不可逆电穿孔增强 CAR-T 细胞对实体瘤的浸润与选择性癌细胞裂解
Irreversible Electroporation Enhances Solid Tumor Infiltration and Selective Cancer Cell Lysis by CAR T Cells.
通过利用一种双用途转化策略——直接的癌细胞靶向细胞毒性和增强的 CAR-T 细胞浸润——sIRE 能够减轻肿瘤负荷,同时保持并增强 CAR-T 细胞功能。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Intratumoral immune triads are required for immunotherapy-mediated elimination of solid tumors.
Intratumoral immune triads are required for immunotherapy-mediated elimination of solid tumors.
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肿瘤特异性CD8+ T细胞常功能失调,无法阻止肿瘤生长。我们研究了肿瘤特异性CD4+ T细胞能否被调动以克服肿瘤内CD8+ T细胞的功能障碍。我们发现,在过继性T细胞治疗以及免疫检查点阻断(ICB)的背景下,CD8+和CD4+ T细胞的空间定位和相互作用,而非其数量,决定了抗肿瘤反应:CD4+ T细胞必须在效应阶段与同一个树突状细胞上的CD8+ T细胞相互作用,形成三细胞型簇(三联体),从而赋予CD8+ T细胞细胞毒性和癌细胞清除能力。当瘤内三联体形成被破坏时,尽管肿瘤特异性CD8+和CD4+ T细胞数量相等,肿瘤仍会进展。在接受ICB治疗的胸膜间皮瘤患者中,三联体与临床反应相关。因此,在效应阶段,CD4+ T细胞和三联体是CD8+ T细胞细胞毒性和肿瘤清除所必需的。
Tumor-specific CD8 + T cells are frequently dysfunctional and unable to halt tumor growth.
We investigated whether tumor-specific CD4 + T cells can be enlisted to overcome CD8 + T cell dysfunction within tumors.
We find that the spatial positioning and interactions of CD8 + and CD4 + T cells, but not their numbers, dictate anti-tumor responses in the context of adoptive T cell therapy as well as immune checkpoint blockade (ICB): CD4 + T cells must engage with CD8 + T cells on the same dendritic cell during the effector phase, forming a three-cell-type cluster (triad) to license CD8 + T cell cytotoxicity and cancer cell elimination.
When intratumoral triad formation is disrupted, tumors progress despite equal numbers of tumor-specific CD8 + and CD4 + T cells. In patients with pleural mesothelioma treated with ICB, triads are associated with clinical responses.
Thus, CD4 + T cells and triads are required for CD8 + T cell cytotoxicity during the effector phase and tumor elimination.
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