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Sunitinib and Sorafenib Modulating Antitumor Immunity in Hepatocellular Cancer. 舒尼替尼和索拉非尼调节肝细胞癌的抗肿瘤免疫。
Pub Date : 2018-01-01 Epub Date: 2018-06-08
Dai Liu, Xiaoqiang Qi, Yariswamy Manjunath, Eric T Kimchi, Lixin Ma, Jussuf T Kaifi, Kevin F Staveley-O'Carroll, Guangfu Li

Sorafenib and sunitinib are multiple tyrosine kinase inhibitors. Both of them have been approved by the US FDA in the treatment of patients with malignancies. In order to develop an effective and clinically useful chemoimmunotherapy modality against hepatocellular cancer (HCC), we investigate their tumoricidal and immune modulatory effect in the setting of HCC. In vitro experiments suggested that sunitinib and sorafenib both induced HCC cell apoptosis at an equivalent level, but stronger suppressive function to cell proliferation was detected in sorafenib. Correspondingly, treatment of tumor-bearing mice with sorafenib led to the suppression of tumor growth to a larger extent than sunitinib. Flow cytometry showed that treatment with sunitinib, not sorafenib, significantly reduced the frequency of regulatory T cells (Tregs) and myeloid-derived suppressive cells (MDSCs) in tumor-bearing mice; and allowed splenic lymphocytes to produce equivalent levels of IFN-γ and TNF-α in response to vaccination as that in wild type mice. This activation was not detected in control and sorafenib-treated tumor mice. In addition, treatment of tumor-bearing mice with sunitinib followed by adoptive transfer of tumor antigen-specific CD8+ T cells and immunization resulted in the additional suppression to tumor growth compared to sunitinib monotherapy. These results imply treatment with sunitinib, not sorafenib, is able to prevent tumor-induced immunotolerance and activate antitumorimmunity. Our data suggest that sunitinib may be a preferable chemotherapeutic agent to use in combination with immunotherapy for the treatment of HCC.

索拉非尼和舒尼替尼是多种酪氨酸激酶抑制剂。这两种药物都已被美国食品和药物管理局批准用于治疗恶性肿瘤患者。为了开发一种有效和临床有用的化疗免疫治疗方式来治疗肝细胞癌(HCC),我们研究了它们在HCC背景下的肿瘤杀伤和免疫调节作用。体外实验表明,舒尼替尼和索拉非尼诱导HCC细胞凋亡的水平相当,但索拉非尼对细胞增殖的抑制作用更强。相应地,用索拉非尼治疗荷瘤小鼠对肿瘤生长的抑制程度比舒尼替尼更大。流式细胞术显示,舒尼替尼治疗,而不是索拉非尼治疗,显著降低了荷瘤小鼠的调节性T细胞(Tregs)和骨髓源性抑制细胞(MDSCs)的频率;并允许脾淋巴细胞在接种疫苗后产生与野生型小鼠相同水平的IFN-γ和TNF-α。在对照组和索拉非尼治疗的肿瘤小鼠中未检测到这种激活。此外,与舒尼替尼单药治疗相比,用舒尼替尼治疗荷瘤小鼠,随后过继性转移肿瘤抗原特异性CD8+ T细胞和免疫可进一步抑制肿瘤生长。这些结果表明,舒尼替尼治疗,而不是索拉非尼,能够防止肿瘤诱导的免疫耐受和激活抗肿瘤免疫。我们的数据表明,舒尼替尼可能是一种较好的化疗药物,可与免疫疗法联合使用,用于治疗HCC。
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引用次数: 0
IL-27 Receptor Signaling on T cells Augments GVHD Severity through Enhancing Th1 Responses. T细胞上的IL-27受体信号通过增强Th1反应来增加GVHD的严重性。
Pub Date : 2018-01-01 Epub Date: 2018-06-07
David Bastian, Yuejun Liu, Yongxia Wu, Steven Schutt, Hung D Nguyen, Anusara Daenthanasanmak, M Hanief Sofi, Mengmeng Zhang, Supinya Iamsuwat, Xue-Zhong Yu

IL-27 is a heterodimeric cytokine comprised of IL-27p28 and EBI3. As a relatively new member of the IL-12 family, the biological mechanisms associated with the role of IL-27 in the immune response are ambiguous, displaying both proinflammatory and suppressive functions that seem to be dependent on the disease model. A recent report demonstrates that pharmacological blockade of IL-27p28 alleviates graft-versus-host disease (GVHD) in mice. However, the specific role of the IL-27Rα/gp130 signaling complex that forms the IL-27 receptor (IL-27R) on T cells has not been well characterized in the context of allogeneic hematopoietic stem cell transplantation (allo-HCT). Here, we demonstrate that IL-27Rα expression on T cells exacerbates GVHD after allo-HCT, which was consistent across 3 different MHC- mismatched murine models of allo-HCT. Expression of IL-27Rα on T cells was required for acquisition of optimal Th1 effector function and subsequent inhibition of Th2 and T regulatory subsets after allo-HCT. Furthermore, administration of IL-27significantly increased mortality after allo-HCT; suggesting that the suppressive functions linked to IL-27 in T cell responses may be relatively modest in this model. Hence, IL-27Rα signaling on T cells promotes the development of GVHD.

