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:Rewiring mitochondrial metabolism to counteract exhaustion of CAR-T cells.
Rewiring mitochondrial metabolism to counteract exhaustion of CAR-T cells.
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T细胞持续存在能力短、早期耗竭,是限制免疫疗法疗效和广泛应用的主要因素。耗竭T细胞和嵌合抗原受体(CAR)T细胞会上调与T细胞分化终止、需氧糖酵解和细胞凋亡相关的基因表达。在线粒体功能障碍和动力学异常等细胞耗竭特征中,这些变化被认为是典型标志。本文综述耗竭T细胞的线粒体特征,尤其讨论线粒体代谢和可塑性的不同方面。此外,我们提出一种新策略:重塑线粒体代谢,使T细胞摆脱耗竭;并靶向线粒体可塑性,以增强CAR-T 细胞疗效。
Short persistence and early exhaustion of T cells are major limits to the efficacy and broad application of immunotherapy. Exhausted T and chimeric antigen receptor (CAR)-T cells upregulate expression of genes associated with terminated T cell differentiation, aerobic glycolysis and apoptosis. Among cell exhaustion characteristics, impaired mitochondrial function and dynamics are considered hallmarks.
Here, we review the mitochondrial characteristics of exhausted T cells and particularly discuss different aspects of mitochondrial metabolism and plasticity.
Furthermore, we propose a novel strategy of rewiring mitochondrial metabolism to emancipate T cells from exhaustion and of targeting mitochondrial plasticity to boost CAR-T cell therapy efficacy.
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