TCR-JANUS 衔接蛋白实现双特异性靶向以克服 TCR-T 细胞治疗中的肿瘤异质性
TCR-JANUS engager proteins enable bispecific targeting to overcome tumor heterogeneity in TCR-T cell therapy.
基于 T 细胞受体(TCR)的免疫疗法受限于肿瘤抗原异质性,后者常导致复发。
英文原题:HLA-class II restricted TCR targeting human papillomavirus type 18 E7 induces solid tumor remission in mice.
HLA-class II restricted TCR targeting human papillomavirus type 18 E7 induces solid tumor remission in mice.
本研究为开发安全有效的 TCR-T 疗法提供了一种思路,同时凸显了 HLA II 类限制性 TCR-T 疗法作为癌症治疗的潜力。
T细胞受体(TCR)工程化T细胞疗法是治疗实体瘤的潜在新方法,临床试验已显示初步疗效,但获得临床有效的TCR分子仍是重大挑战。我们开发了一种策略,可从接受免疫治疗并长期存活的应答患者中克隆肿瘤特异性TCR。本文报告发现TCR 10F04:该受体受人白细胞抗原HLA-DRA/DRB1*09:01限制,特异识别人乳头瘤病毒18型(HPV18)E7的84至98位氨基酸表位,来源于一位从多抗原刺激细胞治疗(MASCT)中获益的转移性宫颈癌患者。将10F04转导入人T细胞后,该TCR在体外和体内模型均表现出强效抗肿瘤活性。值得注意的是,该TCR可重定向CD4+和CD8+ T细胞,特异识别肿瘤细胞,并诱导多种细胞因子分泌,同时保持持久抗肿瘤活性和良好安全性。目前该TCR正在一项治疗HPV18阳性癌症的I期临床试验中研究。本研究为开发安全有效的TCR-T疗法提供了方法,并凸显HLA II类限制性TCR-T治疗癌症的潜力。
T cell receptor (TCR)-engineered T cell therapy is a promising potential treatment for solid tumors, with preliminary efficacy demonstrated in clinical trials. However, obtaining clinically effective TCR molecules remains a major challenge. We have developed a strategy for cloning tumor-specific TCRs from long-term surviving patients who have responded to immunotherapy. Here, we report the identification of a TCR (10F04), which is human leukocyte antigen (HLA)-DRA/DRB1*09:01 restricted and human papillomavirus type 18 (HPV18) E7 84-98 specific, from a multiple antigens stimulating cellular therapy (MASCT) benefited metastatic cervical cancer patient. Upon transduction into human T cells, the 10F04 TCR demonstrated robust antitumor activity in both in vitro and in vivo models. Notably, the TCR effectively redirected both CD4 + and CD8 + T cells to specifically recognize tumor cells and induced multiple cytokine secretion along with durable antitumor activity and outstanding safety profiles. As a result, this TCR is currently being investigated in a phase I clinical trial for treating HPV18-positive cancers. This study provides an approach for developing safe and effective TCR-T therapies, while underscoring the potential of HLA class II-restricted TCR-T therapy as a cancer treatment.
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