Combination immunotherapy with radiation and CpG-based tumor vaccination for the eradication of radio- and immuno-resistant lung carcinoma cells

Combination immunotherapy with radiation and CpG-based tumor vaccination for the eradication of radio- and immuno-resistant lung carcinoma cells
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DOI:
10.1111/j.1349-7006.2009.01114.x
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发表时间:
2009-05-01
期刊:
影响因子:
5.7
通讯作者:
Nishimura, Takashi
Nishimura, Takashi
中科院分区:
医学2区
文献类型:
--
作者:
Chamoto, Kenji;Takeshima, Tsuguhide;Nishimura, Takashi

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含有未甲基化胞嘧啶-硫代磷酸-鸟嘌呤的寡脱氧核苷酸 (CpG-ODN) 被认为是 Toll 样受体 9 (TLR9​​) 的配体,可选择性激活 1 型免疫。我们已经报道,用与模型肿瘤抗原卵清蛋白(OVA)(CpG + OVA-脂质体)共封装的脂质体-CpG对荷瘤小鼠进行疫苗接种,可以使荷有表达OVA的EG-7淋巴瘤细胞的小鼠完全治愈。然而,相同的疗法不能有效根除Lewis肺癌(LLC)-OVA-癌。为了克服 LLC-OVA 的难治性,我们尝试了放射治疗与基于 CpG 的肿瘤疫苗接种的联合治疗。当皮内(i.d.)注射到 C57BL/6 中的 LLC-OVA-癌变得明显(7-8 mm)时,以 14 Gy 的剂量以 24 小时的间隔对小鼠进行两次照射。第二次放射后,CpG + OVA-脂质体经腹腔注射。在肿瘤块的引流淋巴结(DLN)附近施用。放射加CpG+OVA-脂质体治疗的小鼠肿瘤生长受到极大抑制,约60%的治疗小鼠完全治愈。此外,放射线和CpG + OVA-脂质体的联合治疗可以在荷瘤小鼠的DLN中增强OVA-四聚体(+) LLC-OVA特异性细胞毒性T淋巴细胞(CTL)的诱导。这些结果表明,放射治疗与基于 CpG 的肿瘤疫苗的联合治疗是根除顽固性癌症的有效策略。 (《癌症科学》2009 年;100:934-939)。
Unmethylated cytosine-phosphorothioate-guanine containing oligodeoxynucleotides (CpG-ODN) is known as a ligand of toll-like receptor 9 (TLR9), which selectively activates type-1 immunity. We have already reported that the vaccination of tumor-bearing mice with liposome-CpG coencapsulated with model-tumor antigen, ovalbumin (OVA) (CpG + OVA-liposome) caused complete cure of the mice bearing OVA-expressing EG-7 lymphoma cells. However, the same therapy was not effective to eradicate Lewis lung carcinoma (LLC)-OVA-carcinoma. To overcome the refractoriness of LLC-OVA, we tried the combination therapy of radiation with CpG-based tumor vaccination. When LLC-OVA-carcinoma intradermally (i.d.) injected into C57BL/6 became palpable (7-8 mm), the mice were irradiated twice with a dose of 14 Gy at intervals of 24 h. After the second radiation, CpG + OVA-liposome was i.d. administered near the draining lymph node (DLN) of the tumor mass. The tumor growth of mice treated with radiation plus CpG + OVA-liposome was greatly inhibited and approximately 60% of mice treated were completely cured. Moreover, the combined therapy with radiation and CpG + OVA-liposome allowed the augmented induction of OVA-tetramer(+) LLC-OVA-specific cytotoxic T lymphocyte (CTL) in DLN of tumor-bearing mice. These results indicate that the combined therapy of radiation with CpG-based tumor vaccine is a useful strategy to eradicate intractable carcinoma. (Cancer Sci 2009; 100: 934-939).