Burger U L, Chang M P, Goedegebuure P S, Eberlein T J, Adams-Hodgins S
Department of Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Surgery. 1995 Mar;117(3):325-33. doi: 10.1016/s0039-6060(05)80209-0.
Previously we demonstrated that optimal doses of tumor-infiltrating lymphocytes (TIL) concomitant with recombinant interleukin-2 (rIL-2) effectively mediated complete tumor regression of murine 3-day pulmonary metastases.
In the present study we have investigated the contribution of the host immune response to the effectiveness of adoptive immunotherapy with TIL in combination with low-dose rIL-2. All experiments were performed in a murine pulmonary metastases model induced by intravenous injection of methylcholanthrene-induced sarcoma (MCA-105) cells into C57BL/6 mice. As a novel approach we used monoclonal antibody specific for CD4+ or CD8+ T cells to deplete the host of its T-cell subpopulations.
Depletion of host CD8+ T cells 24 hours after tumor injection and 48 hours before TIL+rIL-2 treatment abrogated all antitumor activity of this type of immunotherapy and resulted in significant metastatic pulmonary disease (p < 0.001). In contrast, depletion of host CD4+ T cells did not alter the efficacy of TIL+rIL-2 treatment in tumor eradication. The loss of tumoricidal activity of TIL+rIL-2 treatment in a CD8+ T cell-depleted host could be overcome by adding back normal uneducated splenocytes 2 hours after TIL therapy (p < 0.001). In contrast, adding back CD8- CD4+ splenocytes to a CD8+ T cell-depleted host 2 hours after TIL+rIL-2 treatment resulted in significant pulmonary disease comparable to untreated animals.
We conclude that the recruitment of host CD8+ T cells by adoptively transferred TIL+rIL-2 appears to be important for effective tumor eradication in this type of immunotherapy.
此前我们证明,肿瘤浸润淋巴细胞(TIL)的最佳剂量与重组白细胞介素-2(rIL-2)联合使用可有效介导小鼠3日龄肺转移瘤的完全消退。
在本研究中,我们调查了宿主免疫反应对TIL联合低剂量rIL-2过继性免疫治疗效果的影响。所有实验均在C57BL/6小鼠静脉注射甲基胆蒽诱导的肉瘤(MCA-105)细胞所诱导的小鼠肺转移模型中进行。作为一种新方法,我们使用针对CD4+或CD8+ T细胞的单克隆抗体来耗尽宿主的T细胞亚群。
在肿瘤注射后24小时且在TIL+rIL-2治疗前48小时耗尽宿主CD8+ T细胞,消除了这种免疫治疗的所有抗肿瘤活性,并导致显著的转移性肺部疾病(p < 0.001)。相比之下,耗尽宿主CD4+ T细胞并未改变TIL+rIL-2治疗根除肿瘤的疗效。在TIL治疗后2小时加入正常未受过刺激的脾细胞,可以克服CD8+ T细胞耗尽的宿主中TIL+rIL-2治疗的杀瘤活性丧失(p < 0.001)。相比之下,在TIL+rIL-2治疗后2小时向CD8+ T细胞耗尽的宿主中加入CD8- CD4+脾细胞,会导致与未治疗动物相当的显著肺部疾病。
我们得出结论,在这种免疫治疗中,过继转移的TIL+rIL-2招募宿主CD8+ T细胞似乎对有效根除肿瘤很重要。