决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:A novel type-2 innate lymphoid cell-based immunotherapy for cancer.
本研究表明ILC2在癌症免疫监视中具有功能意义,并证明了基于ILC2细胞的癌症免疫疗法潜在应用的概念验证。
基于细胞的癌症免疫疗法已取得显著进展,为癌症患者带来了希望。尽管基于细胞的免疫疗法取得了相当大的进步,但其持续较低的应答率和实施相关的高昂成本在临床环境中仍构成严峻挑战。在基于细胞的癌症免疫疗法领域中,一个尚未探索的领域涉及2型固有淋巴细胞(ILC2)和促进ILC2功能的interleukin-33(IL-33),它们因其增强免疫应答的固有能力而受到认可。近期关于它们在激活细胞溶解性T淋巴细胞应答中作用的发现,包括抑制肿瘤生长速率和阻碍转移,为我们对IL-33/ILC2轴的理解增添了新的维度。这些近期见解可能为基于ILC2细胞的免疫疗法带来重大希望。然而,过继转移ILC2以赋予针对肿瘤的免疫保护这一前景尚未被研究。本研究针对这一假设进行了探讨,揭示从荷瘤小鼠肺部分离的ILC2,以及肿瘤浸润性ILC2,在肿瘤建立后以每六十个肿瘤细胞一个ILC2的比例进行过继转移时,会导致肿瘤浸润性CD4+和CD8+ T淋巴细胞以及肿瘤浸润性嗜酸性粒细胞的流入,从而导致肿瘤生长的显著减少。此外,我们发现过继转移ILC2后,肿瘤浸润性ILC2的数量与肿瘤大小成反比。最后,我们发现在表达高水平IL-33与表达低水平IL-33的人类前列腺癌患者中,IL-33/ILC2轴增强嗜酸性粒细胞浸润的推论。我们的结果强调了过继转移的ILC2相较于其他方法具有更高的疗效,在相同实验模型中针对肿瘤的特异性靶向和清除方面,显示出比CAR T细胞在单细胞基础上约一百五十倍的优势。总体而言,本研究证明了ILC2在癌症免疫监视中的功能意义,并为基于ILC2细胞的癌症免疫疗法的潜在应用提供了概念验证。
Cell-based cancer immunotherapy has achieved significant advancements, providing a source of hope for cancer patients. Notwithstanding the considerable progress in cell-based immunotherapy, the persistently low response rates and the exorbitant costs associated with their implementation still present a formidable challenge in clinical settings. In the landscape of cell-based cancer immunotherapies, an uncharted territory involves Type 2 innate lymphoid cells (ILC2s) and interleukin-33 (IL-33) which promotes ILC2 functionality, recognized for their inherent ability to enhance immune responses. Recent discoveries regarding their role in actuating cytolytic T lymphocyte responses, including curbing tumor growth rates and hindering metastasis, have added a new dimension to our understanding of the IL-33/ILC2 axis. These recent insights may hold significant promise for ILC2 cell-based immunotherapy. Nevertheless, the prospect of adoptively transferring ILC2s to confer immune protection against tumors has yet to be investigated. The present study addresses this hypothesis, revealing that ILC2s isolated from the lungs of tumor-bearing mice, and tumor infiltrating ILC2s when adoptively transferred after tumor establishment at a ratio of one ILC2 per sixty tumor cells, leads to an influx of tumor infiltrating CD4+ and CD8+ T lymphocytes as well as tumor infiltrating eosinophils resulting in a remarkable reduction in tumor growth. Moreover, we find that post-adoptive transfer of ILC2s, the number of tumor infiltrating ILC2s is inversely proportional to tumor size. Finally, we find corollaries of the IL-33/ILC2 axis enhancing the infiltration of eosinophils in human prostate carcinomas patients' expressing high levels of IL-33 versus those expressing low levels of IL-33. Our results underscore the heightened efficacy of adoptively transferred ILC2s compared to alternative approaches, revealing an approximately one hundred fifty-fold superiority on a cell-per-cell basis over CAR T-cells in the specific targeting and elimination of tumors within the same experimental model. Overall, this study demonstrates the functional significance of ILC2s in cancer immunosurveillance and provides the proof of concept of the potential utility of ILC2 cell-based cancer immunotherapies.
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