Université de Tours, INRAE, ISP, F-37000, Faculté de pharmacie, Tours, France.
Université de Tours, INRAE, ISP, F-37000, Faculté de pharmacie, Tours, France
J Immunother Cancer. 2023 May;11(5). doi: 10.1136/jitc-2023-006683.
Metastases are the leading cause of mortality in many cancer types and lungs are one of the most common sites of metastasis alongside the liver, brain, and bones. In melanoma, 85% of late-stage patients harbor lung metastases. A local administration could enhance the targeting of metastases while limiting the systemic cytotoxicity. Therefore, intranasal administration of immunotherapeutic agents seems to be a promising approach to preferentially target lung metastases and decrease their burden on cancer mortality. From observations that certain microorganisms induce an acute infection of the tumor microenvironment leading to a local reactivating immune response, microbial-mediated immunotherapy is a next-generation field of investigation in which immunotherapies are engineered to overcome immune surveillance and escape from microenvironmental cancer defenses.
The goal of our study is to evaluate the potential of the intranasal administration of in a syngeneic C57BL6 mouse model of B16F10 melanoma lung metastases. It also compares the antitumoral properties of a wild-type versus secreting human interleukin (IL)-15 fused to the sushi domain of the IL-15 receptor α chain, a potent activator of cellular immune responses.
The treatment of murine lung metastases by intranasal administration of an engineered to secrete human IL-15 impairs lung metastases from further progression with only 0,08% of lung surface harboring metastases versus 4,4% in wild-type treated mice and 36% in untreated mice. The control of tumor development is associated with a strong increase in numbers, within the lung, of natural killer cells, CD8 T cells and macrophages, up to twofold, fivefold and sixfold, respectively. Analysis of expression levels of CD86 and CD206 on macrophages surface revealed a polarization of these macrophages towards an antitumoral M1 phenotype.
Administration of IL-15/IL-15Rα-secreting through intranasal administration, a non-invasive route, lend further support to -demonstrated clear potential as an effective and safe immunotherapeutic approach for the treatment of metastatic solid cancers, whose existing therapeutic options are scarce. Combination of this armed protozoa with an intranasal route could reinforce the existing therapeutic arsenal against cancer and narrow the spectrum of incurable cancers.
转移是许多癌症类型导致死亡的主要原因,肺是转移的最常见部位之一,与肝、脑和骨骼一起。在黑色素瘤中,85%的晚期患者有肺转移。局部给药可以增强对转移灶的靶向作用,同时限制全身细胞毒性。因此,鼻内给予免疫治疗药物似乎是一种有前途的方法,可以优先靶向肺转移灶,并降低其对癌症死亡率的负担。从某些微生物引起肿瘤微环境急性感染导致局部再激活免疫反应的观察结果来看,微生物介导的免疫治疗是下一代研究领域,其中免疫疗法被设计为克服免疫监视并逃避微环境中的癌症防御。
我们的研究目的是评估在 B16F10 黑色素瘤肺转移的同源 C57BL6 小鼠模型中,经鼻内给予 的潜力。它还比较了野生型 与分泌人白细胞介素(IL)-15 融合到 IL-15 受体α链寿司结构域的 的抗肿瘤特性,IL-15 受体α链是细胞免疫反应的有效激活剂。
经鼻内给予分泌人 IL-15 的工程化 治疗小鼠肺转移可阻止肺转移进一步进展,只有 0.08%的肺表面有转移灶,而野生型 治疗小鼠有 4.4%,未治疗小鼠有 36%。肿瘤发展的控制与肺内自然杀伤细胞、CD8 T 细胞和巨噬细胞数量的强烈增加有关,分别增加了两倍、五倍和六倍。对巨噬细胞表面 CD86 和 CD206 表达水平的分析表明,这些巨噬细胞向抗肿瘤 M1 表型极化。
通过非侵入性途径鼻内给予 IL-15/IL-15Rα 分泌的 进一步支持了 作为治疗转移性实体瘤的有效和安全免疫治疗方法的明显潜力,而这些转移性实体瘤的现有治疗选择很少。将这种武装原生动物与鼻内途径相结合,可以增强现有的抗癌治疗武器库,并缩小无法治愈的癌症范围。