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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Engineering amino acid uptake or catabolism promotes CAR T-cell adaption to the tumor environment.
Engineering amino acid uptake or catabolism promotes CAR T-cell adaption to the tumor environment.
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癌细胞从细胞外摄取氨基酸,以支持增殖和存活。免疫细胞也依赖类似机制,因此常规T细胞、嵌合抗原受体(CAR)T细胞与肿瘤细胞会争夺微环境中有限的氨基酸。研究显示,可对T细胞进行工程化改造,使其在表达CAR的同时表达跨膜氨基酸转运体SLC7A5或SLC7A11。在色氨酸或胱氨酸不足的条件下,转运体改造可促进CAR-T 细胞增殖,且不会降低CAR介导的细胞毒性或加剧细胞耗竭。转录组和表型分析发现,SLC7A5/SLC7A11改造的CAR-T 细胞下游会提高细胞内精氨酸酶的表达和活性。基于此,研究人员进一步工程化构建并表征表达功能性精氨酸酶1/2的CAR-T 细胞;该细胞增殖能力和抗肿瘤活性均增强。因此,可以通过改造CAR-T 细胞使其适应肿瘤的氨基酸代谢微环境。氨基酸竞争虽早已被认识,却一直是尚未解决的CAR-T 细胞治疗障碍。
Cancer cells take up amino acids from the extracellular space to drive cell proliferation and viability. Similar mechanisms are applied by immune cells, resulting in the competition between conventional T cells, or indeed chimeric antigen receptor (CAR) T cells and tumor cells, for the limited availability of amino acids within the environment.
We demonstrate that T cells can be re-engineered to express SLC7A5 or SLC7A11 transmembrane amino acid transporters alongside CARs. Transporter modifications increase CAR T-cell proliferation under low tryptophan or cystine conditions with no loss of CAR cytotoxicity or increased exhaustion.
Transcriptomic and phenotypic analysis reveals that downstream, SLC7A5/SLC7A11-modified CAR T cells upregulate intracellular arginase expression and activity. In turn, we engineer and phenotype a further generation of CAR T cells that express functional arginase 1/arginase 2 enzymes and have enhanced CAR T-cell proliferation and antitumor activity.
Thus, CAR T cells can be adapted to the amino acid metabolic microenvironment of cancer, a hitherto recognized but unaddressed barrier for successful CAR T-cell therapy.
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