为肝细胞癌武装 GPC3 CAR T 细胞:多少才足够,下一步是什么?
Armouring GPC3 CAR T cells for hepatocellular carcinoma: how much is enough and what comes next?
英文原题:Evaluation of the tumoricidal efficacy of adoptive cell transfer using hepatocellular carcinoma-derived organoids.
肝细胞癌类肿瘤模型可能成为评估自体过继性细胞转移杀瘤效果的重要资源。TIL(肿瘤浸润淋巴细胞)应是一种有前景但尚未开发的肝细胞癌治疗方案。
肿瘤来源的类器官,即肿瘤类器官,即使在长期体外扩增后,也能真实保留原发肿瘤的临床病理特征。在此,我们开发了来源于肝细胞癌原代样本的生产方法,并建立了一个平台,用于评估自体过继细胞转移的杀肿瘤效果,包括TIL(肿瘤浸润淋巴细胞)和外周血淋巴细胞。
采用苏木精-伊红染色联合免疫组织化学染色,确定类肿瘤体与原发肿瘤的形态学和组织学特征。通过乳酸脱氢酶测定和碘化丙啶染色检测T细胞的肿瘤杀伤能力。在类肿瘤体异种移植小鼠模型中,测量肿瘤体积并通过流式细胞术检测T细胞功能。
从14例肝细胞癌样本中成功建立了4个具有低分化和轻度纤维化特征的肿瘤类器官。在共培养系统中,与匹配的外周血淋巴细胞相比,所有4个TIL(肿瘤浸润淋巴细胞)均表现出更强的抗肿瘤潜力和超功能表型。然而,在肿瘤类器官异种移植小鼠模型中,只有1例具有最高抗肿瘤活性的患者来源TIL(肿瘤浸润淋巴细胞)能够实现有效的肿瘤清除。
BACKGROUND: Tumor-derived organoid, namely tumoroid, can realistically retain the clinicopathologic features of original tumors even after long-term in vitro expansion. Here we develop this production methodology derived from hepatocellular carcinoma primary samples and generate a platform to evaluate the tumoricidal efficacy of autologous adoptive cell transfer including tumor infiltrating lymphocytes and peripheral blood lymphocytes. METHODS: Haematoxylin and eosin together with immunohistochemistry staining were employed to ascertain the morphologic and histological features of tumoroids and original tumors. Tumor killing ability of T cells was detected by lactate dehydrogenase assay and propidium iodide staining. In tumoroid xenograft mouse model, tumor volumes were measured and T cell functions were examined by flow cytometry technique. RESULTS: Four tumoroids with characteristics of poor differentiation and mild fibrosis were successfully established from fourteen hepatocellular carcinoma samples. More robust antitumor potential and hyper-functional phenotype of all four tumor infiltrating lymphocytes were observed compared to matched peripheral blood lymphocytes in coculture system. In tumoroid xenograft mouse models, however, only one patient-derived tumor infiltrating lymphocytes with the highest antitumor activity can bestow efficient tumor eradication. CONCLUSIONS: Hepatocellular carcinoma tumoroid-based models could represent invaluable resources for evaluating the tumoricidal efficacy of autologous adoptive cell transfer. Tumor infiltrating lymphocytes should be a promising and yet-to-be-developed regimen to treat hepatocellular carcinoma.
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