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:Inhibition of PCSK9 enhances the anti-hepatocellular carcinoma effects of TCR-T cells and anti-PD-1 immunotherapy.
T 细胞在抗肿瘤免疫中发挥重要作用。
T细胞在抗肿瘤免疫中发挥重要作用。然而,肝细胞癌(HCC)肿瘤微环境会导致对T细胞免疫疗法产生耐药,因此亟需新的策略增强T细胞介导的抗肿瘤效应。本研究发现,前蛋白转化酶枯草溶菌素/kexin 9型(PCSK9)高表达与HCC患者总生存期缩短及CD8阳性T细胞标志物减少相关。药理性抑制PCSK9可增强甲胎蛋白(AFP)特异性TCR-T的肿瘤特异性杀伤作用,并下调其PD-1表达。在体内,抑制PCSK9可显著增强TCR-T细胞和抗PD-1免疫治疗的抗HCC疗效。此外,PCSK9抑制剂可依赖CD8阳性T细胞抑制HCC生长。机制上,药理性抑制PCSK9促进低密度脂蛋白受体(LDLR)介导的CD8阳性T细胞mTORC1信号激活。LDLR缺失会损害细胞mTORC1信号及CD8 T细胞抗HCC功能。基于本研究发现,作者提出一种潜在代谢干预策略,可用于增强HCC免疫治疗的抗肿瘤效果。
T cells play important roles in antitumor immunity. However, given that the hepatocellular carcinoma (HCC) tumor microenvironment confers resistance to T cell-based immunotherapies, novel strategies to boost T cell-mediated antitumor efficacy are urgently needed for the treatment of HCC. Here, we show that high proprotein convertase subtilisin/kexin type9 (PCSK9) expression was negatively associated with HCC patient's overall survival and markers of CD8 + T cells. Pharmacological inhibition of PCSK9 enhanced tumor-specific killing and downregulated PD-1 expression of AFP-specific TCR-T. Inhibition of PCSK9 significantly enhances the anti-HCC efficacy of TCR-T cells and anti-PD-1 immunotherapy in vivo . Moreover, PCSK9 inhibitor suppressed HCC growth dependent on CD8 + T cells. Mechanically, pharmacological inhibition of PCSK9 promoted low-density lipoprotein receptor (LDLR)-mediated activation of mTORC1 signaling in CD8 + T cells. LDLR deficiency was shown to impair cellular mTORC1 signaling and the anti-HCC function of CD8 T cells. On the basis of our findings in this study, we propose a potential metabolic intervention strategy that could be used to enhance the antitumor effects of immunotherapy for HCC.
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