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在已治愈已建立的结肠癌转移灶的小鼠中诱导持久的肿瘤保护性免疫。

Induction of persistent tumor-protective immunity in mice cured of established colon carcinoma metastases.

作者信息

Xiang R, Lode H N, Dreier T, Gillies S D, Reisfeld R A

机构信息

The Scripps Research Institute, Department of Immunology, La Jolla, California 92037, USA.

出版信息

Cancer Res. 1998 Sep 1;58(17):3918-25.

PMID:9731503
Abstract

The induction of tumor-specific T-cell responses that are effective in eradicating disseminated tumors and in mounting a persistent tumor-protective immunity is one of the major goals of tumor immunotherapy. Here, we demonstrate that we achieved this goal by directing interleukin 2 (IL-2) to the tumor microenvironment of colon carcinoma metastases in syngeneic mice with a recombinant antibody-IL-2 fusion protein (huKS1/4-IL-2). Eradication of established pulmonary metastases is induced by a CD8+ T cell-mediated immune response, which can be transmitted to naive syngeneic severe combined immunodeficient mice by adoptive transfer of CD8+ T cells from immune animals. This immune response was followed by the induction of a long-lived immunity against challenge up to 5 months later with CT26-KSA or wild-type CT26 murine colon carcinoma cells in BALB/c mice. This memory immune response was confirmed by flow cytometric analyses of CD8+ T cells isolated from secondary lymphoid tissue that revealed a phenotypic profile typical of early memory T cells. This long-lived protective tumor immunity was successfully boosted to become optimally effective in all experimental animals by injections of noncurative doses of IL-2 fusion protein 4 days after challenge with tumor cells. Taken together, our results indicate that the huKS1/4-IL-2 fusion protein elicits a long-lived cellular memory immune response that can be amplified by additional applications of IL-2 fusion proteins. This approach could become useful for the treatment of colorectal carcinoma in an adjuvant setting, particularly in patients with minimal residual disease.

摘要

诱导能有效根除播散性肿瘤并产生持久肿瘤保护性免疫的肿瘤特异性T细胞反应是肿瘤免疫治疗的主要目标之一。在此,我们证明通过用重组抗体 - 白细胞介素2(IL - 2)融合蛋白(huKS1/4 - IL - 2)将IL - 2导向同基因小鼠结肠癌转移灶的肿瘤微环境,我们实现了这一目标。已建立的肺转移灶的根除是由CD8 + T细胞介导的免疫反应诱导的,该免疫反应可通过将免疫动物的CD8 + T细胞过继转移至同基因的幼稚重度联合免疫缺陷小鼠而传递。在BALB/c小鼠中,这种免疫反应之后会诱导产生长达5个月的针对CT26 - KSA或野生型CT26鼠结肠癌细胞攻击的长期免疫力。通过对从次级淋巴组织分离的CD8 + T细胞进行流式细胞术分析证实了这种记忆免疫反应,该分析揭示了早期记忆T细胞典型的表型特征。在用肿瘤细胞攻击4天后注射非治愈剂量的IL - 2融合蛋白,成功增强了这种长期的保护性肿瘤免疫,使其在所有实验动物中达到最佳效果。综上所述,我们的结果表明huKS1/4 - IL - 2融合蛋白引发了一种长期的细胞记忆免疫反应,该反应可通过额外应用IL - 2融合蛋白而增强。这种方法可能对辅助治疗结直肠癌有用,特别是对残留疾病极少的患者。

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