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    基于AFP靶点的肝细胞癌的免疫治疗研究

    Immunotherapy for Hepatocellular Carcinoma Based on AFP Antigen

    • 摘要: 甲胎蛋白(AFP)在大约70%~80%的肝细胞癌患者中表达,可作为肝细胞癌免疫治疗的靶点。目前大多以AFP为靶点的肿瘤疫苗的临床实验效果欠佳,因此急需开发一种更有效的、基于AFP抗原的治疗性肿瘤疫苗。以复制缺陷型腺病毒为载体,构建了一种肝癌治疗性病毒载体Ad-hAFPm。该载体通过表达AFP/HSP70(热休克蛋白70)融合蛋白和粒细胞-巨噬细胞集落刺激因子(GM-CSF)来实现AFP抗原的特异性靶向治疗。在两种过表达人源AFP(hAFP)的细胞系皮下移植瘤模型中模拟验证了Ad-hAFPm病毒载体的治疗效果。结果表明,Ad-hAFPm病毒在两种皮下移植瘤模型中均表现出良好的肿瘤抑制效果,肿瘤内免疫细胞浸润水平显著升高,并呈现出一定的靶向性优势。

       

      Abstract: Alpha-fetoprotein (AFP) is expressed in approximately 70% to 80% of hepatocellular carcinoma (HCC) patients, serving as a target for immunotherapy. However, the clinical trial results of most AFP-based tumor vaccines have been unsatisfactory, so there is an urgent need to develop a more effective therapeutic tumor vaccine based on AFP antigen. This paper constructed an immunotherapy vector, namely Ad-hAFPm, using a replication-defective adenovirus as the vector. This vector aimed to achieve specific targeting of the AFP antigen by expressing a fusion protein of AFP and heat shock protein 70 (HSP70), along with granulocyte-macrophage colony-stimulating factor (GM-CSF). Both HSP70 and GM-CSF served as adjuvants to enhance the immunogenicity of tumor antigens. The therapeutic efficacy of the Ad-hAFPm vector was evaluated in xenograft models of two human AFP-overexpressing cell lines, with a non-targeted vector, Ad-hNYm, employed as a control. The results demonstrated significant tumor suppression in the Ad-hAFPm treatment group across both xenograft models. Specifically, there was a notable reduction in tumor growth rate, a decrease in tumor volume at the experimental endpoint, and a decline in serum hAFP protein secretion. These observations indicated the specific cytotoxic effects of Ad-hAFPm virus against AFP-positive tumor cells. Furthermore, enhanced infiltration of immune cells, particularly CD8+ T cells, was observed in the tumor tissues of the Ad-hAFPm group, suggesting that Ad-hAFPm virus could elicit an immune response against tumor cells.

       

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