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:Programmed death-ligand 1 expression on CD22-specific chimeric antigen receptor-modified T cells weakens antitumor potential.
Programmed death-ligand 1 expression on CD22-specific chimeric antigen receptor-modified T cells weakens antitumor potential.
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程序性细胞死亡蛋白 1(PD-1)及其配体 1(PD-L1)已成为癌症治疗的新靶点。尽管对部分癌症患者而言,肿瘤细胞表达的 PD-L1 并非免疫检查点阻断疗效所必需,近期研究提示 T 细胞表达的 PD-L1 可能在抗肿瘤免疫中发挥关键作用。为研究 CD22 嵌合抗原受体(CAR)T 细胞疗法,我们构建了不同的 CD22 CAR-T 结构。
我们发现,肿瘤细胞可诱导 CD22 CAR-T 细胞表面 PD-L1 表达;诱导的 PD-L1 可能限制 CAR-T 细胞的免疫反应。T 细胞表达的 PD-L1 与 CD22 CAR-T 细胞上的 PD-1 结合后产生抑制信号。
此外,PD-L1 会抑制 CD22 CAR-T 细胞向记忆 T 细胞分化,并负向影响若干关键细胞因子(如 IL-2 和 TNF-α)的分泌。
我们进一步观察到,与抗 PD-1 单克隆抗体不同,抗 PD-L1 单克隆抗体可恢复 CD22 CAR-T 细胞的细胞因子分泌。
本研究为理解 T 细胞表达 PD-L1 在肿瘤微环境中的功能和作用提供了潜在机制。这些结果将促使临床医师重新认识 PD-L1 在癌症免疫治疗研究中的重要作用,并为临床使用 PD-L1 抑制药物提供有益指导。
The molecules of programmed cell death protein-1 (PD-1) and ligand-1 (PD-L1) become new therapeutic targets for cancer therapy. Although tumor-expressed PD-L1 molecule is frequently dispensable for checkpoint blockade in some cancer patients, recent studies suggest that T cell-expressed PD-L1 molecule might play a crucial role in antitumor immunity.
Here, to investigate CD22 chimeric antigen receptor (CAR)-T cell therapy, we have generated the different CD22 CAR-T constructs.
We noticed that tumor cells induced PD-L1 expression on the surface of CD22 CAR-T cells. The induced PD-L1 might limit immunogenic responses of CAR-T cells. T cell-expressed PD-L1 leads to a suppressive signal by PD-1/PD-L1 engagement of CD22 CAR-T cells. Meanwhile, PD-L1 suppresses CD22 CAR-T cell differentiation into memory T cells and negatively affected secretions of several essential cytokines, such as interleukin-2 (IL-2) and tumor necrosis factor (TNF)- .
We further observed that anti-PD-L1 monoclonal antibodies rescued cytokine secretion of CD22 CAR-T cells rather than anti-PD-1 monoclonal antibodies.
Our current studies provide a potential mechanism to understand the functions and roles of T cell-expressed PD-L1 in tumor microenvironment. These results will encourage the physicians to re-recognize the important roles of PD-L1 in cancer immunotherapy studies and provide the helpful guidance for clinical operation of PD-L1 inhibition drugs.
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