肿瘤细胞治疗研究
英文原题:Chemo-Immunotherapy, a Combination Approach for the Treatment of HER2-Positive Breast Cancer in a Mouse Model.
Chemo-Immunotherapy, a Combination Approach for the Treatment of HER2-Positive Breast Cancer in a Mouse Model.
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肿瘤相关抗原的发现是癌症治疗的一个重要里程碑,因为目前的常规疗法(放疗、化疗)在癌症治疗方面被发现效果不足。人表皮生长因子受体(HER2)是一种肿瘤相关抗原,在包括乳腺癌在内的多种癌症中被异常发现。如今,大多数治疗策略倾向于联合治疗而非单一治疗,因为单一治疗由于患者的耐药机制而被发现基本上无效。多种治疗方法的联合(被动/主动免疫治疗、常规疗法)在临床上被发现更为有效。
本研究探讨了针对Balb/c小鼠4 T1-HER2异种移植模型的多种疫苗组合。测试了八种不同的疫苗配方组以寻找最佳协同组合,包括基于BM-DC的疫苗、基于肽的疫苗、anti-PD-L1、Doxorubicin和QS-21佐剂的组合。免疫治疗的三联组合组在肿瘤尺寸方面表现出更好的活性,因为Doxorubicin+BM-DC-HER2/Neu + QS-21 + anti-PD-L1和Doxorubicin+HER2/Neu + QS-21 + anti-PD-L1组显著减小了肿瘤尺寸。类似的组在流式细胞术研究中也表现出更好的淋巴细胞和IFN-γ细胞因子刺激,在ELISA研究中诱导了HER2/Neu特异性抗体反应。Doxorubicin+BM-DC-HER2/Neu + QS-21 + anti-PD-L1组合在乳酸脱氢酶数据中表现出显著更高的特异性细胞毒性,以及在免疫组织化学研究中表现出CD4+和CD8+反应。
总之,这些数据表明,Doxorubicin+BM-DC + HER2/Neu + QS-21 + anti-PD-L1疫苗联合在针对小鼠HER2过表达乳腺癌模型的肿瘤尺寸和免疫应答刺激方面协同产生了有前景的活性。
The discovery of tumor-associated antigens has been a significant milestone for cancer therapy as the current conventional therapies (radiotherapy, chemotherapy) were found to be insufficient in terms of cancer treatment. Human epidermal growth factor receptor (HER2) is a tumor-associated antigen, aberrantly found in various cancers, including breast cancer.
Today, most treatment strategies are skewed toward combination therapies rather than monotherapies, as they have been found primarily ineffective due to patients' resistance mechanisms. A combination of multiple therapeutic approaches (passive/active immunotherapy, conventional therapies) was found to be more effective in the clinic.
This study investigated various vaccine combinations against the 4 T1-HER2 xenograft model of Balb/c mice. Eight different groups of vaccine formulations were tested to find the best synergistic combination, including combinations of BM-DC-based vaccine, peptide-based vaccine, anti-PD-L1, Doxorubicin, and QS-21 adjuvant. Triple combination groups of immunotherapies exerted better activities in terms of tumor dimensions as Doxorubicin+BM-DC-HER2/Neu + QS-21 + anti-PD-L1 and Doxorubicin+HER2/Neu + QS-21 + anti-PD-L1 groups significantly decreased tumor dimensions.
Similar groups also demonstrated a better stimulation of lymphocytes and IFN-γ cytokine in the flow cytometry study, inducing a HER2/Neu-specific antibody response in ELISA studies. Doxorubicin+BM-DC-HER2/Neu + QS-21 + anti-PD-L1 combination demonstrated significantly higher specific cytotoxicity in lactate dehydrogenase data, as well as the CD4+ and CD8+ responses in the immunohistochemical study.
In conclusion, these data indicated that the Doxorubicin+BM-DC + HER2/Neu + QS-21 + anti-PD-L1 vaccine combination synergistically generated a promising activity in terms of tumor dimension and immune response stimulation against the HER2 overexpressing breast cancer model in mice.
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