Treatment of multiple myeloma with adoptively transferred chimeric NKG2D receptor-expressing T cells.

Treatment of multiple myeloma with adoptively transferred chimeric NKG2D receptor-expressing T cells.
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DOI:
10.1038/gt.2010.174
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发表时间:
2011-05
期刊:
影响因子:
5.1
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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多发性骨髓瘤约占所有血液恶性肿瘤的10%。我们之前已经证明,表达嵌合NKG 2D受体(chNKG 2D)的人T细胞分泌促炎细胞因子并杀死人骨髓瘤细胞,嵌合NKG 2D受体(chNKG 2D)由融合至CD 3 β胞质结构域的NKG 2D组成。在这项研究中,我们显示chNKG 2D T细胞在多发性骨髓瘤小鼠模型中是有效的。用一次或两次chNKG 2D T细胞输注处理具有已建立的5 T33 MM-GFP肿瘤的小鼠。与用表达wtNKG 2D的T细胞处理的小鼠相比,单次给予chNKG 2D T细胞可延长存活期,其中半数chNKG 2D T细胞处理的小鼠长期存活。两次输注chNKG 2D T细胞导致所有小鼠的无肿瘤存活。静脉注射后,ChNKG 2D T细胞位于肿瘤生长部位,包括骨髓和脾脏。chNKG 2D T细胞注射后,肿瘤部位的活化宿主T细胞和NK细胞以及血清IFNγ增加。存活的小鼠能够抵抗5 T33 MM细胞的再攻击,但不能抵抗RMA淋巴瘤细胞,这表明小鼠产生了保护性的特异性记忆反应。这些数据表明,chNKG 2D T细胞可能是多发性骨髓瘤的有效过继细胞疗法。
Multiple myeloma causes approximately 10% of all hematologic malignancies. We have previously shown that human T cells expressing chimeric NKG2D receptors (chNKG2D) consisting of NKG2D fused to the CD3ζ cytoplasmic domain secrete proinflammatory cytokines and kill human myeloma cells. In this study, we show chNKG2D T cells are effective in a murine model of multiple myeloma. Mice with established 5T33MM-GFP tumors were treated with one or two infusions of chNKG2D T cells. Compared to mice treated with T cells expressing wtNKG2D, a single dose of chNKG2D T cells increased survival, with half of the chNKG2D T cell-treated mice surviving long-term. Two infusions of chNKG2D T cells led to tumor-free survival in all mice. ChNKG2D T cells were located at sites of tumor growth, including the bone marrow and spleen after i.v. injection. There was an increase in activated host T cells and NK cells at tumor sites and in serum IFNγ after chNKG2D T cell injection. Surviving mice were able to resist a rechallenge with 5T33MM cells but not RMA lymphoma cells, indicating that the mice developed a protective, specific memory response. These data demonstrate that chNKG2D T cells may be an effective adoptive cellular therapy for multiple myeloma.
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