决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:A T cell resilience model associated with response to immunotherapy in multiple tumor types.
A T cell resilience model associated with response to immunotherapy in multiple tumor types.
这些结果证明了Tres在识别T细胞有效性生物标志物以及实体瘤免疫疗法潜在治疗靶点方面的实用性。
尽管癌症免疫治疗取得了突破,但大多数肿瘤反应性T细胞由于免疫抑制环境而无法在实体瘤中持续存在。我们开发了Tres(肿瘤韧性T细胞),一种利用单细胞转录组数据来识别对免疫抑制信号(如转化生长因子-β1、肿瘤坏死因子相关凋亡诱导配体和前列腺素E2)具有韧性的T细胞特征的的计算模型。Tres利用来自接受免疫检查点抑制剂治疗患者的治疗前肿瘤(n = 38)、CAR-T 细胞疗法的输注产品(n = 34)以及CAR-T 细胞或TIL(肿瘤浸润淋巴细胞)疗法的生产前样本(n = 84)的批量T细胞转录组数据,可靠地预测了黑色素瘤、肺癌、三阴性乳腺癌和B细胞恶性肿瘤对免疫治疗的临床反应。此外,Tres将功能在很大程度上未知的FIBP鉴定为在许多实体瘤类型中肿瘤韧性T细胞的首要负标志物。在小鼠和人类供体CD8+ T细胞中敲除FIBP显著增强了体外共培养中T细胞介导的癌症杀伤。此外,在小鼠T细胞中敲除Fibp增强了B16肿瘤模型中过继细胞转移的体内疗效。Fibp敲除的T细胞表现出胆固醇代谢减少,这抑制了效应T细胞功能。这些结果证明了Tres在识别T细胞有效性生物标志物以及实体瘤免疫治疗潜在治疗靶点方面的实用性。
Despite breakthroughs in cancer immunotherapy, most tumor-reactive T cells cannot persist in solid tumors due to an immunosuppressive environment. We developed Tres (tumor-resilient T cell), a computational model utilizing single-cell transcriptomic data to identify signatures of T cells that are resilient to immunosuppressive signals, such as transforming growth factor-β1, tumor necrosis factor-related apoptosis-inducing ligand and prostaglandin E2. Tres reliably predicts clinical responses to immunotherapy in melanoma, lung cancer, triple-negative breast cancer and B cell malignancies using bulk T cell transcriptomic data from pre-treatment tumors from patients who received immune-checkpoint inhibitors (n = 38), infusion products for chimeric antigen receptor T cell therapies (n = 34) and pre-manufacture samples for chimeric antigen receptor T cell or tumor-infiltrating lymphocyte therapies (n = 84). Further, Tres identified FIBP, whose functions are largely unknown, as the top negative marker of tumor-resilient T cells across many solid tumor types. FIBP knockouts in murine and human donor CD8 + T cells significantly enhanced T cell-mediated cancer killing in in vitro co-cultures. Further, Fibp knockout in murine T cells potentiated the in vivo efficacy of adoptive cell transfer in the B16 tumor model. Fibp knockout T cells exhibit reduced cholesterol metabolism, which inhibits effector T cell function. These results demonstrate the utility of Tres in identifying biomarkers of T cell effectiveness and potential therapeutic targets for immunotherapies in solid tumors.
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