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?
英文原题:A novel engineered IL-21 receptor arms T-cell receptor-engineered T cells (TCR-T cells) against hepatocellular carcinoma.
亟需提高 T 细胞疗法在肝细胞癌(HCC)等实体瘤中疗效的策略。
亟需提高肝细胞癌(HCC)等实体瘤 T 细胞疗法的疗效。共同 γ 链(γc)细胞因子家族成员 IL-2、IL-7、IL-15 和 IL-21 在 T 细胞发育、分化和效应阶段发挥重要作用。本研究旨在确定 IL-21 联合 T 细胞疗法治疗 HCC 的效果,并探索优化 IL-21 信号应用的策略。体外和体内实验均显示,外源性 IL-21 可增强甲胎蛋白(AFP)特异性 T 细胞受体工程化 T 细胞(TCR-T)的抗肿瘤功能。IL-21 可增强 TCR-T 的增殖能力、促进记忆分化、下调 PD-1 表达,并减轻激活后的细胞凋亡。研究建立了一种新型工程化 IL-21 受体;表达该受体的 TCR-T(IL-21R-TCR-T)即使在没有外源性 IL-21 配体时,磷酸化 STAT3 表达也会上调。IL-21R-TCR-T 激活后增殖更强,体外和体内抗肿瘤功能更优。在反复肿瘤抗原刺激后,与常规 TCR-T 相比,IL-21R-TCR-T 的分化、耗竭和凋亡程度较低。本研究的新型 IL-21 受体可赋予 TCR-T 强效功能,并避免全身使用 IL-21 引起的副作用,为开发针对 HCC 的下一代 TCR-T 创造了新机会。
Strategies to improve T cell therapy efficacy in solid tumors such as hepatocellular carcinoma (HCC) are urgently needed. The common cytokine receptor chain ( c ) family cytokines such as IL-2, IL-7, IL-15 and IL-21 play fundamental roles in T cell development, differentiation and effector phases. This study aims to determine the combination effects of IL-21 in T cell therapy against HCC and investigate optimized strategies to utilize the effect of IL-21 signal in T cell therapy. The antitumor function of AFP-specific T cell receptor-engineered T cells (TCR-T) was augmented by exogenous IL-21 in vitro and in vivo. IL-21 enhanced proliferation capacity, promoted memory differentiation, downregulated PD-1 expression and alleviated apoptosis in TCR-T after activation. A novel engineered IL-21 receptor was established, and TCR-T armed with the novel engineered IL-21 receptors (IL-21R-TCR-T) showed upregulated phosphorylated STAT3 expression without exogenous IL-21 ligand. IL-21R-TCR-T showed better proliferation upon activation and superior antitumor function in vitro and in vivo. IL-21R-TCR-T exhibited a less differentiated, exhausted and apoptotic phenotype than conventional TCR-T upon repetitive tumor antigen stimulation. The novel IL-21 receptor in our study programs powerful TCR-T and can avoid side effects induced by IL-21 systemic utilization. The novel IL-21 receptor creates new opportunities for next-generation TCR-T against HCC.
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