Research
Immune System Disease
Fighting Ability
Scientists Identify Cell Defects That Limit Immune System's
Impact On Late-stage Tumors
1-21-2004
LOS ANGELES – Although vaccines developed to help
the immune system fight tumors appear to have an impact
against early-stage tumors, they have little if any success
in slowing the growth of tumors in later stages. Now researchers
writing in the Feb. 1, 2004 issue of The Journal of Immunology
identify abnormalities in the immune system's T cells, provide
insight into their origin, and describe how these defects
can be prevented and "repaired" in animal experiments.
"Conventional
thinking and previous studies suggest that the tumor environment
is responsible for immune dysfunction in cancer-fighting
T lymphocytes that congregate at the site of a tumor. The
major unresolved question is the origin and mechanism responsible
for immune dysfunction in tumor-infiltrating T cells. We
found that damaged T cells arose from a particular cell
lineage, within a tumor environment that lacks factors promoting
their survival," said Keith L. Black, MD, director
of Cedars-Sinai's Maxine Dunitz Neurosurgical Institute,
where the mouse studies were conducted. "Furthermore,
we were able to influence the cells in a way that decreased
the number of dysfunctional cells, a finding that we hope
may eventually lead to more effective vaccine therapies
against established tumors."
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In a localized immune response, T cells are mobilized
to attack cells that the immune system recognizes as invaders. Because
specific lymphocytes recognize and attack specific immune threats,
they are called "antigen-specific." In cancer vaccine experiments,
such as those ongoing at the Institute to improve treatment for brain
tumors, researchers seek to improve the immune response by helping
cancer-fighting cells identify tumor cells as potential targets.
T cell activation is considered a major defense mechanism
in the prevention of tumor formation, and in rodent studies T cell
responses have been able to eradicate recently established tumors.
In both humans and animals, however, T cell mobilization appears to
have little effect when directed against advanced tumors.
While many types of T lymphocytes exist, differentiated
by their molecular makeup and the roles they play, CD4 and CD8 cells
are considered the "normal population" responding to threatening
antigens. But in these studies, most T cells present within the tumors
were "double-negative," expressing neither CD4 nor CD8,
but instead exhibiting abnormal characteristics.
"While most studies assign T cell defectiveness
and death to the tumor environment, we now know more about the kinds
of T cells that are susceptible and how they become defective. This
allowed us to target novel properties to prevent or reverse the defects,"
said Christopher J. Wheeler, PhD, research scientist and the paper's
senior author. "The T cell defects could be incurred independent
of their reactivity to the tumor per se, and on a general level involved
signals for survival."
T cells normally receive "survival" signals
provided by signaling molecules or certain hormones. In the absence
of these survival signals, the cells simply die by default.
"These signals are usually available in the body
but they evidently are not available to T cells in tumors," said
Dr. Wheeler. "We conducted an experiment to test this observation,
adding back the molecules that can induce such signals, and we found
a reduction in the abnormal T cells."
The recent research also provides new insight into
another aspect of the relationship between tumors and defective T
cells. Because those T cells responding to a tumor are believed to
be specifically reactive to that tumor antigen, it has been assumed
– perhaps incorrectly – that the T cell defects were in
some way related to antigen-specificity and reactivity.
"We placed non-activated and non-tumor-specific
T cells into tumors and found that they readily became defective.
This runs counter to the predominant paradigm holding that defectiveness
is related to antigen reactivity or specificity. At least experimentally,
this is not the case. Of course, in a real tumor, most of the T cells
that are present are going to be antigen-specific. Antigen-specificity
allows T cells to infiltrate tumors, but this is not necessarily involved
in their defectiveness," Dr. Wheeler said.
If the findings in this series of experiments are
supported through additional studies and their implications in animals
are consistent in humans, they may help researchers devise more effective
approaches to immunotherapy. Theoretically, at least, the vaccine
would "turn on" the immune system and focus it on the tumor
while the promotion of survival signals into the tumor would "repair"
defective T cells to help them stay alive to fight.
Cedars-Sinai is one of the largest nonprofit academic
medical centers in the Western United States. For the fifth straight
two-year period, it has been named Southern California's gold standard
in health care in an independent survey. Cedars-Sinai is internationally
renowned for its diagnostic and treatment capabilities and its broad
spectrum of programs and services, as well as breakthroughs in biomedical
research and superlative medical education. It ranks among the top
10 non-university hospitals in the nation for its research activities.
This story has been adapted from a news release issued
by Cedars-Sinai Medical Center, www.csmc.edu.
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