Coveney E, Clary B, Iacobucci M, Philip R, Lyerly K
Department of Surgery, Duke University Medical Center, Durham, N.C. 27710, USA.
Surgery. 1996 Aug;120(2):265-72; discussion 272-3. doi: 10.1016/s0039-6060(96)80297-2.
Metastatic disease remains the most frequent cause of treatment failure in the management of patients with breast cancer. A novel method that allows delivery of a gene into primary tumor cells was used to generate tumor cell vaccines to inhibit metastasis formation in tumor-bearing hosts.
Inoculation of 2.5 x 10(4) 4T1 murine breast cancer cells into the footpads of BALB/c mice reliably leads to tumor growth and pulmonary metastases. Interleukin-2 (IL-2)-secreting 4T1 cells (4T1-pMP6A/IL-2) and control transduced 4T1 cells (4T1-pMP6A) were generated by lipofection with a cationic liposome complexed to an adeno-associated viral plasmid bearing the IL-2 gene (pMP6A/IL-2). Unmodified 4T1 cells were inoculated into the footpads on day 0, and weekly immunization with phosphate-buffered saline solution or 2 x 10(6) irradiated 4T1, 4T1-pMP6A, or 4T1-pMP6A/IL-2 cells commenced on day 21. Hindlimb amputation was performed when tumors measured 6 mm in diameter. Mice were killed 24 days after amputation, and metastatic disease was determined by weighing lungs at time of harvest.
A significant reduction was seen in the pulmonary metastatic load of mice receiving IL-2 gene-modified tumor cell immunization (4T1-pMP6A/IL2) when compared with mice given control immunizations.
These results suggest that active immunization strategies with cytokine gene-modified tumor cells generated by clinically relevant gene delivery systems may prove useful in inhibiting the development of metastases from primary breast cancer.
转移性疾病仍然是乳腺癌患者治疗失败的最常见原因。一种能将基因导入原发性肿瘤细胞的新方法被用于制备肿瘤细胞疫苗,以抑制荷瘤宿主中转移灶的形成。
将2.5×10⁴个4T1小鼠乳腺癌细胞接种到BALB/c小鼠的足垫,可可靠地导致肿瘤生长和肺转移。通过用与携带白细胞介素-2(IL-2)基因的腺相关病毒质粒(pMP6A/IL-2)复合的阳离子脂质体进行脂质转染,产生分泌IL-2的4T1细胞(4T1-pMP6A/IL-2)和对照转导的4T1细胞(4T1-pMP6A)。在第0天将未修饰的4T1细胞接种到足垫,从第21天开始每周用磷酸盐缓冲盐溶液或2×10⁶个经照射的4T1、4T1-pMP6A或4T1-pMP6A/IL-2细胞进行免疫。当肿瘤直径达到6 mm时进行后肢截肢。截肢后24天处死小鼠,在处死时通过称量肺来确定转移性疾病情况。
与接受对照免疫的小鼠相比,接受IL-2基因修饰的肿瘤细胞免疫(4T1-pMP6A/IL2)的小鼠肺转移负荷显著降低。
这些结果表明,采用临床相关基因递送系统产生的细胞因子基因修饰肿瘤细胞的主动免疫策略,可能对抑制原发性乳腺癌转移灶的发展有用。