RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Mobilization of innate and adaptive antitumor immune responses by the RNP-targeting antibody ATRC-101.
Mobilization of innate and adaptive antitumor immune responses by the RNP-targeting antibody ATRC-101.
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聚焦于 T 细胞的免疫治疗策略已在实体瘤治疗中取得突破。然而,通过其他细胞类型,尤其是髓系细胞,驱动抗肿瘤免疫应答仍存在机会。ATRC-101 是通过一种靶点不可知的过程鉴定得到的,该过程评估了一名非小细胞肺癌患者在 checkpoint inhibitor 治疗期间出现抗肿瘤免疫应答时其 B 细胞浆母细胞群体所产生的抗体。
在此,我们描述了其靶点、临床前模型中的抗肿瘤活性,以及支持 ATRC-101 作用机制的数据。免疫组织化学研究显示,ATRC-101 对多种非同源肿瘤组织具有肿瘤选择性结合。在生化分析中,ATRC-101 似乎靶向一种细胞外、肿瘤特异性核糖核蛋白(RNP)复合物。在同基因小鼠模型中,ATRC-101 表现出强效抗肿瘤活性,并且在对已治愈小鼠用新鲜肿瘤细胞再次攻击后显示出免疫记忆的证据。ATRC-101 在给药后 24 h 内增加了血液中经典树突状细胞(cDC)1 型细胞的相对丰度,随时间推移增加了血液和肿瘤中的 CD8+ T 细胞和NK 细胞,减少了血液中的 cDC 2 型细胞,并减少了肿瘤中的单核细胞性髓源性抑制细胞。细胞应激,包括化疗诱导的应激,增加了肿瘤细胞中 ATRC-101 靶点的量,并且 ATRC-101 与 doxorubicin 联合相较任一单药均增强了疗效。
综上所述,这些数据表明,ATRC-101 通过靶向一种肿瘤特异性 RNP 复合物,导致固有免疫和适应性免疫应答的激活,从而在临床前模型中驱动肿瘤破坏。
Immunotherapy approaches focusing on T cells have provided breakthroughs in treating solid tumors.
However, there remains an opportunity to drive anticancer immune responses via other cell types, particularly myeloid cells. ATRC-101 was identified via a target-agnostic process evaluating antibodies produced by the plasmablast population of B cells in a patient with non-small cell lung cancer experiencing an antitumor immune response during treatment with checkpoint inhibitor therapy.
Here, we describe the target, antitumor activity in preclinical models, and data supporting a mechanism of action of ATRC-101. Immunohistochemistry studies demonstrated tumor-selective binding of ATRC-101 to multiple nonautologous tumor tissues. In biochemical analyses, ATRC-101 appears to target an extracellular, tumor-specific ribonucleoprotein (RNP) complex. In syngeneic murine models, ATRC-101 demonstrated robust antitumor activity and evidence of immune memory following rechallenge of cured mice with fresh tumor cells.
ATRC-101 increased the relative abundance of conventional dendritic cell (cDC) type 1 cells in the blood within 24 h of dosing, increased CD8+ T cells and natural killer cells in blood and tumor over time, decreased cDC type 2 cells in the blood, and decreased monocytic myeloid-derived suppressor cells in the tumor.
Cellular stress, including that induced by chemotherapy, increased the amount of ATRC-101 target in tumor cells, and ATRC-101 combined with doxorubicin enhanced efficacy compared with either agent alone. Taken together, these data demonstrate that ATRC-101 drives tumor destruction in preclinical models by targeting a tumor-specific RNP complex leading to activation of innate and adaptive immune responses.
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