下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Cell membrane-anchored and tumor-targeted IL-12 (attIL12)-T cell therapy for eliminating large and heterogeneous solid tumors.
Cell membrane-anchored and tumor-targeted IL-12 (attIL12)-T cell therapy for eliminating large and heterogeneous solid tumors.
这一新方法为基于 IL-12 的 T 细胞疗法用于体积大且异质性的实体瘤的安全性应用提供了启示。
背景:过继T细胞转移已成为治疗血液系统恶性肿瘤的一种有吸引力的方法,但对体积较大且异质性高的实体瘤活性较差。白细胞介素12(IL-12)对实体瘤具有强效抗肿瘤作用,但其临床应用因毒性而受阻。本研究旨在开发一种安全的IL-12 T细胞疗法,以清除大体积实体瘤。 方法:研究构建了细胞膜锚定型IL-12(aIL12)、肿瘤靶向型IL-12(ttIL12)以及细胞膜锚定且肿瘤靶向的IL-12(attIL12),并分别制备携带这些构建体的T细胞、CAR-T 细胞和T细胞受体T(TCR-T)细胞。通过静脉输注携带相应构建体的T细胞,在骨肉瘤患者来源异种移植瘤和小鼠黑色素瘤模型中比较其安全性和疗效。 结果:在大体积人源和小鼠实体瘤模型中,输注attIL12-T细胞表现出显著抗肿瘤疗效。机制上,attIL12-T细胞靶向表达细胞表面波形蛋白的肿瘤细胞,使效应T细胞和干扰素在肿瘤内富集;这继而促进树突状细胞成熟,激活继发性T细胞应答并推动肿瘤抗原扩展。输注attIL12-T细胞和aIL12-T细胞均未引起外周细胞因子释放或相关毒性。 结论:这一新策略为安全应用IL-12型T细胞疗法治疗大体积、高异质性实体瘤提供了新思路。
BACKGROUND: Adoptive T-cell transfer has become an attractive therapeutic approach for hematological malignancies but shows poor activity against large and heterogeneous solid tumors. Interleukin-12 (IL-12) exhibits potent antitumor efficacy against solid tumors, but its clinical application has been stalled because of toxicity. Here, we aimed to develop a safe approach to IL-12 T-cell therapy for eliminating large solid tumors. METHODS: We generated a cell membrane-anchored IL-12 (aIL12), a tumor-targeted IL-12 (ttIL12), and a cell membrane-anchored and ttIL-12 (attIL12) and a cell membrane-anchored and tumor-targeted ttIL-12 (attIL12) armed T cells, chimeric antigen receptor-T cells, and T cell receptor-T (TCR-T) cells with each. We compared the safety and efficacy of these armed T cells in treating osteosarcoma patient-derived xenograft tumors and mouse melanoma tumors after intravenous infusions of the armed T cells. RESULTS: attIL12-T cell infusion showed remarkable antitumor efficacy in human and mouse large solid tumor models. Mechanistically, attIL12-T cells targeted tumor cells expressing cell-surface vimentin, enriching effector T cell and interferon production in tumors, which in turn stimulates dendritic cell maturation for activating secondary T-cell responses and tumor antigen spreading. Both attIL12- and aIL12-T-cell transfer eliminated peripheral cytokine release and the associated toxic effects. CONCLUSIONS: This novel approach sheds light on the safe application of IL-12-based T-cell therapy for large and heterogeneous solid tumors.
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