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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Characterising Distinct Migratory Profiles of Infiltrating T-Cell Subsets in Human Glioblastoma.
Characterising Distinct Migratory Profiles of Infiltrating T-Cell Subsets in Human Glioblastoma.
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胶质母细胞瘤是原发性脑癌中最常见且最具侵袭性的形式,过去三十年间其5年生存率4.6%未见改善。基于T细胞的免疫疗法,如免疫检查点抑制剂和CAR-T 细胞疗法,已延长了其他癌症患者的生存期,并已在胶质母细胞瘤患者中进行了早期临床评估。
然而,胶质母细胞瘤及其他实体癌的T细胞免疫疗法面临的一个主要挑战是T细胞向肿瘤的浸润。这一过程由趋化因子-趋化因子受体和整合素-黏附分子相互作用介导,但可能促进T细胞归巢至胶质母细胞瘤的特定分子性质尚不清楚。
在此,我们通过单细胞RNA测序表征了内源性胶质母细胞瘤浸润T细胞的趋化因子受体和整合素表达谱,以及胶质母细胞瘤相关细胞的趋化因子表达谱。随后,在蛋白质水平上验证了趋化因子受体和整合素,揭示出相对于匹配的患者外周血T细胞,胶质母细胞瘤浸润T细胞群体中受体CCR2、CCR5、CXCR3、CXCR4、CXCR6、CD49a和CD49d的富集。接着在胶质母细胞瘤活检组织和胶质母细胞瘤来源的原代细胞培养中验证了互补的趋化因子配体表达。
总之,本研究中鉴定出的归巢受体-配体对的富集表达提示其在介导T细胞浸润至胶质母细胞瘤中具有潜在作用。重要的是,我们表征内源性肿瘤浸润T细胞上迁移受体的数据可用于增强未来胶质母细胞瘤T细胞免疫疗法的肿瘤归巢特性。
Glioblastoma is the most common and aggressive form of primary brain cancer, with no improvements in the 5-year survival rate of 4. 6% over the past three decades. T-cell-based immunotherapies such as immune-checkpoint inhibitors and chimeric antigen receptor T-cell therapy have prolonged the survival of patients with other cancers and have undergone early-phase clinical evaluation in glioblastoma patients.
However, a major challenge for T-cell-based immunotherapy of glioblastoma and other solid cancers is T-cell infiltration into tumours. This process is mediated by chemokine-chemokine receptor and integrin-adhesion molecule interactions, yet the specific nature of the molecules that may facilitate T-cell homing into glioblastoma are unknown.
Here, we have characterised chemokine receptor and integrin expression profiles of endogenous glioblastoma-infiltrating T cells, and the chemokine expression profile of glioblastoma-associated cells, by single-cell RNA-sequencing.
Subsequently, chemokine receptors and integrins were validated at the protein level to reveal enrichment of receptors CCR2, CCR5, CXCR3, CXCR4, CXCR6, CD49a, and CD49d in glioblastoma-infiltrating T-cell populations relative to T cells in matched patient peripheral blood. Complementary chemokine ligand expression was then validated in glioblastoma biopsies and glioblastoma-derived primary cell cultures.
Together, enriched expression of homing receptor-ligand pairs identified in this study implicate a potential role in mediating T-cell infiltration into glioblastoma.
Importantly, our data characterising the migratory receptors on endogenous tumour-infiltrating T cells could be exploited to enhance the tumour-homing properties of future T-cell immunotherapies for glioblastoma.
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