K—ras突变多肽负载树突状细胞诱导抗胰腺癌特异性免疫  

Specific immune against pancreatic cancer induced by dendritic cells pulsed with mutant K-ras peptide

作　　者：杨波[1] 何杨[2] 孙冬林[1] 邹岩[1] 秦锡虎[1] 黄伯华[1] 

机构地区：[1]苏州大学附属第三医院肝胆外科,常州213003 [2]苏州大学附属第一医院江苏省血液研究所

出　　处：《中华医学杂志》2008年第28期1956-1960,共5页National Medical Journal of China

摘　　要：目的探讨K—ras（12-Val）突变多肽负载树突状细胞（DC），诱导胰腺癌特异性免疫的可行性。方法采用未成熟DC体外负载K—ras多肽（YKLVVVGAV）后诱导成熟，抗K—ras（12-Val）单抗检测突变抗原位点表达后与T淋巴细胞混合扩增特异性细胞毒性T淋巴细胞（CTL），MTT法测定CTL对胰腺癌细胞和正常细胞的免疫杀伤活性。建立裸鼠胰腺癌移植瘤模型，分别予K—ras特异性CTL肿瘤瘤内及尾静脉注射，观察不同治疗途径对肿瘤生长的抑制效果。结果负载K—ras（12-Val）多肽的DC成熟后表达突变抗原位点并有效地刺激自体[CD8＋：（44．8±2．1）％]和同种异体T细胞活化；诱导的特异性CTL对胰腺癌细胞杀伤率按效靶比（10：1、20：1、50：1）分别为（21．2±1．9）％、（32．4±2．1）％、（45．7±5．3）％，杀伤效率均显著高于非特异性激活的T细胞治疗组（均P〈0．05），对正常组织无损伤（均P〉0．05）。裸鼠K—ras特异性CTL治疗后8d，瘤内治疗组肿瘤体积（68±13）mm3即明显低于对照组（87±14）mm3及IL-2非特异性治疗绀（79±19）mm3（均P〈0．05），K—ras特异性CTL治疗可以显著提高裸鼠的生存率（P〈0．05）。免疫组化染色证实K-ras特异性CTL具有体内迁移到肿瘤病灶的能力。结论利用K—ras（12-Val）突变多肽体外负载树突状细胞，能诱导有效的抗胰腺癌特异性免疫反应。Objective To investigate whether dendritic cells （DCs） pulsed with mutant K-ras peptide （12-Val） can induce efficiently specific anti-tumor immune response aganist pancreatic cancer. Methods Immature DCs were isolated from the peripheral blood of a volunteer and were pulsed with synthesized mutant K-ras peptide （YKLVVVGAV）. When the DCs were matured the expression rate of K- ras antigen epitope on the DC＇s surface was detected by monoantibody （K-ras-12-Val）. Autogeneic and homologous T cells were mixed with the mutant K-ras peptide-pulsed DCs. Human pancreatic cancer cells of the line Patu8988 were mixed with cytotoxic T lymphocytes （CTLs） cultured for 5 days, and the killing effects of the CTLs on the cells was assessed by MTI＇ method. Patu8988 cells were injected subcutaneously into nude mice, cancer cells were obtained from the tumor masses and injected subcutaneously into other nude mice to establish mice models of pancreatic cancer. Then 32 mice with pancreatic cancer were randomly divided into 4 equal groups： control group, K-ras specific CTL intra-tumor injection group, CTL caudal vein injection group, and IL-2 activated non-specific CTL intra-tumor injection group. The tumor size was measure regularly. Immunohistochemistry was used to detect the pathological analysis of the transplanted tumors. Results The mutational epitope （K-ras-12-Val） induced by mutant peptide could be found on the DCs＇surface efficiently. After co-incubation with the mature DCs pulsed with tumor antigen the autogeneic T cells were activated, the CD8＋ T cells accounted for （ 44. 8 ± 2. 1 ） %. Without damage the normal tissue cells, the killing rate of activated K-ras specific CTLs to the tumor cell when the ratios of CTL： Patu8988 cells were 10： 1, 20： 1, and 50：1 were （21.2 ± 1.9）%, （32.4 ±2.1）%, and （45.7±5.3）% respectively, all while the killing efficiency significantly superior to those of the non-specific activated T lymphocyte （all P 〈 0. 05 ）. Eight days after

关 键 词：胰腺肿瘤 基凶 RAS 树突细胞 T淋巴细胞 细胞毒性 

分 类 号：R686[医药卫生—骨科学]