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Published on: September 25, 2018
CCL21 Chemokine Therapy for Lung Cancer
Sherven Sharma1, Li Zhu2, Minu K Srivastava2
1Department of Medicine, UCLA Lung Cancer Research Program, David Geffen School of Medicine at UCLA ; Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA ; Molecular Gene Medicine Laboratory, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Abstract:
Lung cancer remains a challenging health problem with more than 1.1 million deaths worldwide annually. With current therapy, the long term survival for the majority of lung cancer patients remains low, thus new therapeutic strategies are needed. One such strategy would be to develop immune therapy for lung cancer. Immune approaches remain attractive because although surgery, chemotherapy, and radiotherapy alone or in combination produce response rates in all histological types of lung cancer, relapse is frequent. Strategies that harness the immune system to react against tumors can be integrated with existing forms of therapy for optimal responses toward this devastating disease. Both antigen presenting cell (APC) and T cell activities are reduced in the lung tumor microenvironment. In this review we discuss our experience with efforts to restore host APC and T cell activities in the lung cancer microenvironment by intratumoral administration of dendritic cells (DC) expressing the CCR7 receptor ligand CCL21 (secondary lymphoid chemokine, SLC). Based on the results demonstrating that CCL21 is an effective anti cancer agent in the pre-clinical lung tumor model systems, a phase I clinical trial was initiated using intratumoral injection of CCL21 gene modified autologous DC in lung cancer. Results from the trial thus far indicate tolerability, immune enhancement and tumor shrinkage via this approach.
Insights
New lung cancer immunotherapy using dendritic cells (DC) engineered to express CCL21 shows promise. This approach enhances immune activity and reduces tumors, offering a potential new strategy for treating lung cancer.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- Lung cancer presents a significant global health challenge with high mortality rates.
- Current treatments for lung cancer often result in frequent relapses, necessitating novel therapeutic strategies.
- Existing therapies can be enhanced by integrating immune system-based approaches to target tumors more effectively.
Purpose of the Study:
- To investigate the potential of restoring immune cell activity within the lung tumor microenvironment.
- To evaluate the efficacy of intratumoral administration of dendritic cells (DC) modified to express CCL21 (secondary lymphoid chemokine).
- To assess a novel immunotherapy approach for lung cancer treatment.
Main Methods:
- Review of experience with restoring antigen-presenting cell (APC) and T cell activities.
- Intratumoral administration of dendritic cells (DC) engineered to express CCL21.
- Initiation of a phase I clinical trial involving intratumoral injection of CCL21 gene-modified autologous DC in lung cancer patients.
Main Results:
- CCL21 demonstrated effectiveness as an anti-cancer agent in pre-clinical lung tumor models.
- Phase I clinical trial results indicate the approach is tolerable.
- Evidence of immune enhancement and tumor shrinkage observed in the clinical trial.
Conclusions:
- Intratumoral administration of CCL21-expressing dendritic cells is a potentially viable immunotherapy for lung cancer.
- This strategy shows promise in enhancing anti-tumor immune responses and achieving tumor regression.
- Further clinical investigation is warranted to establish the full therapeutic potential of this approach.
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