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:HDAC Inhibition Increases CXCL12 Secretion to Recruit Natural Killer Cells in Peripheral T-cell Lymphoma.
本研究揭示了 HDAC3 调控 ATF3 活性与 CXCL12 分泌,进而导致免疫浸润和淋巴瘤抑制的机制。
外周 T 细胞淋巴瘤(PTCL)是一种异质性高、侵袭性强且预后不良的疾病。组蛋白去乙酰化酶(HDAC)抑制剂已显示出抑制 PTCL 的作用。深入了解 HDAC 抑制剂的治疗机制有助于改进治疗策略。本研究发现 HDAC3 高表达与 PTCL 不良预后相关。抑制 HDAC3 可抑制免疫功能完整小鼠的淋巴瘤生长,但在免疫缺陷小鼠中无此效应。敲除 HDAC3 可延缓淋巴瘤进展、降低胸腺、脾脏和淋巴结中的淋巴瘤负荷,并延长 N-甲基-N-亚硝基脲诱导型淋巴瘤小鼠的生存。此外,抑制 HDAC3 可促进自然杀伤(NK)细胞浸润并增强其功能。机制上,HDAC3 介导 ATF3 去乙酰化,增强其转录抑制活性。靶向 HDAC3 可通过 ATF3 依赖通路增强 CXCL12 分泌,从而促进 NK 细胞募集和活化。最后,抑制 HDAC3 可增强 PTCL 对常规化疗的应答。综上,本研究揭示 HDAC3 如何调节 ATF3 活性和 CXCL12 分泌,促进免疫细胞浸润并抑制淋巴瘤。HDAC3 抑制剂联合化疗可能是治疗 PTCL 的有前景策略。 意义:靶向 HDAC3 可激活 ATF3、诱导 CXCL12 分泌并促进 NK 细胞浸润,从而抑制 T 细胞淋巴瘤进展,为患者提供免疫刺激性治疗方法。
Peripheral T-cell lymphoma (PTCL) is a heterogeneous and aggressive disease with a poor prognosis. Histone deacetylase (HDAC) inhibitors have shown inhibitory effects on PTCL. A better understanding of the therapeutic mechanism underlying the effects of HDAC inhibitors could help improve treatment strategies. Herein, we found that high expression of HDAC3 is associated with poor prognosis in PTCL. HDAC3 inhibition suppressed lymphoma growth in immunocompetent mice but not in immunodeficient mice. HDAC3 deletion delayed the progression of lymphoma, reduced the lymphoma burden in the thymus, spleen, and lymph nodes, and prolonged the survival of mice bearing N-methyl-N-nitrosourea-induced lymphoma. Furthermore, inhibiting HDAC3 promoted the infiltration and enhanced the function of natural killer (NK) cells. Mechanistically, HDAC3 mediated ATF3 deacetylation, enhancing its transcriptional inhibitory activity. Targeting HDAC3 enhanced CXCL12 secretion through an ATF3-dependent pathway to stimulate NK-cell recruitment and activation. Finally, HDAC3 suppression improved the response of PTCL to conventional chemotherapy. Collectively, this study provides insights into the mechanism by which HDAC3 regulates ATF3 activity and CXCL12 secretion, leading to immune infiltration and lymphoma suppression. Combining HDAC3 inhibitors with chemotherapy may be a promising strategy for treating PTCL. Significance: Targeting HDAC3 suppresses progression of T-cell lymphoma by activating ATF3 to induce secretion of CXCL12 and promote infiltration of NK cells, providing an immunostimulatory approach for treating T-cell lymphoma patients.
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