Marr R A, Addison C L, Snider D, Muller W J, Gauldie J, Graham F L
Department of Pathology, McMaster University, Hamilton, Ontario, Canada.
Gene Ther. 1997 Nov;4(11):1181-8. doi: 10.1038/sj.gt.3300528.
The most limiting factor regarding the use of TNF alpha in tumour therapy is systemic toxicity. The expression of membrane-bound (nonsecreted) TNF alpha within a tumour may serve to reduce systemic toxicity while retaining anti-tumour activity. Two adenovirus (Ad) vectors were constructed: (1) Ad-mTNF-wt expressing wild-type murine TNF alpha; and (2) Ad-mTNF-MEM expressing a mutant non-secreted (membrane-bound) form. Only the Ad-mTNF-wt vector induced high levels of TNF alpha secretion in transduced cells (approximately 400 ng/10(6) cells), however, both vectors induced efficient cell surface expression as detected by FACS. These vectors were used in tumour immunotherapy trials in a murine transgenic breast cancer model. High serum concentrations of mTNF alpha (approximately 1 ng/ml) were detected only in Ad-mTNF-wt-treated mice, while both vectors induced substantial disruption of tumour pathology. The wt TNF vector was highly toxic, killing 12 of 16 mice at a dose of 5 x 10(8) p.f.u., whereas the Ad-mTNF-MEM vector showed low toxicity killing three of 27 at the same dose. Both vectors induced partial, and in some cases, permanent tumour regressions, with cured mice displaying protective immunity and specific CTL activity against the tumour. These results indicate that the use of a nonsecreted form of TNF alpha can result in a relatively large reduction in systemic toxicity with little or no reduction in antitumour activity.
在肿瘤治疗中使用肿瘤坏死因子α(TNFα)的最大限制因素是全身毒性。肿瘤内膜结合型(非分泌型)TNFα的表达可能有助于降低全身毒性,同时保留抗肿瘤活性。构建了两种腺病毒(Ad)载体:(1)Ad-mTNF-wt,表达野生型小鼠TNFα;(2)Ad-mTNF-MEM,表达一种突变的非分泌型(膜结合型)形式。只有Ad-mTNF-wt载体在转导细胞中诱导高水平的TNFα分泌(约400 ng/10⁶细胞),然而,通过荧光激活细胞分选术(FACS)检测发现,两种载体都能诱导有效的细胞表面表达。这些载体用于小鼠转基因乳腺癌模型的肿瘤免疫治疗试验。仅在Ad-mTNF-wt处理的小鼠中检测到高血清浓度的mTNFα(约1 ng/ml),而两种载体都诱导了肿瘤病理的显著破坏。野生型TNF载体毒性很高,在剂量为5×10⁸噬斑形成单位(p.f.u.)时,16只小鼠中有12只死亡,而Ad-mTNF-MEM载体在相同剂量下毒性较低,27只小鼠中有3只死亡。两种载体都诱导了部分肿瘤消退,在某些情况下是永久性消退,治愈的小鼠表现出对肿瘤的保护性免疫和特异性细胞毒性T淋巴细胞(CTL)活性。这些结果表明,使用非分泌型TNFα可导致全身毒性相对大幅降低,而抗肿瘤活性几乎没有降低或根本没有降低。