靶向巨噬细胞的癌症治疗策略
Macrophage-directed therapeutic strategies in cancer.
肿瘤相关巨噬细胞(TAMs)是肿瘤微环境的主要组成部分,具有显著的功能可塑性,根据所处的微环境信号,既可表现为促进肿瘤进展的免疫抑制细胞,也可表现为支持抗肿瘤免疫的免疫刺激细胞。
英文原题:Generalizable design parameters for soluble T cell receptor-based T cell engagers.
尽管大多数生物和细胞免疫疗法识别细胞外靶点,但T细胞受体(TCR)疗法的独特之处在于能够识别病毒感染细胞或癌细胞上更为庞大的细胞内抗原库。
虽然大多数生物和细胞免疫疗法识别细胞外靶点,但T细胞受体(TCR)疗法的独特之处在于其能够识别病毒感染或癌细胞上存在的数量更多的细胞内抗原。基于重组T细胞受体(rTCR)的疗法在临床前和临床中正获得发展势头,近期针对葡萄膜黑色素瘤的TCR/CD3双功能蛋白III期人体临床试验取得积极结果即为突出体现。与分子格式已被广泛深入评估的抗体类T细胞衔接器不同,描述使用rTCR的各种双功能格式推定活性的数据很少。在此,我们生成了针对NY-ESO-1或MAGE-A3的rTCR/抗CD3双功能分子,采用多种分子格式。我们发现,对展示NY-ESO-1或MAGE-A3的肿瘤诱导强烈的重定向裂解活性高度局限于小型串联结合格式,其中rTCR/抗CD3 Fab表现出最高效力,rTCR/抗CD3单链可变结构域片段表现出相似但持续较弱的效力,而IgG样或含IgG-Fc的分子表现出较差的活性。鉴于经典的TCR/人类白细胞抗原结构范式,我们认为这是rTCR双功能分子的普遍特征。
While most biological and cellular immunotherapies recognize extracellular targets, T cell receptor (TCR) therapeutics are unique in their ability to recognize the much larger pool of intracellular antigens found on virus-infected or cancerous cells. Recombinant T cell receptor (rTCR)-based therapeutics are gaining momentum both preclinically and clinically highlighted by recent positive phase III human clinical trial results for a TCR/CD3 bifunctional protein in uveal melanoma. Unlike antibody-based T cell engagers whose molecular formats have been widely and extensively evaluated, little data exist describing the putative activities of varied bifunctional formats using rTCRs. Here we generate rTCR/anti-CD3 bifunctionals directed toward NY-ESO-1 or MAGE-A3 with a variety of molecular formats. We show that inducing strong redirected lysis activity against tumors displaying either NY-ESO-1 or MAGE-A3 is highly restricted to small, tandem binding formats with an rTCR/antiCD3 Fab demonstrating the highest potency, rTCR/anti-CD3 single chain variable domain fragment showing similar but consistently weaker potency, and IgG-like or IgG-Fc-containing molecules demonstrating poor activity. We believe this is a universal trait of rTCR bifunctionals, given the canonical TCR/human leukocyte antigen structural paradigm.
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