CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Human cytomegalovirus expands a CD8(+) T cell population with loss of BCL11B expression and gain of NK cell identity.
Human cytomegalovirus expands a CD8(+) T cell population with loss of BCL11B expression and gain of NK cell identity.
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CD8+ T细胞不仅是适应性免疫的关键介质,还可能表现出固有免疫样特性,例如表面表达NKG2C,这是一种通常与自然杀伤(NK)细胞相关的活化受体。
我们证明,与NK细胞类似,NKG2C+TCR+CD8+ T细胞与既往人巨细胞病毒(HCMV)暴露相关。除了表达CD56和KIR等几种NK细胞标志物外,NKG2C+CD8+ T细胞呈寡克隆性,并且即使在对持续性激活作出反应时也不上调PD-1。
此外,我们发现,来自某些个体的NKG2C+CD8+ T细胞对白血病细胞和HCMV感染的成纤维细胞表现出强效应功能,这由NKG2C和TCR特异性共同决定。转录组分析显示,与常规NKG2C-CD8+ T细胞相比,转录因子BCL11B(T细胞发育命运的调节因子)在NKG2C+CD8+ T细胞中下调。在常规CD8+ T细胞中缺失BCL11B会导致出现一种类似的固有免疫样CD56+CD94+DAP12+NKG2C+CD45RA+CCR7-PD-1/low T细胞群体,其具有针对HLA-E+靶细胞的活性。基于其识别病变细胞的内在能力以及缺乏PD-1诱导,NKG2C+CD8+ T细胞代表了一群处于固有免疫与适应性免疫边界的淋巴细胞群体,为细胞治疗(包括基于CAR-T 细胞的治疗)提供了一种有吸引力的替代选择。
CD8 + T cells not only are critical mediators of adaptive immunity but also may exhibit innate-like properties such as surface expression of NKG2C, an activating receptor typically associated with natural killer (NK) cells.
We demonstrate that, similar to NK cells, NKG2C + TCR + CD8 + T cells are associated with prior human cytomegalovirus (HCMV) exposure.
In addition to expressing several NK cell markers such as CD56 and KIR, NKG2C + CD8 + T cells are oligoclonal and do not up-regulate PD-1 even in response to persistent activation.
Furthermore, we found that NKG2C + CD8 + T cells from some individuals exhibited strong effector function against leukemia cells and HCMV-infected fibroblasts, which was dictated by both NKG2C and TCR specificity. Transcriptomic analysis revealed that the transcription factor BCL11B , a regulator of T cell developmental fate, is down-regulated in NKG2C + CD8 + T cells when compared with conventional NKG2C CD8 + T cells.
BCL11B deletion in conventional CD8 + T cells resulted in the emergence of a similar innate-like CD56 + CD94 + DAP12 + NKG2C + CD45RA + CCR7 PD-1 /low T cell population with activity against HLA-E + targets. On the basis of their intrinsic capacity to recognize diseased cells coupled with lack of PD-1 induction, NKG2C + CD8 + T cells represent a lymphocyte population that resides at the boundary between innate and adaptive immunity, presenting an attractive alternative for cellular therapy, including CAR T cell based therapies.
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