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:TSC2 S1365A mutation potently regulates CD8+ T cell function and differentiation and improves adoptive cellular cancer therapy.
TSC2 S1365A mutation potently regulates CD8+ T cell function and differentiation and improves adoptive cellular cancer therapy.
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mTORC1整合免疫微环境信号,调控T细胞活化、分化和功能;结节性硬化复合体中的TSC2可严格调控mTORC1活化。缺失TSC2的CD8+ T细胞具有持续增强的mTORC1活性,可生成强效应T细胞,但mTORC1持续活化会阻碍长寿命记忆CD8+ T细胞形成。
本研究发现,调节TSC2第1365位丝氨酸可强力调控CD8+ T细胞活化后的mTORC1信号,但不影响基础信号。与未刺激的TSC2敲除细胞不同,表达磷酸化沉默突变体TSC2-S1365A(TSC2-SA)的CD8+ T细胞保留正常基础mTORC1活性。PKC和T细胞受体(TCR)刺激可诱导TSC2 S1365磷酸化,而SA突变阻止该过程,显著增强mTORC1活化和T细胞效应功能。
因此,SA CD8+ T细胞效应应答更强,同时保留分化为长寿命记忆T细胞的能力;在缺氧和酸性条件下,其效应功能同样增强。在小鼠和人实体瘤模型中,采用SA CD8+ T细胞进行过继细胞治疗,比野生型CD8+ T细胞诱导更强的抗肿瘤免疫。这些发现揭示了调控T细胞mTORC1活性的上游机制。TSC2-SA突变可同时增强T细胞效应功能及长期持续/记忆形成,为工程化更优CAR-T 治疗癌症提供了依据。
MTORC1 integrates signaling from the immune microenvironment to regulate T cell activation, differentiation, and function. TSC2 in the tuberous sclerosis complex tightly regulates mTORC1 activation. CD8+ T cells lacking TSC2 have constitutively enhanced mTORC1 activity and generate robust effector T cells; however, sustained mTORC1 activation prevents generation of long-lived memory CD8+ T cells.
Here we show that manipulating TSC2 at Ser1365 potently regulated activated but not basal mTORC1 signaling in CD8+ T cells. Unlike nonstimulated TSC2-KO cells, CD8+ T cells expressing a phosphosilencing mutant TSC2-S1365A (TSC2-SA) retained normal basal mTORC1 activity. PKC and T cell receptor (TCR) stimulation induced TSC2 S1365 phosphorylation, and preventing this with the SA mutation markedly increased mTORC1 activation and T cell effector function.
Consequently, SA CD8+ T cells displayed greater effector responses while retaining their capacity to become long-lived memory T cells. SA CD8+ T cells also displayed enhanced effector function under hypoxic and acidic conditions. In murine and human solid-tumor models, SA CD8+ T cells used as adoptive cell therapy displayed greater antitumor immunity than WT CD8+ T cells.
These findings reveal an upstream mechanism to regulate mTORC1 activity in T cells. The TSC2-SA mutation enhanced both T cell effector function and long-term persistence/memory formation, supporting an approach to engineer better CAR-T cells for treating cancer.
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