Bartels C J, Rosenberg S A, Yang J C
Surgery Branch, National Cancer Institute, Bethesda, Maryland, USA.
Ann Surg Oncol. 1996 Jan;3(1):67-73. doi: 10.1007/BF02409054.
Adoptive cellular immunotherapy with autologous tumor-infiltrating lymphocytes (TILs) can induce tumor regression in patients with metastatic melanoma but requires both surgical tumor harvest and successful expansion of lymphocytes in vitro. In cases in which tumors are inaccessible or TILs fail to grow, the adoptive transfer of allogeneic TILs, haplotype matched for the restriction element for a common tumor antigen, represents a possible treatment alternative. Such TILs show in vitro cross-reactivity for allogeneic tumors but have not been evaluated for in vivo activity.
An F1 hybrid mouse (C57BL/6 X DBA-2[B6D2 F1]) was used to generate TILs (F1 TILs) expressing both H-2b and H-2d class I major histocompatibility complex (MHC) determinants, which were used to treat established autologous lung metastases in C57BL/6 (B6) parental strain mice.
H-2b mice bearing the fully syngeneic MC-38 tumor were treated with F1 TILS, and a 98-100% reduction in 4-day-old established lung metastasis was achieved. However, B6 mice bearing MC-38 tumors after preimmunization with H-2d splenocytes did not show a response to F1 TILs. Preimmunization of B6 mice by intravenous injection of H-2d splenocytes at varying times before F1 TIL administration showed a dramatic reduction in F1 TIL efficacy when alloimmunization occurred as early as 2 days before therapy. Immunization against an unrelated haplotype (H-2s) sharing no MHC genes with the F1 TILs resulted in a smaller reduction of F1 TIL efficacy, possibly due to shared minor determinants.
Allogeneic TILs sharing an MHC restriction element for a common tumor antigen can be used to successfully treat established metastases in the nonallosensitized host.
采用自体肿瘤浸润淋巴细胞(TILs)进行过继性细胞免疫治疗可使转移性黑色素瘤患者的肿瘤消退,但需要手术获取肿瘤组织并在体外成功扩增淋巴细胞。在肿瘤无法获取或TILs无法生长的情况下,采用与常见肿瘤抗原的限制性元件单倍型匹配的同种异体TILs进行过继性转移,是一种可能的治疗选择。此类TILs在体外对同种异体肿瘤表现出交叉反应性,但尚未对其体内活性进行评估。
使用F1杂交小鼠(C57BL/6×DBA-2[B6D2 F1])生成表达H-2b和H-2d I类主要组织相容性复合体(MHC)决定簇的TILs(F1 TILs),用于治疗C57BL/6(B6)亲本品系小鼠已形成的自体肺转移瘤。
携带完全同基因MC-38肿瘤的H-2b小鼠接受F1 TILs治疗后,4日龄已形成的肺转移瘤减少了98%-100%。然而,用H-2d脾细胞进行预免疫后的携带MC-38肿瘤的B6小鼠对F1 TILs无反应。在给予F1 TILs之前的不同时间通过静脉注射H-2d脾细胞对B6小鼠进行预免疫,结果显示,早在治疗前2天发生同种异体免疫时,F1 TILs的疗效显著降低。针对与F1 TILs无共同MHC基因的无关单倍型(H-2s)进行免疫,导致F1 TILs疗效降低幅度较小,这可能是由于存在共同的次要决定簇。
具有针对常见肿瘤抗原的MHC限制性元件的同种异体TILs可用于成功治疗未发生同种异体致敏的宿主中已形成的转移瘤。