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:Mitochondrial metabolism sustains CD8(+) T cell migration for an efficient infiltration into solid tumors.
Mitochondrial metabolism sustains CD8(+) T cell migration for an efficient infiltration into solid tumors.
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CD8 + T 细胞浸润实体瘤并到达癌细胞的能力与患者生存改善和对免疫治疗的应答相关。因此,确定控制肿瘤内 T 细胞迁移的因素至关重要,以便开发干预这些靶点的策略。尽管间质运动是一个高度耗能的过程,但在 3D 环境中迁移的 CD8 + T 细胞的代谢需求仍不清楚。
在此,我们证明,三羧酸 (TCA) 循环是维持人 CD8 + T 细胞在 3D 胶原凝胶和肿瘤切片中运动的主要代谢途径,而糖酵解发挥的作用较小。通过药理学和遗传学方法,我们报告,CD8 + T 细胞迁移依赖于葡萄糖和谷氨酰胺的线粒体氧化,而不依赖脂肪酸,并且线粒体产生的 ATP 和 ROS 都是 T 细胞迁移所必需的。增加线粒体活性的药理学干预可改善 CD8 + T 细胞的瘤内迁移以及 CAR-T 细胞向肿瘤岛的募集,从而在人异种移植模型中更好地控制肿瘤生长。
我们的研究强调了靶向线粒体代谢以增强 CAR-T 细胞治疗实体瘤时的迁移和抗肿瘤疗效的合理性。
The ability of CD8 + T cells to infiltrate solid tumors and reach cancer cells is associated with improved patient survival and responses to immunotherapy.
Thus, identifying the factors controlling T cell migration in tumors is critical, so that strategies to intervene on these targets can be developed. Although interstitial motility is a highly energy-demanding process, the metabolic requirements of CD8 + T cells migrating in a 3D environment remain unclear.
Here, we demonstrate that the tricarboxylic acid (TCA) cycle is the main metabolic pathway sustaining human CD8 + T cell motility in 3D collagen gels and tumor slices while glycolysis plays a more minor role. Using pharmacological and genetic approaches, we report that CD8 + T cell migration depends on the mitochondrial oxidation of glucose and glutamine, but not fatty acids, and both ATP and ROS produced by mitochondria are required for T cells to migrate.
Pharmacological interventions to increase mitochondrial activity improve CD8 + T cell intratumoral migration and CAR T cell recruitment into tumor islets leading to better control of tumor growth in human xenograft models.
Our study highlights the rationale of targeting mitochondrial metabolism to enhance the migration and antitumor efficacy of CAR T cells in treating solid tumors.
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