肿瘤细胞治疗研究
英文原题:Invariant NKT cells dictate antitumor immunity elicited by a bispecific antibody cotargeting CD3 and BCMA.
Invariant NKT cells dictate antitumor immunity elicited by a bispecific antibody cotargeting CD3 and BCMA.
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CD3 参与的双特异性抗体(BsAbs)已成为强大的治疗方法,因为它们能够以不依赖主要组织相容性复合体的方式重定向 T 细胞以消除肿瘤细胞。
然而,我们如何增强 BsAbs 的疗效在很大程度上仍不清楚。为了解决这个问题,我们在同基因临床前骨髓瘤模型中研究了一种同时靶向 CD3 和 B 细胞成熟抗原(BCMA)的 BsAb 的免疫学作用机制。用 CD3/BCMA BsAb 治疗刺激了骨髓瘤骨髓(BM)中的多个表达 CD3 的 T 细胞亚群和自然杀伤(NK)细胞,突显了其广泛的免疫刺激作用。
值得注意的是,在缺乏恒定 NKT(iNKT)细胞的小鼠中,BsAb 介导的免疫刺激和抗肿瘤作用被消除。从机制上讲,iNKT 细胞的激活和树突状细胞(DCs)产生白细胞介素-12 是触发 BsAb 有效抗肿瘤免疫的关键上游事件。骨髓瘤进展与 BM iNKT 细胞数量减少相关。
重要的是,通过使用负载 α-半乳糖神经酰胺的 DCs 进行过继转移来恢复 iNKT 细胞活性,单剂量 CD3/BCMA BsAb 的治疗效果显著增强。
总之,这些结果揭示了 iNKT 细胞在 CD3 参与 BsAbs 的抗肿瘤活性中的关键作用,并具有重要的转化意义。
CD3-engaging bispecific antibodies (BsAbs) have emerged as powerful therapeutic approaches by their ability to redirect T cells to eliminate tumor cells in a major histocompatibility complex-independent manner.
However, how we can potentiate the efficacy of BsAbs remains largely unknown. To address this question, we investigated immunological mechanisms of action of a BsAb cotargeting CD3 and B-cell maturation antigen (BCMA) in syngeneic preclinical myeloma models. Treatment with the CD3/BCMA BsAb stimulated multiple CD3-expressing T-cell subsets and natural killer (NK) cells in the myeloma bone marrow (BM), highlighting its broad immunostimulatory effect.
Notably, the BsAb-mediated immunostimulatory and antitumor effects were abrogated in mice lacking invariant NKT (iNKT) cells.
Mechanistically, activation of iNKT cells and interleukin-12 production from dendritic cells (DCs) were crucial upstream events for triggering effective antitumor immunity by the BsAb. Myeloma progression was associated with a reduced number of BM iNKT cells.
Importantly, the therapeutic efficacy of a single dose of CD3/BCMA BsAb was remarkably augmented by restoring iNKT cell activity, using adoptive transfer of α-galactosylceramide-loaded DCs.
Together, these results reveal iNKT cells as critical players in the antitumor activity of CD3 engaging BsAbs and have important translational implications.
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