针对雄激素受体的接种序列与雄激素剥夺疗法影响抗前列腺瘤疗效
Anusha Muralidhar1, Melissa Gamat-Huber2, Sita Vakkalanka2
1Cancer Biology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Journal for immunotherapy of cancer
|May 21, 2024
概括
在雄激素剥夺疗法 (ADT) 之前对前列腺癌小鼠进行疫苗接种,通过增加CD8+T细胞透,提高了生存率. 在ADT后准髓质衍生抑制细胞进一步增强了抗瘤反应.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 癌症治疗 癌症治疗
背景情况:
- 雄激素剥夺疗法 (ADT) 是晚期前列腺癌的主要治疗方法.
- ADT调节免疫微环境,增强T细胞活动和瘤识别.
- 以前的研究表明,ADT与雄激素受体 (AR) DNA疫苗接种相结合,可改善小鼠的生存率.
研究的目的:
- 调查ADT和AR疫苗接种的最佳时间和顺序.
- 评估对瘤免疫微环境和抗瘤疗效的影响.
- 为了提高前列腺癌疫苗的有效性.
主要方法:
- 小鼠前列腺癌模型 (Myc-CaP和TRAMP-C1) 用AR DNA疫苗 (pTVG-AR) 和ADT进行治疗.
- 服用pTVG-AR和ADT的顺序有所变化.
- 分析了瘤生长和透的免疫细胞,包括CD4+,CD8+和Gr1+细胞.
主要成果:
- 在ADT之前的疫苗接种 (pTVG-AR → ADT) 显著改善了抗瘤反应和生存率.
- 这种序列增加了CD4+和CD8+T细胞的透,包括AR特异性的CD8+T细胞.
- 在ADT后,Gr1+髓质衍生抑制细胞 (MDSC) 的增加与T细胞透率降低相关;抑制MDSC改善了结果.
结论:
- 在ADT之前进行AR疫苗接种可以增强抗瘤免疫力,部分是通过增加CD8+T细胞透.
- 针对ADT后的MDSC招募进一步提高了治疗疗效.
- 这些发现为结合ADT,疫苗接种和MDSC抑制治疗前列腺癌的临床试验提供了理由.
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