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:Superkine IL-2 and IL-33 Armored CAR T Cells Reshape the Tumor Microenvironment and Reduce Growth of Multiple Solid Tumors.
Superkine IL-2 and IL-33 Armored CAR T Cells Reshape the Tumor Microenvironment and Reduce Growth of Multiple Solid Tumors.
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嵌合抗原受体(CAR)T 细胞疗法对血液系统肿瘤疗效显著,但由于实体瘤肿瘤微环境(TME)带来障碍,其治疗实体瘤的成功有限。本研究显示,以工程化 IL-2 超激动剂 Super2 和 IL-33 武装的 CAR-T 细胞可作为单药促进肿瘤控制。Super2 和 IL-33 装甲 CAR-T 细胞发挥作用并不依赖 IFN 或穿孔素。Super2 与 IL-33 协同改变 TME 中白细胞的比例,并募集和活化多种内源性先天及适应性免疫细胞,包括肿瘤特异性 T 细胞。然而,清除 CD8⁺ T 细胞或 NK 细胞并未破坏肿瘤控制,提示广泛免疫活化可弥补单个细胞亚群的缺失。因此,Super2 和 IL-33 CAR-T 细胞可在多种实体瘤模型中促进抗肿瘤免疫,并可能克服抗原丢失,凸显这一通用 CAR-T 细胞平台治疗实体瘤的潜力。
Chimeric-antigen receptor (CAR) T-cell therapy has shown remarkable efficacy against hematologic tumors. Yet, CAR T-cell therapy has had little success against solid tumors due to obstacles presented by the tumor microenvironment (TME) of these cancers.
Here, we show that CAR T cells armored with the engineered IL-2 superkine Super2 and IL-33 were able to promote tumor control as a single-agent therapy. IFN and perforin were dispensable for the effects of Super2- and IL-33-armored CAR T cells. Super2 and IL-33 synergized to shift leukocyte proportions in the TME and to recruit and activate a broad repertoire of endogenous innate and adaptive immune cells including tumor-specific T cells.
However, depletion of CD8+ T cells or NK cells did not disrupt tumor control, suggesting that broad immune activation compensated for loss of individual cell subsets.
Thus, we have shown that Super2 and IL-33 CAR T cells can promote antitumor immunity in multiple solid tumor models and can potentially overcome antigen loss, highlighting the potential of this universal CAR T-cell platform for the treatment of solid tumors.
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