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:SUV39H1 Ablation Enhances Long-term CAR T Function in Solid Tumors.
SUV39H1 Ablation Enhances Long-term CAR T Function in Solid Tumors.
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过继性T细胞疗法在癌症患者中的失败,与T细胞扩增和持留有限有关,即使采用偏向记忆表型的4-1BB(BBz)嵌合抗原受体(CAR)T细胞也如此。本研究显示,通过表观遗传调节组蛋白H3赖氨酸9三甲基化(H3K9me3)通路,可增强BBz-CAR-T 细胞的干/记忆分化和持留。灭活H3K9三甲基转移酶SUV39H1可提高BBz-CAR-T 细胞长期持留能力,使小鼠在肺部及播散性实体瘤模型中于CAR-T 输注数月后仍能抵御肿瘤复发和再次攻击。对肿瘤浸润CAR-T 细胞进行单细胞转录组(单细胞RNA测序)和染色质开放性(单细胞转座酶可及染色质分析)研究发现,CAR-T 细胞早期重编程为具有自我更新能力的干细胞样群体;所有T细胞亚群中的功能障碍基因表达均降低。因此,通过SUV39H1调节H3K9甲基化可优化BBz-CAR-T 细胞长期功能持留,减少复发并预防肿瘤再次攻击。意义:CAR-T 细胞扩增和持留有限会阻碍实体瘤患者治疗应答。本研究显示,靶向SUV39H1组蛋白甲基转移酶可通过增强干性/记忆分化,提高基于4-1BB的CAR-T 细胞对肿瘤复发和再次攻击的长期保护作用,为增强实体瘤过继细胞疗法开辟了安全路径。另见Jain等相关文章,第142页。本文亦入选本期精选文章,第5页。
UNLABELLED: Failure of adoptive T-cell therapies in patients with cancer is linked to limited T-cell expansion and persistence, even in memory-prone 41BB-(BBz)-based chimeric antigen receptor (CAR) T cells.
We show here that BBz-CAR T-cell stem/memory differentiation and persistence can be enhanced through epigenetic manipulation of the histone 3 lysine 9 trimethylation (H3K9me3) pathway. Inactivation of the H3K9 trimethyltransferase SUV39H1 enhances BBz-CAR T cell long-term persistence, protecting mice against tumor relapses and rechallenges in lung and disseminated solid tumor models up to several months after CAR T-cell infusion.
Single-cell transcriptomic (single-cell RNA sequencing) and chromatin opening (single-cell assay for transposase accessible chromatin) analyses of tumor-infiltrating CAR T cells show early reprogramming into self-renewing, stemlike populations with decreased expression of dysfunction genes in all T-cell subpopulations.
Therefore, epigenetic manipulation of H3K9 methylation by SUV39H1 optimizes the long-term functional persistence of BBz-CAR T cells, limiting relapses, and providing protection against tumor rechallenges. SIGNIFICANCE: Limited CAR T-cell expansion and persistence hinders therapeutic responses in solid cancer patients.
We show that targeting SUV39H1 histone methyltransferase enhances 41BB-based CAR T-cell long-term protection against tumor relapses and rechallenges by increasing stemness/memory differentiation. This opens a safe path to enhancing adoptive cell therapies for solid tumors. See related article by Jain et al. , p. 142. This article is featured in Selected Articles from This Issue, p. 5.
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