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:Vinorelbine and Intermittent Cyclophosphamide Sensitize an Aggressive Myc-Driven B-Cell Lymphoma to Anti-PD-1 by an Immunological Memory Effective against Tumor Re-Challenge.
Vinorelbine and Intermittent Cyclophosphamide Sensitize an Aggressive Myc-Driven B-Cell Lymphoma to Anti-PD-1 by an Immunological Memory Effective against Tumor Re-Challenge.
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我们此前已在三阴性乳腺癌(TNBC)模型中证明,包含间歇性环磷酰胺(C)、长春瑞滨(V)和抗PD-1的三联疗法(TT)可激活抗原呈递细胞(APC),并产生能够控制局部和转移性肿瘤进展的干细胞样T细胞。在本手稿中,我们报道了一种高度侵袭性、抗PD-1耐药的高级别、Myc驱动的B细胞非霍奇金淋巴瘤(NHL)模型的建立,该模型在体内可被TT控制,但不能被其他化疗药物控制,包括阿糖胞苷(AraC)、铂类(P)和多柔比星(D)。TT在荷瘤小鼠中引发的免疫记忆(而非其他治疗)即使在极高的接种剂量下也能有效控制NHL再攻击。TT重塑了循环固有NK细胞和适应性免疫细胞(包括B细胞和T细胞)的格局,并显著减少了治疗小鼠脾脏中耗竭的CD4 + 和CD8 + TIM3 + PD-1 + T细胞。
We have previously shown in triple-negative breast cancer (TNBC) models that a triple therapy (TT) including intermittent cyclophosphamide (C), vinorelbine (V), and anti-PD-1 activates antigen-presenting cells (APC) and generates stem like-T cells able to control local and metastatic tumor progression. In the present manuscript, we report the generation of a highly aggressive, anti-PD-1 resistant model of a high-grade, Myc-driven B-cell non-Hodgkin's lymphoma (NHL) that can be controlled in vivo by TT but not by other chemotherapeutic agents, including cytarabine (AraC), platinum (P), and doxorubicin (D).
The immunological memory elicited in tumor-bearing mice by TT (but not by other treatments) can effectively control NHL re-challenge even at very high inoculum doses. TT re-shaped the landscape of circulating innate NK cells and adaptive immune cells, including B and T cells, and significantly reduced exhausted CD4 + and CD8 + TIM3 + PD-1 + T cells in the spleens of treated mice.
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