癌症免疫治疗学会(SITC)关于急性白血病免疫治疗的临床实践指南,2.0 版
Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immunotherapy for the treatment of acute leukemia, version 2.0.
急性白血病是一种影响所有年龄段的血液系统恶性肿瘤。
英文原题:Humanized Patient-derived Xenograft Models of Disseminated Ovarian Cancer Recapitulate Key Aspects of the Tumor Immune Environment within the Peritoneal Cavity.
Humanized Patient-derived Xenograft Models of Disseminated Ovarian Cancer Recapitulate Key Aspects of the Tumor Immune Environment within the Peritoneal Cavity.
未标注:免疫微环境在卵巢癌进展、转移和治疗反应中的重要性已日益明确,尤其是在免疫治疗受到新重视的情况下。
未标注:卵巢癌进展、转移及治疗反应中免疫微环境的重要性已日益明确,尤其是在免疫治疗受到新重视的背景下。为在人源化免疫微环境中利用患者来源异种移植(PDX)模型的优势,我们将三种卵巢癌PDX移植到人源化NBSGW(huNBSGW)小鼠中,这些小鼠已植入人CD34+脐血来源的造血干细胞。对腹水中细胞因子水平的分析以及肿瘤中浸润免疫细胞的鉴定表明,这些人源化PDX(huPDX)建立了与卵巢癌患者已报道情况相似的免疫肿瘤微环境。人髓系细胞分化不足一直是人源化小鼠模型的主要障碍,但我们的分析显示,PDX植入增加了外周血中的人髓系细胞群体。对huPDX腹水中细胞因子的分析显示,人M-CSF水平较高,这是一种关键的髓系分化因子,以及其他升高的细胞因子,这些细胞因子此前已在卵巢癌患者腹水中被鉴定,包括参与免疫细胞分化和募集的细胞因子。在人源化小鼠肿瘤内检测到人肿瘤相关巨噬细胞和TIL(肿瘤浸润淋巴细胞),表明免疫细胞被募集至肿瘤。三种huPDX的比较揭示了细胞因子特征和免疫细胞募集程度方面的某些差异。我们的研究表明,huNBSGW PDX模型重建了卵巢癌免疫肿瘤微环境的重要方面,这可能支持将这些模型用于临床前治疗试验。意义:huPDX 模型是测试新疗法的理想临床前模型。它们反映了患者群体的遗传异质性,增强人类髓系分化,并将免疫细胞募集到肿瘤微环境。
UNLABELLED: The importance of the immune microenvironment in ovarian cancer progression, metastasis, and response to therapies has become increasingly clear, especially with the new emphasis on immunotherapies. To leverage the power of patient-derived xenograft (PDX) models within a humanized immune microenvironment, three ovarian cancer PDXs were grown in humanized NBSGW (huNBSGW) mice engrafted with human CD34 + cord blood-derived hematopoietic stem cells. Analysis of cytokine levels in the ascites fluid and identification of infiltrating immune cells in the tumors demonstrated that these humanized PDX (huPDX) established an immune tumor microenvironment similar to what has been reported for patients with ovarian cancer. The lack of human myeloid cell differentiation has been a major setback for humanized mouse models, but our analysis shows that PDX engraftment increases the human myeloid population in the peripheral blood. Analysis of cytokines within the ascites fluid of huPDX revealed high levels of human M-CSF, a key myeloid differentiation factor as well as other elevated cytokines that have previously been identified in ovarian cancer patient ascites fluid including those involved in immune cell differentiation and recruitment. Human tumor-associated macrophages and tumor-infiltrating lymphocytes were detected within the tumors of humanized mice, demonstrating immune cell recruitment to tumors. Comparison of the three huPDX revealed certain differences in cytokine signatures and in the extent of immune cell recruitment. Our studies show that huNBSGW PDX models reconstitute important aspects of the ovarian cancer immune tumor microenvironment, which may recommend these models for preclinical therapeutic trials. SIGNIFICANCE: huPDX models are ideal preclinical models for testing novel therapies. They reflect the genetic heterogeneity of the patient population, enhance human myeloid differentiation, and recruit immune cells to the tumor microenvironment.
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