靶向巨噬细胞的癌症治疗策略
Macrophage-directed therapeutic strategies in cancer.
肿瘤相关巨噬细胞(TAMs)是肿瘤微环境的主要组成部分,具有显著的功能可塑性,根据所处的微环境信号,既可表现为促进肿瘤进展的免疫抑制细胞,也可表现为支持抗肿瘤免疫的免疫刺激细胞。
英文原题:BiTE-Secreting CAR-γδT as a Dual Targeting Strategy for the Treatment of Solid Tumors.
BiTE-Secreting CAR-γδT as a Dual Targeting Strategy for the Treatment of Solid Tumors.
HLA-G 被认为是一种免疫检查点蛋白和肿瘤相关抗原。
HLA-G兼具免疫检查点蛋白和肿瘤相关抗原属性。既往研究报告靶向HLA-G的CAR-NK可治疗部分实体瘤,但PD-L1与HLA-G常共表达,过继免疫治疗后PD-L1还可能上调,降低HLA-G CAR疗效,因此多特异CAR同步靶向HLA-G和PD-L1可能更合适。γδT细胞具有不依赖MHC的肿瘤细胞毒性,并具有异体应用潜力。纳米抗体为CAR工程设计提供灵活性,也能识别新表位。本研究以Vδ2 T细胞为效应细胞,电转表达纳米抗体型HLA-G CAR的mRNA,并设计分泌型PD-L1/CD3双特异性T细胞衔接器(BiTE),称为Nb-CAR.BiTE。体内外实验显示,该细胞可有效清除PD-L1和/或HLA-G阳性实体瘤。分泌的PD-L1/CD3 Nb-BiTE不仅重定向Nb-CAR γδT细胞,也可招募未转导旁观者T细胞攻击PD-L1阳性肿瘤,增强治疗活性。研究还证明该细胞可进入荷瘤组织,分泌型Nb-BiTE局限于肿瘤部位且未见明显毒性。
HLA-G is considered as an immune checkpoint protein and a tumor-associated antigen. In the previous work, it is reported that CAR-NK targeting of HLA-G can be used to treat certain solid tumors. However, the frequent co-expression of PD-L1 and HLA-G) and up-regulation of PD-L1 after adoptive immunotherapy may decrease the effectiveness of HLA-G-CAR. Therefore, simultaneous targeting of HLA-G and PD-L1 by multi-specific CAR could represent an appropriate solution. Furthermore, gamma-delta T ( T) cells exhibit MHC-independent cytotoxicity against tumor cells and possess allogeneic potential. The utilization of nanobodies offers flexibility for CAR engineering and the ability to recognize novel epitopes. In this study, V 2 T cells are used as effector cells and electroporated with an mRNA-driven, nanobody-based HLA-G-CAR with a secreted PD-L1/CD3 Bispecific T-cell engager (BiTE) construct (Nb-CAR.BiTE). Both in vivo and in vitro experiments reveal that the Nb-CAR.BiTE- T cells could effectively eliminate PD-L1 and/or HLA-G-positive solid tumors. The secreted PD-L1/CD3 Nb-BiTE can not only redirect Nb-CAR- T but also recruit un-transduced bystander T cells against tumor cells expressing PD-L1, thereby enhancing the activity of Nb-CAR- T therapy. Furthermore, evidence is provided that Nb-CAR.BiTE redirectes T into tumor-implanted tissues and that the secreted Nb-BiTE is restricted to the tumor site without apparent toxicity.
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