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Combination of AFP vaccine and immune checkpoint inhibitors slows hepatocellular carcinoma progression in preclinical models

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机构: [1]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. [2]Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA, USA. [3]Department of Hearing and Speech Science, Guangzhou Xinhua University, Guangzhou, China. [4]University of Hawaii Cancer Center, Honolulu, HI, USA. [5]Department of Infectious Diseases, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. [6]Key Laboratory of Biorheological Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, Chongqing, China. [7]Department of Liver Surgery, Center of Liver Transplantation, West China Hospital of Sichuan University, Chengdu, China. [8]Department of Medicine, Medical College of Georgia, Augusta University, GA, USA. [9]Department of General, Visceral and Transplantation Surgery, RWTH University Hospital, Aachen, Germany. [10]Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. [11]Institute of Pathology, University of Regensburg, Regensburg, Germany.
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关键词: HCC AFP vaccine antigen-specific CD8+ T cells combination immunotherapy immune checkpoint inhibitors

摘要:
Many hepatocellular carcinoma (HCC) patients do not respond to the first-line immune checkpoint inhibitor treatment. Immunization with effective cancer vaccines is an attractive alternative approach to immunotherapy. However, its efficacy remains insufficiently evaluated in preclinical studies. Here, we investigated HCC-associated self/tumor antigen, α-fetoprotein (AFP) based vaccine immunization for treating AFP (+) HCC mouse models. We found that AFP immunization effectively induced AFP-specific CD8+ T cells in vivo. However, these CD8+ T cells expressed exhaustion markers, including PD1, LAG3, and Tim3. Furthermore, the AFP vaccine effectively prevented c-MYC/Mcl1 HCC initiation when administrated before tumor formation, while it was ineffective against full-blown c-MYC/Mcl1 tumors. Similarly, anti-PD1 and anti-PD-L1 monotherapy showed no efficacy in this murine HCC model. In striking contrast, AFP immunization combined with anti-PD-L1 treatment triggered significant inhibition of HCC progression in most liver tumor nodules, while combining with anti-PD1 induced slower tumor progression. Mechanistically, we demonstrated that HCC intrinsic PD-L1 expression was the primary target of anti-PD-L1 in this combination therapy. Notably, the combination therapy had a similar therapeutic effect in the cMet/β-Catenin mouse HCC model. These findings suggest that combining the AFP vaccine and immune checkpoint inhibitors may be effective for AFP (+) HCC treatment.

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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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出版当年[2023]版:
Q1 MEDICINE, RESEARCH & EXPERIMENTAL
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Q1 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
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通讯机构: [1]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. [2]Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA, USA. [4]University of Hawaii Cancer Center, Honolulu, HI, USA. [*1]University of Hawaii Cancer Center, Honolulu, HI 96813, USA [*2]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 510120 Guangzhou, China
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