Liu Zhiyong, Guo Ben, Lopez Richard D
Division of Hematology and Oncology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
J Gastroenterol Hepatol. 2009 May;24(5):900-11. doi: 10.1111/j.1440-1746.2008.05668.x. Epub 2008 Nov 3.
gammadelta-T cells can recognize and kill malignant cells, particularly those of epithelial origin, through mechanisms which do not require the recognition of tumor-specific antigens (innate immune response). This natural ability of gammadelta-T cells to kill tumor cells in a tumor antigen-independent manner provides a strong rationale for developing clinical trials designed to exploit the innate antitumor properties of gammadelta-T cells.
In vitro studies were carried out to asses the sensitivity of pancreatic cancer cells (MIA PaCa2, BxPC-3, PANC-1) to killing by ex vivo expanded human gammadelta-T cells.
The capacity of gammadelta-T cells to bind to as well as to kill pancreatic cancer cells correlated with the degree of surface expression of key intercellular adhesion molecules (ICAM) present on pancreatic cancer cells. Moreover, pancreatic cancer cells expressing neither ICAM-1 nor ICAM-2 were bound poorly by gammadelta-T cells and were found to be resistant to gammadelta-T-cell killing. However, upon transfection of resistant cells with ICAM-1 or ICAM-2, gammadelta-T cells were then able to bind to and subsequently kill these cells.
In vitro, the expression of ICAM-1 or ICAM-2 on human pancreatic cancer cells is critically important in determining the extent to which these cells are sensitive to killing by human gammadelta-T cells. Accordingly, in ongoing and future clinical studies using gammadelta-T cells for the treatment of a variety of epithelial-derived solid tumors-including pancreatic cancer-interventions intended to modulate ICAM expression on tumor cells may become important adjuncts to gammadelta-T-cell-based immunotherapies.
γδ-T细胞能够通过不依赖于肿瘤特异性抗原识别的机制(固有免疫反应)识别并杀伤恶性细胞,尤其是上皮来源的恶性细胞。γδ-T细胞以肿瘤抗原非依赖方式杀伤肿瘤细胞的这种天然能力,为开展旨在利用γδ-T细胞固有抗肿瘤特性的临床试验提供了有力依据。
开展体外研究以评估胰腺癌细胞(MIA PaCa2、BxPC-3、PANC-1)对体外扩增的人γδ-T细胞杀伤作用的敏感性。
γδ-T细胞与胰腺癌细胞结合及杀伤的能力,与胰腺癌细胞表面关键细胞间黏附分子(ICAM)的表达程度相关。此外,既不表达ICAM-1也不表达ICAM-2的胰腺癌细胞,与γδ-T细胞的结合较差,且对γδ-T细胞的杀伤具有抗性。然而,用ICAM-1或ICAM-2转染抗性细胞后,γδ-T细胞随后就能与这些细胞结合并将其杀伤。
在体外,人胰腺癌细胞上ICAM-1或ICAM-2的表达对于确定这些细胞对人γδ-T细胞杀伤的敏感程度至关重要。因此,在正在进行的以及未来使用γδ-T细胞治疗包括胰腺癌在内的多种上皮来源实体瘤的临床研究中,旨在调节肿瘤细胞上ICAM表达的干预措施可能会成为基于γδ-T细胞免疫疗法的重要辅助手段。