免疫检查点阻断通过扩增效应 CD8⁺ T 细胞克隆增强淋巴细胞清除性化疗诱导的抗肿瘤免疫
Immune Checkpoint Blockade Augments Lymphodepleting Chemotherapy-Induced Antitumor Immunity by Expanding Effector CD8+ T-cell Clones.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:LFA-1 activation enriches tumor-specific T cells in a cold tumor model and synergizes with CTLA-4 blockade.
LFA-1 activation enriches tumor-specific T cells in a cold tumor model and synergizes with CTLA-4 blockade.
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CD8+效应T细胞(Teffs)无法到达肿瘤细胞是肿瘤对癌症免疫治疗产生耐药性的一个重要方面。这些细胞向肿瘤微环境(TME)的募集受整合素调控,整合素是一类表达于T细胞上的黏附分子家族。
在此,我们证明7HP349——一种淋巴细胞功能相关抗原-1(LFA-1)和极晚期活化抗原-4(VLA-4)整合素细胞黏附受体的小分子激活剂——促进了肿瘤特异性T细胞优先定位至肿瘤并改善了抗肿瘤应答。7HP349单药治疗对抗程序性死亡1耐药(抗PD-1耐药)肿瘤效果有限,而与抗细胞毒性T淋巴细胞相关蛋白4(抗CTLA-4)联合治疗则增加了CD8+ Teff在肿瘤内的滞留,并与中性粒细胞协同作用诱导肿瘤消退。7HP349的瘤内CD8+ Teff富集活性依赖于CXCL12。
我们利用14例黑色素瘤患者基线和治疗中肿瘤样本的RNA分析了基因表达谱。我们发现基线CXCL12基因表达可能提高对抗CTLA-4治疗产生应答的可能性。
我们的结果提供了原理验证性证明,即LFA-1激活可通过涉及与先天免疫细胞协同作用的机制,将T细胞排斥型TME转化为T细胞富集型TME。
The inability of CD8+ effector T cells (Teffs) to reach tumor cells is an important aspect of tumor resistance to cancer immunotherapy. The recruitment of these cells to the tumor microenvironment (TME) is regulated by integrins, a family of adhesion molecules that are expressed on T cells.
Here, we show that 7HP349, a small-molecule activator of lymphocyte function-associated antigen-1 (LFA-1) and very late activation antigen-4 (VLA-4) integrin cell-adhesion receptors, facilitated the preferential localization of tumor-specific T cells to the tumor and improved antitumor response.
7HP349 monotherapy had modest effects on anti-programmed death 1-resistant (anti-PD-1-resistant) tumors, whereas combinatorial treatment with anti-cytotoxic T lymphocyte-associated protein 4 (anti-CTLA-4) increased CD8+ Teff intratumoral sequestration and synergized in cooperation with neutrophils in inducing cancer regression. 7HP349 intratumoral CD8+ Teff enrichment activity depended on CXCL12.
We analyzed gene expression profiles using RNA from baseline and on treatment tumor samples of 14 melanoma patients.
We identified baseline CXCL12 gene expression as possibly improving the likelihood or response to anti-CTLA-4 therapies.
Our results provide a proof-of-principle demonstration that LFA-1 activation could convert a T cell-exclusionary TME to a T cell-enriched TME through mechanisms involving cooperation with innate immune cells.
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