CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Deleting SUV39H1 in CAR-T cells epigenetically enhances the antitumor function.
Deleting SUV39H1 in CAR-T cells epigenetically enhances the antitumor function.
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SUV39H1 缺失可通过表观遗传机制增强 CAR-T 细胞抗肿瘤功能(图示)。 (A)SUV39H1 缺失增强 CAR-T 细胞抗肿瘤功能的示意图。具有功能的 CAR-T 细胞在慢性肿瘤抗原持续刺激下最终会转变为功能障碍、耗竭的 CAR-T 细胞,表现为增殖、效应功能以及干性/记忆特征下降,从而限制抗肿瘤活性并导致实体瘤复发。经基因工程敲除 SUV39H1 后,SUV 敲除 CAR-T 细胞的增殖和干性/记忆特性增强,同时效应和耗竭表型减弱。体外扩增后静脉输注这些增强的 SUV 敲除 CAR-T 细胞,可使小鼠获得更强且更持久的肿瘤排斥。 (B)SUV39H1 缺失介导的 CAR-T 细胞表观遗传重编程机制。慢性肿瘤抗原刺激下,耗竭 CAR-T 细胞的增殖、效应及干性/记忆相关基因下调,耗竭相关基因上调。基因敲除 SUV39H1 可增加 SUV 敲除 CAR-T 细胞中干性/记忆相关基因的染色质可及性,并降低抑制性受体和效应相关基因的染色质可及性,从而在表观遗传层面重编程人 T 细胞:提高 KLF2、LEF1 和 TCF7 等干性/记忆基因表达,降低效应/耗竭相关基因表达。
SUV39H1 ablation in CAR-T cells epigenetically enhances the antitumor function (by Figdraw). (A) Schematic illustration of SUV39H1 ablation-mediated enhanced antitumor function of CAR-T cells. Functional CAR-T cells eventually transformed into dysfunctional exhausted CAR-T cells under the exposure of chronic tumor antigens, accompanied by reduced proliferation level, effector function, and stemness/memory characteristics, thereby limiting the antitumor activity so as to cause the recurrence of solid tumors. Upon genetic engineering of SUV39H1 ablation, SUV KO CAR-T cells are endowed with increased proliferation level and stemness/memory properties, accompanied by reduced effector/exhausted phenotype.
Augmented SUV KO CAR-T cells after in vitro expansion intravenously infusion to mice achieved stronger and more persistent tumor rejection. (B) SUV39H1 ablation-mediated epigenetic reprogramming mechanism of CAR-T cells. Epigenetically, under the stimulation of chronic tumor antigens, exhausted CAR-T cells were characterized by downregulation of proliferation, effector and stemness/memory-associated genes and upregulation of exhaustion-associated genes.
SUV39H1 genetic ablation increased chromatin accessibility of stemness/memory-associated genes and reduced chromatin accessibility of inhibitory receptors and effector-associated genes in SUV KO CAR-T cells, epigenetically reprogramming human T cells to express higher levels of stemness/memory genes such as KLF2, LEF1 and TCF7 and lower levels of effector/exhaustion genes.
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