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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:New insights into the stemness of adoptively transferred T cells by γc family cytokines.
New insights into the stemness of adoptively transferred T cells by γc family cytokines.
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以T细胞为基础的过继细胞治疗(ACT)已显示出卓越的抗肿瘤疗效,嵌合抗原受体治疗(CAR-T)在血液系统恶性肿瘤中的临床突破便是例证。该疗法依赖一群具备功能的T细胞保留发育潜能,从而连续杀伤靶细胞。
然而,功能性T细胞持续供应和持久存在的不足已被认为是实现持久应答的关键障碍。赋予输注T细胞干性,使其形成具有干细胞样记忆T细胞(TSCM)特征的细胞——能够持续自我更新并具备类似多能干细胞的多谱系分化能力——对于增强T细胞功能、维持抗肿瘤免疫确属必要且前景良好。
因此,识别诱导TSCM细胞的调控因子,并在制备过程中及输注后获取更多TSCM细胞作为储备细胞,对提高抗肿瘤疗效至关重要。近期,四种共同γ链(γc)家族细胞因子,即白细胞介素-2(IL-2)、IL-7、IL-15和IL-21,已广泛用于体外制备长寿命过继转移TSCM细胞。
然而,其非特异性毒性和脱靶效应等挑战,促使研究者投入大量努力开发工程化版本,以充分发挥其诱导和维持ACT中T细胞干性的潜力。本综述总结四种γc家族细胞因子在调控过继转移T细胞干性中的作用,介绍调节TSCM细胞形成的工程化版本,并展示不同组合策略的潜力。视频摘要。
T cell-based adoptive cell therapy (ACT) has exhibited excellent antitumoral efficacy exemplified by the clinical breakthrough of chimeric antigen receptor therapy (CAR-T) in hematologic malignancies. It relies on the pool of functional T cells to retain the developmental potential to serially kill targeted cells.
However, failure in the continuous supply and persistence of functional T cells has been recognized as a critical barrier to sustainable responses. Conferring stemness on infused T cells, yielding stem cell-like memory T cells (T SCM ) characterized by constant self-renewal and multilineage differentiation similar to pluripotent stem cells, is indeed necessary and promising for enhancing T cell function and sustaining antitumor immunity.
Therefore, it is crucial to identify T SCM cell induction regulators and acquire more T SCM cells as resource cells during production and after infusion to improve antitumoral efficacy. Recently, four common cytokine receptor chain ( c) family cytokines, encompassing interleukin-2 (IL-2), IL-7, IL-15, and IL-21, have been widely used in the development of long-lived adoptively transferred T SCM in vitro.
However, challenges, including their non-specific toxicities and off-target effects, have led to substantial efforts for the development of engineered versions to unleash their full potential in the induction and maintenance of T cell stemness in ACT. In this review, we summarize the roles of the four c family cytokines in the orchestration of adoptively transferred T cell stemness, introduce their engineered versions that modulate T SCM cell formation and demonstrate the potential of their various combinations. Video Abstract.
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