不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CD137 Costimulation Enhances the Antitumor Activity of Vγ9Vδ2-T Cells in IL-10-Mediated Immunosuppressive Tumor Microenvironment.
CD137 Costimulation Enhances the Antitumor Activity of Vγ9Vδ2-T Cells in IL-10-Mediated Immunosuppressive Tumor Microenvironment.
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尽管使用磷酸抗原增强γδ-T细胞免疫的γδ-T细胞肿瘤免疫治疗在一些癌症患者中已显示出成功,但由于磷酸抗原反复刺激导致Vγ9Vδ2-T细胞快速耗竭以及肿瘤微环境(TME)的深度免疫抑制,其临床应用受到限制。
在本研究中,我们使用含有EBV转化的淋巴母细胞样B细胞系(EBV-LCL)分泌的人和白介素-10(hIL-10和vIL-10)的细胞培养基来模拟免疫抑制性TME,发现Vγ9Vδ2-T细胞的抗肿瘤活性被TME内的内源性hIL-10和vIL-10高度抑制。CD137共刺激可通过抑制Vγ9Vδ2-T细胞上IL-10R1的表达,提供抗耗竭信号以减轻TME中IL-10的抑制效应。CD137共刺激还改善了Rag2 -/- γc -/- 小鼠中高水平IL-10的TME内Vγ9Vδ2-T细胞受损的抗肿瘤活性。在人源化小鼠中,CD137共刺激增强了氨基双膦酸盐帕米膦酸对EBV诱导的淋巴瘤的治疗效果。
我们的研究提供了一种通过共刺激CD137来克服hIL-10和vIL-10介导的免疫抑制微环境障碍并增强基于γδ-T细胞肿瘤治疗疗效的新方法。
Although γδ-T cell-based tumor immunotherapy using phosphoantigens to boost γδ-T cell immunity has shown success in some cancer patients, the clinical application is limited due to the rapid exhaustion of Vγ9Vδ2-T cells caused by repetitive stimulation from phosphoantigens and the profoundly immunosuppressive tumor microenvironment (TME). In this study, using a cell culture medium containing human and viral interleukin-10 (hIL-10 and vIL-10) secreted from EBV-transformed lymphoblastoid B cell lines (EBV-LCL) to mimic the immunosuppressive TEM, we found that the antitumor activity of Vγ9Vδ2-T cells was highly suppressed by endogenous hIL-10 and vIL-10 within the TME.
CD137 costimulation could provide an anti-exhaustion signal to mitigate the suppressive effects of IL-10 in TME by suppressing IL-10R1 expression on Vγ9Vδ2-T cells. CD137 costimulation also improved the compromised antitumor activity of Vγ9Vδ2-T cells in TME with high levels of IL-10 in Rag2 -/- γc -/- mice. In humanized mice, CD137 costimulation boosted the therapeutic effects of aminobisphosphonate pamidronate against EBV-induced lymphoma.
Our study offers a novel approach to overcoming the obstacle of the hIL-10 and vIL-10-mediated immunosuppressive microenvironment by costimulating CD137 and enhancing the efficacy of γδ-T cell-based tumor therapy.
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