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:Tissue-resident memory CAR T cells with stem-like characteristics display enhanced efficacy against solid and liquid tumors.
Tissue-resident memory CAR T cells with stem-like characteristics display enhanced efficacy against solid and liquid tumors.
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嵌合抗原受体(CAR)T细胞在治疗血液系统恶性肿瘤方面取得了显著成功,但其在非造血系统癌症中的有效性仍然有限。本研究提出通过修饰调控组织驻留适应和早期记忆分化的表观基因组,来增强CAR-T 细胞在实体瘤中的功能和定位。我们发现,人组织驻留记忆CAR-T 细胞(CAR-T RM)形成的一个关键因素是在多效性细胞因子转化生长因子(TGF-)存在下被激活,该因子通过介导染色质重塑和同时发生的转录变化,强制执行既具有“干性”又具有持续组织驻留的核心程序。这种方法产生了一种实用且临床上可行的体外生产方法,可将外周血T细胞工程化为大量“干样”CAR-T RM细胞,这些细胞对肿瘤相关功能障碍具有抵抗力,具备增强的在原位积聚并快速清除癌细胞的能力,从而实现更有效的免疫治疗。
Chimeric antigen receptor (CAR) T cells demonstrate remarkable success in treating hematological malignancies, but their effectiveness in non-hematopoietic cancers remains limited.
This study proposes enhancing CAR T cell function and localization in solid tumors by modifying the epigenome governing tissue-residency adaptation and early memory differentiation.
We identify that a key factor in human tissue-resident memory CAR T cell (CAR-T RM ) formation is activation in the presence of the pleotropic cytokine, transforming growth factor (TGF- ), which enforces a core program of both "stemness" and sustained tissue residency by mediating chromatin remodeling and concurrent transcriptional changes.
This approach leads to a practical and clinically actionable in vitro production method for engineering peripheral blood T cells into a large number of "stem-like" CAR-T RM cells resistant to tumor-associated dysfunction, possessing an enhanced ability to accumulate in situ and rapidly eliminate cancer cells for more effective immunotherapy.
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