IL-27 是一种由 IL-27p28 和 EBI3 组成的异源二聚体细胞因子。作为 IL-12 家族中一个相对较新的成员,IL-27 在免疫反应中作用的相关生物学机制尚不明确,它同时具有促炎和抑制功能,而这似乎取决于疾病模型。最近的一份报告显示,药物阻断 IL-27p28 可减轻小鼠的移植物抗宿主疾病(GVHD)。然而,在同种异体造血干细胞移植(allo-HCT)中,形成T细胞上IL-27受体(IL-27R)的IL-27Rα/gp130信号复合体的具体作用尚未得到很好的描述。在这里,我们证明了T细胞上IL-27Rα的表达会加重异体造血干细胞移植后的GVHD,这在3种不同的MHC不匹配异体造血干细胞移植小鼠模型中是一致的。T细胞表达IL-27Rα是获得最佳Th1效应功能以及随后抑制Th2和T调节亚群的必要条件。此外,给予 IL-27 会显著增加异体肝细胞移植后的死亡率;这表明 IL-27 在 T 细胞反应中的抑制功能在该模型中可能相对较弱。因此,T细胞上的IL-27Rα信号会促进GVHD的发生。
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引用次数: 0
Role of Vitamin A in Modulating Graft-versus-Host Disease. 维生素A在调节移植物抗宿主病中的作用
Pub Date : 2018-01-01 Epub Date: 2018-06-03
Jianwei Zheng, Brian Taylor, Xiao Chen

Vitamin A is an essential micronutrient that participates in a wide range of biological processes. Retinoic acid (RA) is an active metabolite of vitamin A that functions as an immune regulator. Graft-versus-host disease (GVHD) is a major complication of allogeneic hematopoietic stem cell transplantation (HSCT). It is characterized by extensive inflammation arising from an alloimmune response involving various host and donor immune cells. Since vitamin A affects different immune cell lineages and regulates an array of immune responses, vitamin A, and more specifically retinoic acid, is likely to influence the incidence and/or severity of GVHD. Indeed, recent preclinical and clinical data support this concept. In this review, we briefly summarize recent advances in our understanding of the potential role of vitamin A in modulating GVHD risk after allogeneic HSCT.

维生素A是一种必需的微量营养素,参与了广泛的生物过程。视黄酸(RA)是维生素A的活性代谢物,具有免疫调节作用。移植物抗宿主病(GVHD)是同种异体造血干细胞移植(HSCT)的主要并发症。它的特点是广泛的炎症引起的同种免疫反应涉及各种宿主和供体免疫细胞。由于维生素A影响不同的免疫细胞系并调节一系列免疫反应,维生素A,特别是视黄酸,可能影响GVHD的发病率和/或严重程度。事实上,最近的临床前和临床数据支持这一概念。在这篇综述中,我们简要总结了我们对维生素A在调节同种异体造血干细胞移植后GVHD风险中的潜在作用的理解的最新进展。
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引用次数: 0
Chimeric-Antigen-Receptor (CAR) T Cells and the Factors Influencing their Therapeutic Efficacy. 嵌合抗原受体(CAR) T细胞及其疗效影响因素。
Victoria G Kravets, Yi Zhang, Hongxing Sun

Immunotherapeutic treatments for malignant cancers have revolutionized the medical and scientific fields. Lymphocytes engineered to display chimeric antigen receptor (CAR) molecules contribute to the exciting advancements that have stemmed from a greater understanding of cell structure and function, biological interactions, and the unique tumor microenvironment. CAR T cells circumvent the unique immune evasion capability of tumors by acting in a major histocompatibility complex (MHC) independent manner. Various factors contribute to the efficacy of CAR therapy, including CAR structure, gene transfer strategies, in vitro culture system, target selection, and preconditioning regimens. While recent clinical trials have shown promising success, cytotoxicity and other various challenges need to be addressed before CAR therapy can reach its full clinical potency. This review will discuss factors associated with CAR therapeutic success and the difficulties that continue to be a focus of research around the world.

