Tsao Chun-Yen, Sabbatino Francesco, Cheung Nai-Kong V, Hsu Jeff Chi-Feng, Villani Vincenzo, Wang Xinhui, Ferrone Soldano
Department of Surgery; Massachusetts General Hospital; Harvard Medical School ; Boston, MA USA.
Department of Pediatrics; Memorial Sloan-Kettering Cancer Center ; New York, NY USA.
Oncoimmunology. 2015 Apr 2;4(8):e1023975. doi: 10.1080/2162402X.2015.1023975. eCollection 2015 Aug.
The beneficial clinical effects of immunotherapy with GD2-specific monoclonal antibodies (mAbs) in melanoma and neuroblastoma patients have stimulated interest in characterizing the mechanisms underlying their antitumor effects. Previous studies have shown that GD2-specific mAbs mediate complement- and cell-dependent cytotoxicity and induce caspase-dependent apoptosis of tumor cells. In this study, we showed that GD2-specific mAb 3F8, which is undergoing clinical evaluation, inhibited the growth and induced apoptosis of melanoma cells. This effect was dose- and time-dependent, mediated by the interaction of mAb 3F8 combining site with GD2 ganglioside, associated with GD2 expression level on the cell surface, mAb internalization and increase of GD2 containing endosomes triggered by mAb 3F8. The induction of apoptosis by mAb 3F8 was mediated by caspase 3-, 7-, and 8-dependent pathways, downregulation of the anti-apoptotic molecules survivin and cytochrome c, and caspase 9 independent-AIF release from mitochondria. In addition, analyses of signaling pathway components demonstrated that mAb 3F8 strongly inhibited AKT and FAK activation and increased cleaved PARP expression. These results indicated that multiple mechanisms played a role in the antitumor activity of mAb 3F8 in melanoma cells. This information should provide a mechanistic basis for the optimization of the rational design of immunotherapeutic strategies in the mAb-based treatment of GD2 positive tumors.
用GD2特异性单克隆抗体(mAb)对黑色素瘤和神经母细胞瘤患者进行免疫治疗的有益临床效果激发了人们对其抗肿瘤作用潜在机制进行表征的兴趣。先前的研究表明,GD2特异性mAb介导补体和细胞依赖性细胞毒性,并诱导肿瘤细胞的半胱天冬酶依赖性凋亡。在本研究中,我们表明正在进行临床评估的GD2特异性mAb 3F8抑制黑色素瘤细胞的生长并诱导其凋亡。这种效应具有剂量和时间依赖性,由mAb 3F8结合位点与GD2神经节苷脂的相互作用介导,与细胞表面的GD2表达水平、mAb内化以及mAb 3F8触发的含GD2内体的增加有关。mAb 3F8诱导的凋亡由半胱天冬酶3、7和8依赖性途径介导,抗凋亡分子survivin和细胞色素c的下调,以及半胱天冬酶9非依赖性AIF从线粒体的释放。此外,对信号通路成分的分析表明,mAb 3F8强烈抑制AKT和FAK激活并增加裂解的PARP表达。这些结果表明多种机制在mAb 3F8对黑色素瘤细胞的抗肿瘤活性中发挥作用。该信息应为基于mAb的GD2阳性肿瘤治疗中免疫治疗策略的合理设计优化提供机制基础。