Immunotherapy with T-cells offers great hope to people suffering from cancer. Some initial successes have already been made in treating blood cancer, but treating solid tumors remains a major challenge. The signaling molecule interferon gamma, produced by T-cells, plays a key role in the therapy. It cuts off the blood supply to tumors. The immune system is the body’s most powerful weapon against diseases. So what if it were possible to use the immune system to fight cancer? For a long time now, researchers have been trying to do just that, eg, by employing T-cells. This has been successful in initial clinical trials – but mostly just in the treatment of cancers that do not form tumors, such as blood cancer.
Large solid tumors, on the other hand, sometimes pose big problems for T-cells. Though adept at targeting cancer cells swimming in the bloodstream, they have difficulty attacking compact tumors. The tumor weakens the aggressors through the delivery of inhibiting signals. In a study published Nature, they investigated how the signaling molecules of T-cells affect the immediate tumor environment, including the connective tissue as well as the blood vessels supplying the tumor.
T-cells produce not only tumor necrosis factor (TNF) but also the interferon gamma (IFN-γ). Until now, however, there has been little understanding about how IFN-γ really works. “We knew that IFN-γ attacks cancer cells via the tumor microenvironment,” says Kammertöns. The researchers generated genetically modified mice and used a clinically relevant cancer model. This included animals in which only blood vessel cells were susceptible to the signaling molecule.
In this mouse model IFN-γ pruned back the blood vessels in the tumors, thus shutting down the supply of oxygen and nutrients and killing the tumors. The researchers were able to observe this process microscopically in living mice in fine detail. They found that the blood vessel cells alone responded to the signaling molecule. When the researchers targeted other types of cells with IFN-γ, the tumors continued their growth. Thomas Blankenstein says: “The two together – IFN-γ and tumor necrosis factor – are a powerful team. TNF bursts tumor blood vessels, thus opening up the tissue, while IFN-γ cuts off the blood supply and keeps the tumor at bay over the long term.”
The study offered the researchers clues on how to improve T-cell therapy for solid cancer tumors. Thomas Blankenstein explains: “We want to understand exactly how T-cells target tumors. Destroying a tumor’s infrastructure is probably more effective than killing individual cancer cells.” “Our findings are significant beyond tumor therapy,” says Thomas Kammertöns. “Interestingly, the mechanism used by IFN-γ to eliminate solid tumors resembles the physiological regression of blood vessels during development. It also disrupts wound healing.”
“IFN-γ might also affect the formation of new blood vessels after strokes or heart attacks. That’s why we want to find out more about the molecular processes behind all of this.”
https://www.mdc-berlin.de/47378513/en/news/2017/20170426-immuntherapie-gegen-Krebs
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