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:Disruption of SUV39H1-Mediated H3K9 Methylation Sustains CAR T-cell Function.
Disruption of SUV39H1-Mediated H3K9 Methylation Sustains CAR T-cell Function.
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过继T细胞疗法的功能持久性不足限制了其疗效。基于CD28的嵌合抗原受体(CAR)可赋予T细胞强效应功能,但细胞存续时间有限。本研究显示,在白血病和前列腺癌模型中,遗传性破坏编码组蛋白3赖氨酸9甲基转移酶的SUV39H1,可增强人CAR-T 细胞早期扩增、长期持久性及整体抗肿瘤疗效。经SUV39H1编辑且持续存在的CAR-T 细胞在多次再次挑战后,扩增能力和排斥肿瘤的能力均有所提升。对经历多次挑战的CAR-T 细胞开展转录和基因组可及性分析发现,经SUV39H1编辑的细胞中,记忆相关转录因子的表达和染色质可及性均提高。SUV39H1编辑还降低了经历多次挑战的CAR-T 细胞中抑制性受体的表达,并限制其耗竭。研究结果表明,通过表观遗传编程平衡CAR-T 细胞的功能与持久性,有望改善过继细胞治疗。意义:采用CD28型CAR进行工程改造的T细胞具有强效应功能和抗原敏感性,但持久性有限,可能导致肿瘤复发。我们报告了一种表观遗传策略,通过破坏SUV39H1介导的组蛋白沉默程序,促进CD28型CAR-T 细胞维持功能。参见López-Cobo等人发表于第120页的相关文章;本文亦入选本期精选文章(第5页)。
UNLABELLED: Suboptimal functional persistence limits the efficacy of adoptive T-cell therapies. CD28-based chimeric antigen receptors (CAR) impart potent effector function to T cells but with a limited lifespan.
We show here that the genetic disruption of SUV39H1, which encodes a histone-3, lysine-9 methyl-transferase, enhances the early expansion, long-term persistence, and overall antitumor efficacy of human CAR T cells in leukemia and prostate cancer models. Persisting SUV39H1-edited CAR T cells demonstrate improved expansion and tumor rejection upon multiple rechallenges.
Transcriptional and genome accessibility profiling of repeatedly challenged CAR T cells shows improved expression and accessibility of memory transcription factors in SUV39H1-edited CAR T cells. SUV39H1 editing also reduces expression of inhibitory receptors and limits exhaustion in CAR T cells that have undergone multiple rechallenges.
Our findings thus demonstrate the potential of epigenetic programming of CAR T cells to balance their function and persistence for improved adoptive cell therapies. SIGNIFICANCE: T cells engineered with CD28-based CARs possess robust effector function and antigen sensitivity but are hampered by limited persistence, which may result in tumor relapse.
We report an epigenetic strategy involving disruption of the SUV39H1-mediated histone-silencing program that promotes the functional persistence of CD28-based CAR T cells. See related article by L pez-Cobo et al. , p. 120. This article is featured in Selected Articles from This Issue, p. 5.
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