reactive oxygen species production via xanthine oxidase, resulting in oxidative damage and T cell-independent clearance of multiple tumor types. These data establish neutrophils as potent anti-tumor immune mediators and define an inflammatory pathway that can be harnessed to drive neutrophil-mediated eradication of cancer.
尽管中性粒细胞具有细胞毒性,但它们经常被癌症利用来促进免疫抑制、肿瘤生长和转移。因此,这些细胞作为潜在的癌症免疫治疗药物很少受到关注。在这里,我们在小鼠模型中证明,通过肿瘤坏死因子、CD40 激动剂和肿瘤结合抗体的联合作用,可以利用中性粒细胞诱导肿瘤的根除并减少转移播种。同样的组合在体外激活人中性粒细胞,使其能够溶解人肿瘤细胞。从机制上讲,这种治疗方法诱导中性粒细胞的快速动员和肿瘤浸润,同时在肿瘤中激活补体。补体成分 C5a 激活中性粒细胞产生白三烯 B,通过黄嘌呤氧化酶刺激活性氧的产生,导致氧化损伤和 T 细胞非依赖性清除多种肿瘤类型。这些数据确立了中性粒细胞作为有效的抗肿瘤免疫调节剂,并定义了一种可以利用的炎症途径,以驱动中性粒细胞介导的癌症消除。
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