Immune modulators in combination with radiation treatment
A technology of immunomodulator and ionizing radiation, applied in the field of 004
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Embodiment 1
[0120] Example 1: Identification and use of biomarkers to predict response to radiation therapy.
[0121] A radiosensitivity index based on the expression levels of one or more molecular biomarkers can be used to predict the sensitivity of cancer patients to radiation. Genomic biomarkers and other indicators of the tumor microenvironment can also be used to predict patient response to radiation therapy. In addition, molecular target-based biomarkers such as CD44 and TGFβ can predict tumor response.
[0122] CD44 levels have been shown to predict local tumor recurrence after radiotherapy in patients with non-small cell lung cancer (NSCLC). In the study, 133 patients ( figure 1) (see Kumar, S. et al., "Prognostic Biomarkers in Non-Small Cell Lung Cancer Patients Treated With Radiation Therapy: Locally Advanced Non-Small Cell Lung Cancer," International Journal of Radiation Oncology*Biology*Physics, Vol. 90, No. 5, Supplement, 15 November 2014, pp. S25-S26). Tumor samples we...
Embodiment 2
[0128] Example 2: Combination therapy comprising immunomodulators and radiation can enhance inhibition of tumor growth compared to monotherapy.
[0129] In this study, MC38 colon cancer tumor masses (2 x 2 mm) were transplanted into female B57 / BL6 mice (n=5). Tumors were exposed to gamma radiation (2 Gy) on day 8 post-implantation. Immunomodulators, such as anti-TIM4 antibody, anti-MFG-E8 antibody, and anti-M199 antibody, were also administered to the mice on days 9 and 11 after transplantation. 2 mg / kg antibody was injected into each mouse. Tumor volume was measured along three orthogonal axes (x, V, z) and calculated.
[0130] Image 6 Combination therapy of radiation and anti-TIM4 antibody was shown to result in lower tumor growth compared to radiation therapy alone or anti-TIM4 antibody alone. Furthermore, combination therapy of radiation and anti-M199 antibody also showed reduced tumor growth compared to anti-M199 antibody monotherapy. Similarly, anti-MFG-E8 antibody...
Embodiment 3
[0132] Example 3: TIM-4 and MFGE-8 protein expression levels in human tumor samples
[0133] Materials and methods: Formalin-fixed, paraffin-embedded tissue sections were deparaffinized and stained with antibodies targeting TIM-4 or MFGE-8. Two antigen retrieval methods were used for staining: TIM-4: Target retrieval solution (Dako Company), citrate buffer (pH 6.1), at 97°C for 20 minutes; MFGE-8: Target retrieval solution (Dako Corporation) ), Tris EDTA (pH9.0), at 97°C for 20 minutes. Tissue sections were stained using the Dako Envision Flex Kit. Briefly, endogenous peroxides were blocked for 10 min using peroxidase blocking reagent. For mouse tumor tissue, slides were incubated with peroxidase blocking buffer for 1 hour. Mouse tumor tissue slides were rinsed in wash buffer and incubated with Fc receptor blocker for 30 minutes. Mouse tissue sections were also incubated for 30 minutes using mouse detection reagent (Biocare). Tissue sections were incubated with primary an...
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