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:DNAJB1-PRKACA fusion neoantigens elicit rare endogenous T cell responses that potentiate cell therapy for fibrolamellar carcinoma.
DNAJB1-PRKACA fusion neoantigens elicit rare endogenous T cell responses that potentiate cell therapy for fibrolamellar carcinoma.
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纤维板层型肝癌(FLC)是一种死亡率高且治疗选择有限的肝脏肿瘤。FLC中一个有前景的治疗脆弱性是其驱动突变,即一种保守的DNAJB1-PRKACA基因融合,可能成为免疫治疗的理想靶向新抗原。在本研究中,我们旨在明确FLC患者对该融合的内源性CD8 T细胞反应,并评估融合特异性T细胞受体(TCR)用于细胞免疫治疗的可行性。我们观察到融合特异性CD8 T细胞较为罕见,且FLC患者的TCR repertoire缺乏与强效抗原特异性反应特征相符的大型相关TCR序列簇,这可能解释了为何内源性免疫反应不足以清除FLC肿瘤。尽管如此,我们定义了两种具有功能的融合特异性TCR,其中一种在体内具有强效抗肿瘤活性。总之,我们的结果提供了对人类新抗原特异性repertoire碎片化本质的见解,并指出了FLC成功免疫治疗临床开发的方向。
Fibrolamellar carcinoma (FLC) is a liver tumor with a high mortality burden and few treatment options. A promising therapeutic vulnerability in FLC is its driver mutation, a conserved DNAJB1-PRKACA gene fusion that could be an ideal target neoantigen for immunotherapy. In this study, we aim to define endogenous CD8 T cell responses to this fusion in FLC patients and evaluate fusion-specific T cell receptors (TCRs) for use in cellular immunotherapies.
We observe that fusion-specific CD8 T cells are rare and that FLC patient TCR repertoires lack large clusters of related TCR sequences characteristic of potent antigen-specific responses, potentially explaining why endogenous immune responses are insufficient to clear FLC tumors. Nevertheless, we define two functional fusion-specific TCRs, one of which has strong anti-tumor activity in vivo.
Together, our results provide insights into the fragmented nature of neoantigen-specific repertoires in humans and indicate routes for clinical development of successful immunotherapies for FLC.
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