Intratumoral injection of alpha-gal glycolipids induces xenograft-like destruction and conversion of lesions into endogenous vaccines
Department of Medicine
Animals; Antigen Presentation; Antigen-Presenting Cells; Antigens, Neoplasm; Cancer Vaccines; Carbohydrate Sequence; Dendritic Cells; Erythrocyte Membrane; Galactosyltransferases; Glycolipids; Immunotherapy; Injections; Lymph Nodes; Lymphocytes, Tumor-Infiltrating; Melanoma, Experimental; Mice; Mice, Knockout; Molecular Sequence Data; Ovalbumin; Rabbits; Skin Neoplasms; Transplantation, Heterologous; Trisaccharides; Xenograft Model Antitumor Assays
Life Sciences | Medicine and Health Sciences
This study describes a novel cancer immunotherapy treatment that exploits the natural anti-Gal Ab to destroy tumor lesions and convert them into an endogenous vaccine targeted to APC via FcgammaR. Anti-Gal constitutes 1% of immunoglobulins in humans and interacts specifically with alpha-gal epitopes (Galalpha1-3Galbeta1-4GlcNAc-R). The binding of anti-Gal to alpha-gal epitopes on pig cells mediates xenograft rejection. The proposed method uses glycolipid micelles with multiple alpha-gal epitopes (alpha-gal glycolipids). These glycolipids are extracted from rabbit red cell membranes and are comprised of ceramides with carbohydrate chains containing 5-25 carbohydrates, all capped with alpha-gal epitopes. Efficacy of this treatment was demonstrated in alpha1,3-galactosyltransferase knockout mice producing anti-Gal and bearing B16 melanoma or B16/OVA producing OVA as a surrogate tumor Ag. These mice are unique among nonprimate mammals in that, similar to humans, they lack alpha-gal epitopes and can produce the anti-Gal Ab. Intratumoral injection of alpha-gal glycolipids results in local inflammation mediated by anti-Gal binding to the multiple alpha-gal epitopes and activation of complement. These glycolipids spontaneously insert into tumor cell membranes. The binding of anti-Gal to alpha-gal expressing tumor cells induces the destruction of treated lesions as in anti-Gal-mediated xenograft rejection. Anti-Gal further opsonizes tumor cells within the lesion and, thus, targets them for effective uptake by APC that transport the tumor Ags to draining lymph nodes. APC further cross-present immunogenic tumor Ag peptides and elicit a systemic anti-tumor immune response. Similar intratumoral injection of alpha-gal glycolipids in humans is likely to induce the destruction of treated lesions and elicit a protective immune response against micrometastases.
J Immunol. 2007 Apr 1;178(7):4676-87.
Journal of immunology (Baltimore, Md. : 1950)
Galili, Uri; Wigglesworth, Kim; and Abdel-Motal, Ussama M., "Intratumoral injection of alpha-gal glycolipids induces xenograft-like destruction and conversion of lesions into endogenous vaccines" (2007). Open Access Articles. 1295.