决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Targeting Lin28 axis enhances glypican-3-CAR T cell efficacy against hepatic tumor initiating cell population.
我们的结果表明,抑制Lin28B可降低IDO1和PD-L1表达,并增强GPC3-CART细胞对HCC的免疫治疗潜力。
Lin28的过表达在多种癌症中被检测到,并参与自我更新过程和癌症干细胞的产生。在本研究中,我们评估了Lin28轴如何在肝细胞癌(HCC)中为肿瘤起始癌细胞发挥免疫保护作用。我们使用HCC患者样本的结果显示,吲哚胺2,3-双加氧酶-1(IDO1)——一种产生犬尿氨酸并影响肿瘤免疫逃逸的酶——与Lin28B呈正相关。通过计算机预测,我们鉴定出一个Sox2/Oct4转录基序作为IDO1的增强子。敲低Lin28B可减少Sox2/Oct4并下调肿瘤起始肝癌细胞中的IDO1。我们进一步观察到,用小分子抑制剂(C1632)抑制Lin28可抑制IDO1表达。抑制IDO1导致肿瘤起始细胞产生的犬尿氨酸减少。抑制Lin28轴还损害了HCC细胞中PD-L1的表达。因此,调节Lin28B增强了磷脂酰肌醇蛋白聚糖-3(GPC3)-嵌合抗原受体(CAR)T细胞和NK细胞的体外细胞毒性。接下来,我们观察到在HCC异种移植小鼠模型中,GPC3-CAR T细胞治疗联合C1632可增强抗肿瘤活性。总之,我们的结果表明,抑制Lin28B可减少IDO1和PD-L1表达,并增强GPC3-CART细胞对HCC的免疫治疗潜力。
Overexpression of Lin28 is detected in various cancers with involvement in the self-renewal process and cancer stem cell generation. In the present study, we evaluated how the Lin28 axis plays an immune-protective role for tumor-initiating cancer cells in hepatocellular carcinoma (HCC). Our result using HCC patient samples showed a positive correlation between indoleamine 2,3-dioxygenase-1 (IDO1), a kynurenine-producing enzyme with effects on tumor immune escape, and Lin28B. Using in silico prediction, we identified a Sox2/Oct4 transcriptional motif acting as an enhancer for IDO1. Knockdown of Lin28B reduced Sox2/Oct4 and downregulated IDO1 in tumor-initiating hepatic cancer cells. We further observed that inhibition of Lin28 by a small-molecule inhibitor (C1632) suppressed IDO1 expression. Suppression of IDO1 resulted in a decline in kynurenine production from tumor-initiating cells. Inhibition of the Lin28 axis also impaired PD-L1 expression in HCC cells. Consequently, modulating Lin28B enhanced in vitro cytotoxicity of glypican-3 (GPC3)-chimeric antigen receptor (CAR) T and NK cells. Next, we observed that GPC3-CAR T cell treatment together with C1632 in a HCC xenograft mouse model led to enhanced anti-tumor activity. In conclusion, our results suggest that inhibition of Lin28B reduces IDO1 and PD-L1 expression and enhances immunotherapeutic potential of GPC3-CART cells against HCC.
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