Wooldridge J E, Dahle C E, Weiner G J
Iowa City Veterans Administration, Iowa City, USA.
Cancer Immunol Immunother. 1997 Nov-Dec;45(3-4):174-9. doi: 10.1007/s002620050426.
T cells play a key role in the control of abnormal B cell proliferation. Factors that play a role in inadequate T cell responses include absence of expression of costimulatory and adhesion molecules by the malignant B cells and lack of cytotoxic T cells specific for tumor-associated antigens. A number of approaches have been used to enhance T cell response against malignant B cells. Agents such as soluble CD40 ligand can enhance expression of costimulatory molecules by the malignant B cells and improve their ability to activate T cells. Anti-CD3-based bispecific antibodies can retarget T cells toward the tumor cells irrespective of T cell specificity. We used the V 38C13 murine lymphoma model to assess whether the combination of soluble CD40 ligand and anti-CD3-based bispecific antibody can enhance T cell activation induced by malignant B cells more effectively than either approach alone. Expression of CD80, CD86, and ICAM-1 on lymphoma cells was up-regulated by soluble CD40 ligand. Syngeneic T cells were activated more extensively by lymphoma cells when the lymphoma cells were pre-treated with soluble CD40 ligand. Bispecific-antibody induced T cell activation was more extensive when lymphoma cells pretreated with soluble CD40 ligand were present. The combination of soluble CD40 ligand plus bispecific antibody enhanced the median survival of mice compared to mice treated with bispecific antibody alone. We conclude that pretreatment of tumor cells with agents capable of inducing costimulatory molecule expression, such as soluble CD40 ligand can enhance the ability of malignant B cells to activate T cells. This effect is enhanced by the addition of bispecific antibody. The combination of enhanced expression of costimulatory molecules and retargeting of T cells by bispecific antibody may allow for a more effective T-cell-based immunotherapy.
T细胞在控制异常B细胞增殖中起关键作用。导致T细胞反应不足的因素包括恶性B细胞缺乏共刺激分子和黏附分子的表达,以及缺乏针对肿瘤相关抗原的细胞毒性T细胞。已经采用了多种方法来增强T细胞对恶性B细胞的反应。诸如可溶性CD40配体之类的试剂可以增强恶性B细胞共刺激分子的表达,并提高其激活T细胞的能力。基于抗CD3的双特异性抗体可以使T细胞重新靶向肿瘤细胞,而不考虑T细胞的特异性。我们使用V 38C13小鼠淋巴瘤模型来评估可溶性CD40配体和基于抗CD3的双特异性抗体的组合是否比单独使用任何一种方法更有效地增强恶性B细胞诱导的T细胞活化。可溶性CD40配体上调了淋巴瘤细胞上CD80、CD86和ICAM-1的表达。当淋巴瘤细胞用可溶性CD40配体预处理时,同基因T细胞被淋巴瘤细胞更广泛地激活。当存在用可溶性CD40配体预处理的淋巴瘤细胞时,双特异性抗体诱导的T细胞活化更广泛。与单独用双特异性抗体治疗的小鼠相比,可溶性CD40配体加双特异性抗体的组合提高了小鼠的中位生存期。我们得出结论,用能够诱导共刺激分子表达的试剂(如可溶性CD40配体)预处理肿瘤细胞可以增强恶性B细胞激活T细胞的能力。双特异性抗体的加入增强了这种效果。共刺激分子表达的增强和双特异性抗体对T细胞的重新靶向作用相结合,可能会实现更有效的基于T细胞的免疫治疗。