恶性癌症的免疫治疗已经彻底改变了医学和科学领域。淋巴细胞工程显示嵌合抗原受体(CAR)分子有助于令人兴奋的进步,这源于对细胞结构和功能,生物相互作用和独特肿瘤微环境的更深入了解。CAR - T细胞通过独立于主要组织相容性复合体(MHC)的方式规避肿瘤独特的免疫逃避能力。影响CAR治疗效果的因素有很多,包括CAR结构、基因转移策略、体外培养系统、靶点选择和预处理方案。虽然最近的临床试验显示出有希望的成功,但在CAR治疗达到其全部临床效力之前,需要解决细胞毒性和其他各种挑战。这篇综述将讨论与CAR治疗成功相关的因素以及仍然是世界范围内研究的焦点的困难。
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引用次数: 0
Targeting Cytokines in GVHD Therapy. 靶向细胞因子治疗GVHD
Pub Date : 2017-01-01 Epub Date: 2017-06-28
Sandeep Kumar, Hemn Mohammadpour, Xuefang Cao

Transplantation of donor-derived allogeneic hematopoietic cells causes increased survival in patients suffering from various blood cancers and other hematologic and immunologic diseases. However, this health benefit is limited to certain patients. One major complication is graft-versus-host disease (GVHD) that occurs when donor-derived immune cells recognize host cells/tissues as foreign and perpetrate subsequent destruction. Cytokines are a major class of effector molecules that are involved in GVHD pathogenesis. Proinflammatory cytokines released by activated immune cells including T cells lead to the onset of GVHD. T cell depletion (TCD) is an effective approach for GVHD prevention. Several immune suppressive drugs are also used to treat GVHD. However, these prophylactic and treatment strategies often lead to an immune compromised state that increases the risk for infection and cancer relapse. Considering the adverse effects of TCD and overall immune suppression, more selective managements such as approaches targeting proinflammatory cytokines have emerged as a promising strategy to control GVHD. Therefore, this work is dedicated to review recent development in the studies of cytokines and their future implication in GVHD therapy.

移植供体来源的异体造血细胞可以提高患有各种血癌和其他血液和免疫疾病的患者的存活率。然而,这种健康益处仅限于某些患者。一个主要的并发症是移植物抗宿主病(GVHD),当供体来源的免疫细胞将宿主细胞/组织识别为异物并进行随后的破坏时发生。细胞因子是一类主要的效应分子,参与GVHD的发病机制。包括T细胞在内的活化免疫细胞释放的促炎细胞因子导致GVHD的发病。T细胞耗竭(TCD)是预防GVHD的有效方法。几种免疫抑制药物也用于治疗GVHD。然而,这些预防和治疗策略往往导致免疫受损状态,增加感染和癌症复发的风险。考虑到TCD和整体免疫抑制的不良影响,更有选择性的管理方法,如靶向促炎细胞因子的方法,已成为控制GVHD的有希望的策略。因此,本文就细胞因子的最新研究进展及其在GVHD治疗中的意义进行综述。
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引用次数: 0
The Basics of Artificial Antigen Presenting Cells in T Cell-Based Cancer Immunotherapies. 人工抗原提呈细胞在基于T细胞的癌症免疫治疗中的基础。
Pub Date : 2017-01-01 Epub Date: 2017-06-26
Lillian R Neal, Stefanie R Bailey, Megan M Wyatt, Jacob S Bowers, Kinga Majchrzak, Michelle H Nelson, Carl Haupt, Chrystal M Paulos, Juan C Varela

Adoptive T cell transfer (ACT) can mediate objective responses in patients with advanced malignancies. There have been major advances in this field, including the optimization of the ex vivo generation of tumor-reactive lymphocytes to ample numbers for effective ACT therapy via the use of natural and artificial antigen presenting cells (APCs). Herein we review the basic properties of APCs and how they have been manufactured through the years to augment vaccine and T cell-based cancer therapies. We then discuss how these novel APCs impact the function and memory properties of T cells. Finally, we propose new ways to synthesize aAPCs to augment the therapeutic effectiveness of antitumor T cells for ACT therapy.

过继性T细胞转移(ACT)可以介导晚期恶性肿瘤患者的客观反应。这一领域已经取得了重大进展,包括通过使用天然和人工抗原呈递细胞(apc)优化体外产生肿瘤反应性淋巴细胞以获得足够数量的有效ACT治疗。在这里,我们回顾了apc的基本特性,以及多年来它们是如何被制造出来以增强疫苗和基于T细胞的癌症治疗的。然后我们讨论了这些新的apc如何影响T细胞的功能和记忆特性。最后,我们提出了新的方法来合成aAPCs,以增强抗肿瘤T细胞在ACT治疗中的治疗效果。
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引用次数: 0
期刊
Journal of immunology research and therapy
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