为肝细胞癌武装 GPC3 CAR-T 细胞:多少才足够,下一步是什么?
Armouring GPC3 CAR T cells for hepatocellular carcinoma: how much is enough and what comes next?
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Platelet-derived microparticles adoptively transfer integrin β3 to promote antitumor effect of tumor-infiltrating T cells.
Platelet-derived microparticles adoptively transfer integrin β3 to promote antitumor effect of tumor-infiltrating T cells.
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大约三分之二的肝细胞癌(HCC)被认为是“冷肿瘤”,其特征是肿瘤浸润T细胞少和免疫抑制细胞丰富。西仑吉肽,一种整合素αvβ3抑制剂,作为潜在的抗癌药物在临床试验中失败。这一失败暗示整合素αvβ3可能在免疫细胞中发挥重要作用。
然而,整合素αvβ3在HCC患者T细胞中的表达和潜在作用仍不清楚。在此,我们建立了两种HCC模型,发现西仑吉肽对HCC微环境具有双重作用,既发挥抗肿瘤作用,又对T细胞产生免疫抑制作用。这可能部分解释了西仑吉肽在临床试验中的失败。在临床标本中,HCC浸润T细胞表现出整合素β3的表达和激活缺陷,这与T细胞向肿瘤的浸润不良相关。
此外,整合素β3在体外作为一种正向免疫调节分子,促进T细胞浸润和T辅助1型免疫反应。进一步,T细胞与血小板衍生微粒(PMPs)共培养实验揭示,PMPs将整合素β3过继转移给T细胞,并正向调节T细胞免疫反应。这一过程由网格蛋白依赖性内吞和巨胞饮介导。
我们的数据表明,HCC浸润T细胞上整合素β3的缺陷可能参与塑造免疫抑制性肿瘤微环境。PMPs将整合素β3转移给T细胞并正向调节T细胞免疫反应,这可能为HCC的免疫治疗提供新的见解。
Approximately two-thirds of hepatocellular carcinoma (HCC) is considered a "cold tumor" characterized by few tumor-infiltrating T cells and an abundance of immunosuppressive cells. Cilengitide, an integrin αvβ3 inhibitor, has failed in clinical trials as a potential anticancer drug. This failure implies that integrin αvβ3 may play an important role in immune cells.
However, the expression and potential role of integrin αvβ3 in T cells of HCC patients remain unknown.
Here, we established two HCC models and found that cilengitide had a dual effect on the HCC microenvironment by exerting both antitumor effect and immunosuppressive effect on T cells. This may partly explain the failure of cilengitide in clinical trials. In clinical specimens, HCC-infiltrating T cells exhibited deficient expression and activation of integrin β3, which was associated with poor T-cell infiltration into tumors.
Additionally, integrin β3 functioned as a positive immunomodulatory molecule to facilitate T-cell infiltration and T helper 1-type immune response in vitro.
Furthermore, T cells and platelet-derived microparticles (PMPs) co-culture assay revealed that PMPs adoptively transferred integrin β3 to T cells and positively regulated T cell immune response. This process was mediated by clathrin-dependent endocytosis and macropinocytosis.
Our data demonstrate that integrin β3 deficiency on HCC-infiltrating T cells may be involved in shaping the immunosuppressive tumor microenvironment. PMPs transfer integrin β3 to T cells and positively regulate T cell immune response, which may provide a new insight into immune therapy of HCC.
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