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:YIV-906 enhances nuclear factor of activated T-cells (NFAT) activity of T cells and promotes immune checkpoint blockade antibody action and CAR T-cell activity.
YIV-906 enhances nuclear factor of activated T-cells (NFAT) activity of T cells and promotes immune checkpoint blockade antibody action and CAR T-cell activity.
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YIV-906是一种受传统中药方剂启发开发的系统生物学植物源抗癌药物。八项I/II期至II期临床研究结果显示,YIV-906有望延长癌症患者生存并改善生活质量。作为肿瘤微环境中的免疫调节剂,YIV-906能够使“冷肿瘤”转变为“热肿瘤”,并增强不同类别抗癌药物的抗肿瘤活性;作为胃肠道细胞保护剂,YIV-906可减少非血液学副作用并加快受损组织恢复。在小鼠肝癌模型中,YIV-906通过刺激先天性和适应性免疫增强抗PD-1作用。在Jurkat细胞-葡萄球菌超抗原E(SEE)-Raji细胞共培养模型中,无论是否存在PD-1/PD-L1相互作用,YIV-906均可通过增强NFAT活性、上调CD69来促进T细胞活化。YIV-906无需TCR参与即可触发TCR下游信号级联反应的磷酸化。由于PD-1/PD-L1相互作用会导致TCR下游蛋白去磷酸化,YIV-906可抑制SHP1和SHP2活性。
因此,YIV-906可增强抗PD-1作用,恢复因PD-1/PD-L1相互作用而受抑制的Jurkat细胞NFAT活性。此外,无论是否过表达PD-1/PD-L1,YIV-906均可增强表达嵌合抗原受体(CAR-CD19-CD3ζ)的Jurkat细胞对Raji等CD19表达细胞的NFAT活性和杀伤能力。
研究发现,YIV-906中的草药成分S(黄芩)及其若干化合物在这些作用中发挥关键作用。总之,YIV-906主要通过作用于SHP1/2、活化T效应细胞来调节适应性免疫,也可能促进免疫检查点阻断疗法或CAR-T 细胞疗法用于癌症治疗。
YIV-906 is a systems biology botanical cancer drug, inspired by a traditional Chinese herbal formulation. Results from eight Phase I/II to II clinical studies demonstrated the potential of YIV-906 to prolong survival and improve the quality of life of cancer patients. As an immunomodulator in the tumor microenvironment, YIV-906 can turn cold tumors hot and potentiate anti-tumor activity for different classes of anticancer agents; and as a cytoprotector in the GI, YIV-906 can reduce non-hematological side effects and speed up damaged tissue recovery.
YIV-906 enhanced anti-PD1 action against hepatoma in mice by stimulating both innate and adaptive immunity. In a Jurkat cell-staphylococcal superantigen E (SEE)-Raji cell culture model, YIV-906 promoted T cell activation with upregulation of CD69 by enhancing NFAT activity, with or without PD1-PD-L1 interaction. YIV-906 could trigger the phosphorylation of TCR downstream signaling cascades without the involvement of TCR. YIV-906 could inhibit SHP1 and SHP2 activities, which dephosphorylates TCR downstream proteins due to the PD1-PD-L1 interaction.
Therefore, YIV-906 could enhance anti-PD1 action to rescue the depressed NFAT activity of Jurkat cells due to the PD1-PD-L1 interaction.
In addition, YIV-906 enhanced the NFAT activity and killing capability of Jurkat cells expressing chimeric antigen receptor (CAR-CD19 - CD3z) toward CD19 expressing cells, such as Raji cells, with or without PD1-PD-L1 overexpression. Ingredient herb S ( Scutellaria baicalensis Georgi ) of YIV-906 and some S compounds were found to play key roles in these activities.
In conclusion, YIV-906 modulates adaptive immunity by activating T effector cells mainly through its action on SHP1/2. YIV-906 could also facilitate immune checkpoint blockade therapy or CAR-T cell therapy for cancer treatment.
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