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宫颈癌 TCR-T 细胞治疗的数学模型

英文原题:A Mathematical Model of TCR-T Cell Therapy for Cervical Cancer.

查看英文原题

A Mathematical Model of TCR-T Cell Therapy for Cervical Cancer.

PubMed 2024/04/16(内容时间) Bull Math Biol Q2 · IF 2.3(JCR 2025)

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中文摘要

经工程化表达T细胞受体(TCR)的T细胞(TCR-T),旨在识别特定癌症抗原后引发强效抗肿瘤应答,使TCR-T细胞迅速扩增并增强细胞毒功能,最终杀死癌细胞。然而,尽管TCR-T癌症治疗已显示出前景,仍难以预测哪些患者能从治疗中获益。我们建立数学模型,在小鼠癌症模型中识别应答不足相关机制。模型构建了肿瘤细胞、效应TCR-T细胞、调节性T细胞(Treg)及“不杀伤癌细胞”的TCR-T细胞群体动态系统。我们证明,肿瘤内大多数TCR-T细胞属于“不杀伤癌细胞”的TCR-T细胞(如耗竭细胞),它们在肿瘤微环境(TME)中几乎不发挥直接细胞毒作用。我们还确定影响肿瘤消退的两个重要因素:清除Treg后逆转免疫抑制性TME,以及增加具有抗肿瘤活性的效应TCR-T细胞数量。数学建模显示,提高效应TCR-T细胞的细胞毒性和调整TCR-T细胞数量等参数,对治疗结局具有重要影响。

展开英文摘要原文

Engineered T cell receptor (TCR)-expressing T (TCR-T) cells are intended to drive strong anti-tumor responses upon recognition of the specific cancer antigen, resulting in rapid expansion in the number of TCR-T cells and enhanced cytotoxic functions, causing cancer cell death.

However, although TCR-T cell therapy against cancers has shown promising results, it remains difficult to predict which patients will benefit from such therapy.

We develop a mathematical model to identify mechanisms associated with an insufficient response in a mouse cancer model.

We consider a dynamical system that follows the population of cancer cells, effector TCR-T cells, regulatory T cells (Tregs), and "non-cancer-killing" TCR-T cells.

We demonstrate that the majority of TCR-T cells within the tumor are "non-cancer-killing" TCR-T cells, such as exhausted cells, which contribute little or no direct cytotoxicity in the tumor microenvironment (TME).

We also establish two important factors influencing tumor regression: the reversal of the immunosuppressive TME following depletion of Tregs, and the increased number of effector TCR-T cells with antitumor activity. Using mathematical modeling, we show that certain parameters, such as increasing the cytotoxicity of effector TCR-T cells and modifying the number of TCR-T cells, play important roles in determining outcomes.

论文信息

作者
Wang Z、Cho H、Choyke P、Levy D、Sato N
第一作者单位
Department of Mathematics, University of Maryland, College Park, MD, 20742, USA.United States
通讯作者单位
Molecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20892, USA. saton@mail.nih.gov.United States
期刊
Bulletin of mathematical biology2024 Apr 16
原文标识
PubMed 38625492 · DOI 10.1007/s11538-024-01261-9