个体化新抗原疫苗增强贝伐珠单抗和抗 PD-1 抗体在晚期非小细胞肺癌中的治疗效果。
Personalized neoantigen vaccine enhances the therapeutic efficacy of bevacizumab and anti-PD-1 antibody in advanced non-small cell lung cancer.
机构信息
Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
The United Innovation of Mengchao Hepatobiliary Technology Key Laboratory of Fujian Province, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, China.
出版信息
Cancer Immunol Immunother. 2024 Jan 27;73(2):26. doi: 10.1007/s00262-023-03598-x.
Clinically, a considerable number of non-small cell lung cancer (NSCLC) patients are unable to receive or resist chemotherapy, and the efficacy of non-chemotherapy treatment strategies based on anti-angiogenic agents combined with immune checkpoint blockade is still unsatisfactory. Neoantigen vaccine, based on personalized tumor DNA mutations, could elicit tumor specific T cell infiltration into the tumor site, exerting potent anti-tumor efficacy. Here, we evaluated the feasibility and safety of a new antitumor strategy by adding neoantigen vaccine to the regimen of bevacizumab and anti-PD-1 antibody. Firstly, 7 novel immunogenic neoantigen peptides were identified and developed for neoantigen vaccine (LLCvac), which can elicit strong antitumor immune response in vivo. Then, in orthotopic lung cancer model, LLCvac further combining with bevacizumab and anti-PD-1 antibody exerted a stronger antitumor effect, exhibiting significant decrease of tumor volume without obvious toxicity. Furthermore, tumor immune microenvironment assessment also showed that the proportion of neoantigen-specific T cells in blood could be induced dramatically by the combined therapy. And a large amount of neoantigen-specific Ki67-positive CD8 T cells were found in tumor tissues, which infiltrated tumor tissues effectively to kill tumor cells expressing identified neoantigens. Overall, these results suggested that this combined therapy could safely induce robust antitumor efficacy, serving as an effective chemotherapy-free strategy for NSCLC treatment.
临床上,相当数量的非小细胞肺癌(NSCLC)患者无法接受或抵抗化疗,而基于抗血管生成剂联合免疫检查点阻断的非化疗治疗策略的疗效仍不尽人意。基于个性化肿瘤 DNA 突变的新抗原疫苗可以引发肿瘤特异性 T 细胞浸润到肿瘤部位,发挥强大的抗肿瘤疗效。在这里,我们通过在贝伐珠单抗和抗 PD-1 抗体的方案中添加新抗原疫苗来评估一种新的抗肿瘤策略的可行性和安全性。首先,我们鉴定并开发了 7 种新型免疫原性新抗原肽用于新抗原疫苗(LLCvac),它可以在体内引发强烈的抗肿瘤免疫反应。然后,在原位肺癌模型中,LLCvac 进一步与贝伐珠单抗和抗 PD-1 抗体联合使用,产生了更强的抗肿瘤作用,表现为肿瘤体积显著减小,而没有明显的毒性。此外,肿瘤免疫微环境评估还表明,联合治疗可显著诱导血液中针对新抗原的 T 细胞比例增加。并且在肿瘤组织中发现了大量针对新抗原的 Ki67 阳性 CD8 T 细胞,这些细胞有效地浸润到肿瘤组织中,杀死表达鉴定出的新抗原的肿瘤细胞。总体而言,这些结果表明,这种联合治疗可以安全地诱导强烈的抗肿瘤疗效,为 NSCLC 的治疗提供了一种有效的无化疗策略。