Nanni P, De Giovanni C, Landuzzi L, Nicoletti G, Frabetti F, Rossi I, Cavallo F, Giovarelli M, Forni G, Lollini P L
Istituto di Cancerologia, Universita di Bologna, Italy.
Br J Cancer. 1996 Nov;74(10):1564-9. doi: 10.1038/bjc.1996.590.
Gene-transfected tumour cells were used to cure mice bearing lung metastases by the parental, non-transduced mammary adenocarcinoma (TSA-pc). Repeated subcutaneous (s.c.) administrations of mitomycin C (MitC)-treated interferon gamma (IFN-gamma) transfectants induced a 90% inhibition in the number of lung metastases. Therapeutic effect required an intact T-cell response, as shown by the lack of efficacy in nude mice. Autocrine stimulation by IFN-gamma induces specific modifications in the phenotype of transfectants that acquire a high metastatic ability and show a high expression of IFN-responsive genes; these two features were exploited to design two experimental protocols to obtain an improvement of the therapeutic effect. The increased metastatic ability of IFN-gamma transfectants was used to deliver IFN-gamma selectively to the lungs of mice bearing TSA-pc pulmonary metastases. A significant therapeutic effect was obtained when TSA-pc experimental metastases were treated by repeated intravenous (i.v.) injections of MitC IFN-gamma transfectants. Since i.v. administrations of IFN-gamma transfectants did not induce immune memory, the therapeutical effect appeared to depend on the inflammatory-like response activated by local IFN release. To exploit the autocrine stimulation of IFN-sensitive genes an IFN-gamma transfectant clone was subjected to a second transfection with an allogeneic class I MHC gene (H-2K(b) or H-2D(h)). IFN-gamma plus MHC double transfectants maintained IFN-gamma release, showed a very high expression of the MHC gene products, stimulated both macrophages and T cells, and were less tumorigenic in immunocompetent mice than the parent IFN-gamma clone. Therapeutic efficacy of double transfectant IFN-gamma plus H-2D(b) cells against TSA-pc was superior to single transfectants, showing that the reaction elicited by genetically engineered cells can be selectively tuned to increase therapeutic efficacy.
基因转染的肿瘤细胞被用于治疗携带亲本未转导乳腺腺癌(TSA-pc)肺转移的小鼠。经丝裂霉素C(MitC)处理的干扰素γ(IFN-γ)转染子反复皮下(s.c.)给药可使肺转移瘤数量减少90%。治疗效果需要完整的T细胞反应,裸鼠实验中缺乏疗效证明了这一点。IFN-γ的自分泌刺激会诱导转染子表型发生特定改变,使其获得高转移能力并高表达IFN反应基因;利用这两个特征设计了两个实验方案以提高治疗效果。IFN-γ转染子增加的转移能力被用于将IFN-γ选择性递送至携带TSA-pc肺转移的小鼠肺部。当通过反复静脉内(i.v.)注射MitC IFN-γ转染子治疗TSA-pc实验性转移瘤时,获得了显著的治疗效果。由于静脉内注射IFN-γ转染子不会诱导免疫记忆,治疗效果似乎取决于局部IFN释放激活的炎症样反应。为利用IFN敏感基因的自分泌刺激,用同种异体I类MHC基因(H-2K(b)或H-2D(h))对IFN-γ转染子克隆进行二次转染。IFN-γ加MHC双转染子维持IFN-γ释放,显示MHC基因产物的高表达,刺激巨噬细胞和T细胞,并且在免疫活性小鼠中比亲本IFN-γ克隆的致瘤性更低。双转染子IFN-γ加H-2D(b)细胞对TSA-pc的治疗效果优于单转染子,表明基因工程细胞引发的反应可被选择性调节以提高治疗效果。