帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Fcγ receptor-mediated cross-linking codefines the immunostimulatory activity of anti-human CD96 antibodies.
Fcγ receptor-mediated cross-linking codefines the immunostimulatory activity of anti-human CD96 antibodies.
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需要增强T细胞应答的新策略,以拓宽抗癌治疗手段。CD96、TIGIT和CD226是与共同配体CD155结合的受体,并转导抑制性或激活性信号。TIGIT和CD226的功能已明确,而CD96的作用仍不清晰。利用一组工程化抗体,我们发现抗CD96抗体的T细胞刺激活性需要抗体交联,并可被Fcγ受体增强。
因此,可溶性“Fc沉默”抗CD96抗体未能刺激人T细胞,而相同抗体包被到塑料表面后则具有刺激作用。值得注意的是,通过将Fc结构域工程化为人类IgG1同种型,可溶性抗CD96抗体的活性得以恢复,并且这依赖于FcγRI对抗体的反式交联。相比之下,人类IgG2或具有增强Fcγ受体IIB结合的变体均不具有刺激活性。抗CD96抗体直接作用于T细胞,并增强与T细胞活化相关的基因表达网络,导致增殖、细胞因子分泌以及抵抗Treg抑制。
此外,CD96表达与HPV+头颈部鳞状细胞癌的生存相关,其交联可激活肿瘤浸润T细胞,从而突显了抗CD96抗体在癌症免疫治疗中的潜力。
New strategies that augment T cell responses are required to broaden the therapeutic arsenal against cancer. CD96, TIGIT, and CD226 are receptors that bind to a communal ligand, CD155, and transduce either inhibitory or activating signals. The function of TIGIT and CD226 is established, whereas the role of CD96 remains ambiguous. Using a panel of engineered antibodies, we discovered that the T cell stimulatory activity of anti-CD96 antibodies requires antibody cross-linking and is potentiated by Fcγ receptors.
Thus, soluble "Fc silent" anti-CD96 antibodies failed to stimulate human T cells, whereas the same antibodies were stimulatory after coating onto plastic surfaces. Remarkably, the activity of soluble anti-CD96 antibodies was reinstated by engineering the Fc domain to a human IgG1 isotype, and it was dependent on antibody trans-cross-linking by FcγRI.
In contrast, neither human IgG2 nor variants with increased Fcγ receptor IIB binding possessed stimulatory activity. Anti-CD96 antibodies acted directly on T cells and augmented gene expression networks associated with T cell activation, leading to proliferation, cytokine secretion, and resistance to Treg suppression.
Furthermore, CD96 expression correlated with survival in HPV+ head and neck squamous cell carcinoma, and its cross-linking activated tumor-infiltrating T cells, thus highlighting the potential of anti-CD96 antibodies in cancer immunotherapy.
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