研究概要
尽管最近出现了免疫检查点抑制剂,转移性NSCLC患者的临床结局仍然很差,这凸显了开发新型疗法以增强NSCLC抗肿瘤免疫反应的未满足需求。
中文摘要
尽管近年来免疫检查点抑制剂不断涌现,转移性NSCLC患者的临床结局仍然很差,这凸显了开发新型疗法以增强NSCLC抗肿瘤免疫应答的未满足需求。在这方面,已有报道显示免疫检查点分子CD70在包括NSCLC在内的多种癌症类型中异常表达。本研究在NSCLC体外和体内实验中,探索了基于抗体的抗CD70(aCD70)疗法作为单药以及与多西他赛和顺铂联合使用的细胞毒性和免疫刺激潜力。抗CD70疗法在体外导致NK介导的NSCLC细胞杀伤,并增加NK细胞产生促炎细胞因子。化疗与抗CD70疗法的联合进一步增强了NSCLC细胞杀伤。此外,体内研究结果表明,在Lewis肺癌荷瘤小鼠中,化疗-免疫疗法的序贯治疗与单药相比,显著改善了生存并延缓了肿瘤生长。这些荷瘤小鼠治疗后肿瘤引流淋巴结中树突状细胞数量增加,进一步凸显了化疗方案的免疫原性潜力。序贯联合治疗导致T细胞和NK细胞的瘤内浸润增强,以及CD8+ T细胞与Tregs比值的增加。序贯联合治疗在生存方面的优越效果在NCI-H1975荷瘤人源化IL15-NSG-CD34+小鼠模型中得到了进一步证实。这些新的临床前数据表明,将化疗与aCD70疗法联合使用具有增强NSCLC患者抗肿瘤免疫应答的潜力。
展开英文摘要原文
Despite the recent emergence of immune checkpoint inhibitors, clinical outcomes of metastatic NSCLC patients remain poor, pointing out the unmet need to develop novel therapies to enhance the anti-tumor immune response in NSCLC. In this regard, aberrant expression of the immune checkpoint molecule CD70 has been reported on many cancer types, including NSCLC. In this study, the cytotoxic and immune stimulatory potential of an antibody-based anti-CD70 (aCD70) therapy was explored as single agent and in combination with docetaxel and cisplatin in NSCLC in vitro and in vivo . Anti-CD70 therapy resulted in NK-mediated killing of NSCLC cells and increased production of pro-inflammatory cytokines by NK cells in vitro . The combination of chemotherapy and anti-CD70 therapy further enhanced NSCLC cell killing. Moreover, in vivo findings showed that the sequential treatment of chemo-immunotherapy resulted in a significant improved survival and delayed tumor growth compared to single agents in Lewis Lung carcinoma-bearing mice. The immunogenic potential of the chemotherapeutic regimen was further highlighted by increased numbers of dendritic cells in the tumor-draining lymph nodes in these tumor-bearing mice after treatment. The sequential combination therapy resulted in enhanced intratumoral infiltration of both T and NK cells, as well as an increase in the ratio of CD8+ T cells over Tregs. The superior effect of the sequential combination therapy on survival was further confirmed in a NCI-H1975-bearing humanized IL15-NSG-CD34+ mouse model. These novel preclinical data demonstrate the potential of combining chemotherapy and aCD70 therapy to enhance anti-tumor immune responses in NSCLC patients.
论文信息
- 作者
- Flieswasser T、Van den Eynde A、Freire Boullosa L、Melis J、Hermans C、Merlin C、Lau HW、Van Audenaerde J
- 单位
- Center for Oncological Research (CORE), Integrated Personalized and Precision Oncology Network (IPPON), Wilrijk, Belgium.Belgium
- 文献类型
- 非美国政府资助研究
- 期刊
- Oncoimmunology2023