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:The pleiotropic roles of EZH2 in T-cell immunity and immunotherapy.
The pleiotropic roles of EZH2 in T-cell immunity and immunotherapy.
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EZH2是一种组蛋白甲基转移酶,可催化组蛋白H3第27位赖氨酸三甲基化(H3K27me3),调控细胞增殖、分化、扩增和功能所需的基因转录。例如,EZH2在调节T细胞免疫应答中发挥核心作用:它限制效应CD8 T细胞终末分化,促进前体和成熟记忆CD8 T细胞形成,调节辅助性CD4 T细胞适当的谱系指定并维持其细胞身份,还可维持已分化抗原特异性T细胞的存活。尤为重要的是,EZH2有助于恢复耗竭的嵌合抗原受体(CAR)T细胞功能。EZH2功能失调与多种癌症有关,包括淋巴瘤和实体瘤。在B细胞淋巴系统恶性肿瘤中,EZH2过表达可驱动肿瘤发生。EZH2催化H3K27me3并调控正常和恶性细胞基因转录程序的这些作用,使其成为独特的药物开发靶点。本文讨论EZH2对T细胞免疫的调控、EZH2介导的淋巴瘤发生,以及EZH2抑制剂治疗淋巴瘤的潜在获益。
EZH2 is a histone methyltransferase. It catalyzes trimethylation of histone H3 at lysine 27 (H3K27me3) to control gene transcription critical for cell proliferation, differentiation, expansion, and function. For instance, EZH2 plays a central role in regulating T-cell immune responses. EZH2 restrains terminal differentiation of effector CD8 T cells, promotes formation of precursor and mature memory CD8 T cells, regulates appropriate lineage-specification and identity maintenance of helper CD4 T cells, and maintains survival of differentiated antigen-specific T cells.
Most importantly, EZH2 is shown to be important for reinvigoration of exhausted chimeric antigen receptor (CAR) T cells. Dysregulated EZH2 function has been linked to many forms of cancer, including lymphomas and solid tumors. In B-cell lymphoid malignancies, EZH2 is overexpressed to drive tumorigenesis. These specific effects of EZH2, in the context of its roles in catalyzing H3K27me3 and orchestrating gene transcription programs in both normal and malignant cells, establishes EZH2 as a unique target for drug development.
Here, we will discuss Ezh2 regulation of T-cell immunity, EZH2-mediated lymphomagenesis, and therapeutic benefits of EZH2 inhibitors to the treatment of lymphoma.
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