使用T细胞有针对性的对肿瘤及肿瘤相关巨噬细胞进行卵巢癌的过继免疫治疗
Adoptive Immunotherapy for Epithelial Ovarian Cancer Using T Cells Simultaneously Targeted to Tumor and Tumor-Associated Macrophages
关键词:上皮细胞;T淋巴细胞;生物荧光;细胞(生物学);文化(生物学)
摘 要:The hypothesis underlying this synergistic partnership award was that immunotherapy of epithelial ovarian carcinoma (EOC) with chimeric antigen receptor (CAR)-expressing T-cells would be potentiated if simultaneous targeting of tumor cells and tumor-associated macrophages (TAM) was achieved. To test this hypothesis, we initially engineered T-cells to express CARs with specificity for MUC1 (expressed by tumor cells) and CSF-1R (expressed both by tumor cells and TAM). In-vitro experiments demonstrated some efficacy of this therapeutic strategy. To test efficacy in-vivo, we used a previously established (EOC-like) tumor model based upon MDA-MB-435 cells, engineered to co-express MUC1 and CSF- 1R. However, no significant therapeutic activity was observed in this model. As per an agreed revised statement of work, a CAR termed T1E28z was constructed which targets T-cells against several ErbB receptor dimers that are upregulated in EOC. Liposomal clodronate was used to achieve depletion of TAM. We showed that T1E28z-transduced T-cells were effective in mediating the killing of both autologus patient-derived tumor cell cultures and EOC cell lines (IGROV-1 and SKOV-3). Next, xenograft EOC models were established using luciferase-expressing SKOV-3 tumor cells. Using bioluminescence imaging (BLI), we demonstrated that T1E28z+ T-cells mediated the regression of established SKOV-3 tumors in SCID Beige mice. Whilst highly efficient depletion of TAM has been achieved using liposomal clodronate, this did not influence anti-tumor activity in this model. However, potency of immunotherapy was enhanced by repeated administration of T1E28z-engineered T- cells. T-cell activity was imaged in this study by co-expression of renilla luciferase in these cells. This analysis revealed that T-cells undergo progressive decline in tumor-bearing mice, providing a strong rationale for repeated administration to achieve maximum efficacy.