RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Biomaterial-based scaffolds for direct in situ programming of tumor-infiltrating T lymphocytes.
Biomaterial-based scaffolds for direct in situ programming of tumor-infiltrating T lymphocytes.
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采用肿瘤浸润T细胞(TILs)的过继性细胞疗法在治疗不可切除实体瘤方面已产生令人振奋的临床试验结果。然而,实体瘤对于过继转移的T细胞而言仍然是难以攻克的靶标,部分原因在于TILs向肿瘤的迁移能力差、浸润的物理屏障以及肿瘤对TILs的主动抑制。
此外,获取肿瘤组织、在体外分离和扩增TILs并将其回输给患者需要一支技术高超的团队,这推高了成本并限制了患者的可及性。在此,我们描述了一种无细胞聚合物植入物,旨在在肿瘤病灶原位招募、基因重编程和扩增宿主T细胞。
重要的是,该支架可大规模制造,且对冻干处理稳定。利用小鼠乳腺癌模型,我们展示该植入物能够快速高效地在肿瘤部位聚集癌症特异性宿主淋巴细胞,其数量足以实现长期肿瘤消退。鉴于手术治疗是许多患者癌症治疗的主要手段,该技术可作为一种实体瘤手术的辅助手段,在临床环境中轻松实施。
此外,该方法可拓展用于招募和基因重编程其他具有治疗价值的宿主细胞,如巨噬细胞、NK 细胞或树突状细胞,从而有可能进一步增强该植入物的抗肿瘤效果。
Adoptive cell therapy with tumor-infiltrating T cells (TILs) has generated exciting clinical trial results for the treatment of unresectable solid tumors.
However, solid tumors remain difficult targets for adoptively transferred T cells, due in part to poor migration of TILs to the tumor, physical barriers to infiltration, and active suppression of TILs by the tumor.
Furthermore, a highly skilled team is required to obtain tumor tissue, isolate and expand the TILs ex vivo, and reinfuse them into the patient, which drives up costs and limits patient access.
Here, we describe a cell-free polymer implant designed to recruit, genetically reprogram and expand host T cells at tumor lesions in situ.
Importantly, the scaffold can be fabricated on a large scale and is stable to lyophilization. Using a mouse breast cancer model, we show that the implants quickly and efficiently amass cancer-specific host lymphocytes at the tumor site in quantities sufficient to bring about long-term tumor regression. Given that surgical care is the mainstay of cancer treatment for many patients, this technology could be easily implemented in a clinical setting as an add-on to surgery for solid tumors.
Furthermore, the approach could be broadened to recruit and genetically reprogram other therapeutically desirable host cells, such as macrophages, natural killer cells or dendritic cells, potentially boosting the antitumor effectiveness of the implant even more.
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