抗 CD22/CD19 CAR-T 细胞疗法 CART2219.1 在成人和儿童复发/难治性 B-ALL 中的 I/II 期试验
A Phase I/II Trial of Anti-CD22/CD19 CAR-T Cell Therapy, CART2219.1, in Adult and Pediatric Relapsed/Refractory B-ALL.
在一项多中心I/II期试验中,所有患者(n=11;7名儿童,4名成人)在第28天均达到完全缓解(91%为微小残留病阴性)。
英文原题:Bromodomain-containing protein 9 is a prognostic biomarker associated with immune infiltrates and promotes tumor malignancy through activating notch signaling pathway in negative HIF-2α clear cell renal cell carcinoma.
Bromodomain-containing protein 9 is a prognostic biomarker associated with immune infiltrates and promotes tumor malignancy through activating notch signaling pathway in negative HIF-2α clear cell renal cell carcinoma.
我们的结果确定了BRD9通过靶向Notch信号通路促进HIF-2α阴性ccRCC细胞的增殖、迁移和侵袭,并可作为HIF-2α阴性ccRCC的一个有前景的生物标志物。
HIF-2α选择性抑制剂在敏感的透明细胞肾细胞癌(ccRCC)中显示出成功的疗效,与HIF-2α水平低的耐药肿瘤(HIF-2α阴性ccRCC)相比,敏感肿瘤呈现更高的HIF-2α水平。目前,HIF-2α阴性ccRCC缺乏真正有效的治疗药物来改善预后。含溴结构域蛋白9(BRD9)在人肝细胞癌、肺鳞状细胞癌、急性髓系白血病等中发挥关键作用。然而,BRD9在HIF-2α阴性ccRCC中的表达和生物学作用尚不清楚。在临床方面,我们证明HIF-2α阴性ccRCC组织中BRD9的表达高于HIF-2α阳性ccRCC。此外,BRD9高表达与不良的临床病理特征相关,并预测HIF-2α阴性ccRCC患者的总生存期较差。在功能方面,BRD9敲除导致HIF-2α阴性ccRCC细胞(Caki-2)的增殖、迁移和侵袭减少。此外,BRD9与HIF-2α阴性ccRCC组织中的TIIC浸润水平相关。在机制方面,基因集富集分析(GSEA)显示BRD9与Notch信号通路密切相关。在体外,BRD9敲除导致HIF-2α阴性ccRCC中Hes1和Notch1的mRNA水平降低。NICD(Notch胞内结构域)的过表达增强了BRD9敲除的Caki-2细胞的恶性行为。而Notch抑制导致Caki-2细胞生长减弱以及迁移和侵袭减少。总体而言,我们的结果确定了BRD9通过靶向Notch信号通路促进HIF-2α阴性ccRCC细胞的增殖、迁移和侵袭,并可作为HIF-2α阴性ccRCC的一个有前景的生物标志物。
HIF-2α selective inhibitor showed successful efficacy in sensitive clear cell renal cell carcinoma (ccRCC) presenting higher levels of HIF-2α compared to resistant tumors with low level of HIF-2α (negative HIF-2α ccRCC). Currently, negative HIF-2α ccRCC lacks truly effective therapeutic agents to improve the outcomes. Bromodomain-containing protein 9 (BRD9) plays a critical role in human hepatocellular carcinoma, squamous cell lung cancer, acute myeloid leukemia, and so on. However, expression and biological role of BRD9 in negative HIF-2α ccRCC is poorly understood. Clinically, we demonstrated that expression of BRD9 in negative HIF-2α ccRCC tissues was higher than that in positive HIF-2α ccRCC. Moreover, high BRD9 expression was correlated with unfavorable clinicopathological features and predicted the poor overall survival of negative HIF-2α ccRCC patients. Functionally, BRD9 knockout resulted in reduced proliferation, migration and invasion of negative HIF-2α ccRCC cells (Caki-2). In addition, BRD9 was related to the TIIC infiltration level in negative HIF-2α ccRCC tissues. Mechanistically, Gene set enrichment analysis (GSEA) showed that BRD9 was closely related to Notch signaling pathway. BRD9 knockout resulted in reduced mRNA level of Hes1 and Notch1 in negative HIF-2α ccRCC in vitro. The overexpression of NICD (Notch intracellular domain) enhanced malignant behaviors of Caki-2 cells with BRD9 knockout. And Notch inhibition led to attenuation of cell growth and reduced migration and invasion in Caki-2 cells. Overall, our results identified that BRD9 promotes the proliferation, migration and invasion of negative HIF-2α ccRCC cells by targeting Notch signaling pathway and serve as a promising biomarker for negative HIF-2α ccRCC.
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