胰腺癌空间构型与新辅助治疗和根治性切除术后疾病复发相关
Spatial Configuration of Pancreatic Cancer Is Associated with Disease Recurrence after Neoadjuvant Therapy and Curative-Intent Resection.
从标准H&E切片量化的残留癌-间质拓扑结构在PDAC新辅助治疗后产生独立预后信号,为空间风险提供细胞免疫相关性依据,并推动前瞻性验证及空间信息指导的辅助治疗策略。
英文原题:Evaluation of methods to increase the expression of cytokine-induced killer cell chemoattractant cytokines in pancreatic cancer.
我们得出结论,为了在实体瘤上充分释放CIK的潜力,除了趋化因子表达外,还需要克服其他障碍。
基于细胞因子诱导的杀伤细胞(CIKs)的过继细胞疗法,因其具有多种识别癌细胞的机制,能够应对实体瘤的异质性。然而,肿瘤归巢是其主要局限之一。在本研究中,我们描述了从胰腺导管腺癌患者中获取的CIKs中有高比例表达CXCR3和CCR5受体,并且在体外它们会向相应的趋化因子CXCL10和CCL5迁移。利用免疫健全的原位PDAC小鼠模型,我们研究了不同临床兼容干预措施增加这些趋化因子表达的能力。化疗(5-氟尿嘧啶、伊立替康、奥沙利铂、紫杉醇、吉西他滨或替莫唑胺)、酪氨酸激酶抑制剂索拉非尼和舒尼替尼,或免疫刺激剂聚肌苷酸:聚胞苷酸、结核分枝杆菌抗原以及白喉/百日咳/破伤风疫苗均未获得显著升高。相比之下,CXCL10和CCL5的表达通过局部给予配备药物诱导型白细胞介素-12(IL-12)表达系统的腺病毒载体而受到刺激。载体与CIKs的联合在PDAC模型中获得了强效的抗肿瘤效果,尽管这主要归因于载体介导的内源性免疫细胞募集。我们得出结论,为了释放CIKs对实体瘤的全部潜力,必须克服趋化因子表达之外的额外障碍。
Adoptive Cell Therapies based on cytokine-induced killer cells (CIKs) can address the heterogeneity of solid tumors due to their multiple mechanisms of cancer cell recognition. However, tumor trafficking is one of the main limitations. In this work, we describe that a high proportion of CIKs obtained from pancreatic ductal adenocarcinoma patients express the CXCR3 and CCR5 receptors, and they migrate towards their corresponding chemokines CXCL10 and CCL5 in vitro. Using an immune competent orthotopic PDAC mouse model, we have investigated the ability of different clinically compatible interventions to increase the expression of these chemokines. No significant elevation was obtained with chemotherapy (5-fluorouracil, irinotecan, oxaliplatin, paclitaxel, gemcitabine or temozolomide), tyrosine kinase inhibitors sorafenib and sunitinib, or the immunostimulatory agents polyinosinic:polycytidylic acid, Mycobacterium tuberculosis antigens and diphtheria/pertussis/tetanus vaccine. In contrast, CXCL10 and CCL5 expression was stimulated by local administration of an adenoviral vector equipped with a drug-inducible expression system for interleukin-12 (IL-12). Combination of the vector and CIKs obtained a strong antitumor effect in the PDAC model, although it was mainly due to vector-mediated recruitment of endogenous immune cells. We conclude that additional barriers beyond chemokine expression should be overcome in order to unleash the full potential of CIKs on solid tumors.
MEMBER ACCOUNT
登录成功会直接打开下一页。