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非消融聚焦超声诱导适应性免疫反应抑制胰腺癌:一项临床前研究

英文原题:Non-ablative focused ultrasound induces an adaptive immune response to suppress pancreatic cancer: a preclinical study.

查看英文原题

Non-ablative focused ultrasound induces an adaptive immune response to suppress pancreatic cancer: a preclinical study.

PubMed 2026/04/06(内容时间) Ultrasonography Q2 · IF 2.4(JCR 2025)

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研究概要

MS+Gem 有效抑制了肿瘤生长,促进了凋亡相关因子,并增强了治疗后肿瘤内细胞毒性 T 细胞的瘤内浸润。

中文摘要

本研究旨在评估聚焦超声介导的机械刺激(MS)能否在胰腺癌模型中诱导抗肿瘤免疫并产生远隔效应,以及相关机制。

研究1中,将单侧侧腹部带有小鼠胰腺肿瘤(Pan02)的动物按单用或联合吉西他滨(Gem)、热消融或MS分为5组。研究2使用双侧侧腹部肿瘤小鼠评估远隔效应。分析肿瘤生长抑制、组织损伤、肿瘤生长抑制基因和细胞因子表达,以及抗肿瘤细胞毒性T淋巴细胞应答。

研究1中,与其他组相比,MS+Gem组白细胞介素6、KC-GRO和肿瘤坏死因子α水平更高,CD8+细胞和颗粒酶B(GrB)比例更高,Foxp3表达更低。MS+Gem组TIL(肿瘤浸润淋巴细胞)中的CD8+细胞比例也显著更高(第2周P<0.005)。研究2中,MS+Gem组未治疗的对侧肿瘤生长受到显著抑制。对未治疗肿瘤的免疫分析显示,MS+Gem组CD8+细胞和GrB比例显著升高,而Foxp3+细胞比例降低;该组未治疗肿瘤中的CD8+/TIL比值也更高。

MS+Gem可有效抑制肿瘤生长,促进凋亡相关因子,并增强治疗肿瘤内细胞毒性T细胞浸润。此外,MS+Gem可使未治疗肿瘤产生远隔效应,提示其在胰腺癌治疗中可能诱发全身性抗肿瘤免疫应答。

展开英文摘要原文

This study aimed to investigate whether, and by what mechanisms, focused ultrasound-mediated mechanical stimulation (MS) can induce anti-tumor immunity and elicit an abscopal effect in a pancreatic cancer model.

In study 1, animals bearing unilateral murine pancreatic tumors (Pan02) in the flank were divided into five groups according to the single or combined use of gemcitabine (Gem), thermal ablation, or MS. Study 2 was conducted in mice bearing bilateral flank tumors to evaluate abscopal effects. Tumor growth suppression, tissue damage, expression of tumor growth-inhibitory genes and cytokines, and anti-tumor cytotoxic T lymphocyte responses were analyzed.

In study 1, the MS+Gem group exhibited significantly higher levels of interleukin-6, KC-GRO, and tumor necrosis factor- ; higher proportions of CD8+ cells and granzyme B (GrB); and lower Foxp3 expression than the other groups. A significantly higher ratio of CD8+ cells among tumor-infiltrating lymphocytes (TIL) was also observed in the MS+Gem group (P&lt;0.005 at week 2). In study 2, significant growth suppression of the untreated contralateral tumor was observed in the MS+Gem group. Immune analysis of the untreated tumor showed significantly higher proportions of CD8+ cells and GrB, along with a lower proportion of Foxp3+ cells, in the MS+Gem group. The MS+Gem group also demonstrated a higher CD8+/TIL ratio in the untreated tumor.

MS+Gem effectively suppressed tumor growth, promoted apoptosis-related factors, and enhanced intratumoral infiltration of cytotoxic T cells in treated tumors. In addition, MS+Gem induced an abscopal effect in untreated tumors, suggesting its potential to mediate systemic anti-tumor immune responses in pancreatic cancer treatment.

论文信息

作者
Park EJ、Ahn Y、Cheon Y、Lee JY
单位
Department of Radiology, Seoul National University Hospital, Seoul, Korea.South Korea
期刊
Ultrasonography (Seoul, Korea)2026 May
原文标识
PubMed 42220052 · DOI 10.14366/usg.25228