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:Secreted Fas Decoys Enhance the Antitumor Activity of Engineered and Bystander T Cells in Fas Ligand-Expressing Solid Tumors.
Secreted Fas Decoys Enhance the Antitumor Activity of Engineered and Bystander T Cells in Fas Ligand-Expressing Solid Tumors.
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T细胞免疫疗法在某些血液系统恶性肿瘤中取得显著临床结局。然而,其实体瘤疗效不理想,部分原因是肿瘤微环境中存在免疫抑制分子。实体瘤中大量表达的一种抑制因子是Fas配体(FasL),可触发表达Fas的效应细胞(如T细胞和自然杀伤[NK]细胞)凋亡。为减轻FasL对实体瘤内肿瘤特异性免疫细胞的抑制作用,我们介绍一种Fas诱饵受体:工程化细胞活化后可分泌该受体并捕获FasL,阻止其与效应细胞表面Fas结合。我们进一步构建了Fas诱饵受体与IL15细胞因子的融合蛋白,以增强免疫刺激作用;在胰腺癌异种移植模型中,该融合蛋白提高了诱饵工程化CAR-T 细胞及旁观者CAR-T 细胞的持续存在和抗肿瘤活性。数据表明,分泌型Fas诱饵受体可增强过继转移和内源性肿瘤特异性效应细胞对FasL表达实体瘤的疗效。
T-cell immunotherapy has demonstrated remarkable clinical outcomes in certain hematologic malignancies.
However, efficacy in solid tumors has been suboptimal, partially due to the hostile tumor microenvironment composed of immune-inhibitory molecules. One such suppressive agent abundantly expressed in solid tumors is Fas ligand (FasL), which can trigger apoptosis of Fas-expressing effector cells such as T cells and natural killer (NK) cells.
To alleviate this FasL-induced suppression of tumor-specific immune cells in solid tumors, we describe here the development of a Fas decoy that is secreted by engineered cells upon activation and sequesters the ligand, preventing it from engaging with Fas on the surface of effector cells.
We further improved the immune-stimulatory effects of this approach by creating a Fas decoy and IL15 cytokine fusion protein, which enhanced the persistence and antitumor activity of decoy-engineered as well as bystander chimeric-antigen receptor (CAR) T cells in xenograft models of pancreatic cancer.
Our data indicate that secreted Fas decoys can augment the efficacy of both adoptively transferred and endogenous tumor-specific effector cells in FasL-expressing solid tumors.
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