单细胞追踪揭示黑色素瘤 TIL 治疗过程中肿瘤反应性 T 细胞的可塑性
Single-cell tracking reveals tumor-reactive T cell plasticity during melanoma TIL therapy.
TIL(肿瘤浸润淋巴细胞)过继细胞治疗可在转移性黑色素瘤中诱导持久缓解,然而在体外扩增过程中及回输后,调控肿瘤反应性 T 细胞命运的克隆和转录动态仍知之甚少。
英文原题:Genetics and Therapeutic Responses to Tumor-Infiltrating Lymphocyte Therapy of Pancreatic Cancer Patient-Derived Xenograft Models.
Genetics and Therapeutic Responses to Tumor-Infiltrating Lymphocyte Therapy of Pancreatic Cancer Patient-Derived Xenograft Models.
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胰腺癌 PDX 模型可用于深入了解肿瘤特征和生物标志物,并评估过继性细胞疗法和联合疗法的反应。该模型的主要优势在于,可以在自体人源化小鼠模型中测试 T 细胞的修饰,从而获得支持启动临床试验的临床前数据。
胰腺癌是全球癌症相关死亡的第七大原因。检查点免疫治疗在胰腺癌中尚未显示出令人鼓舞的结果,可能是由于免疫原性差和/或免疫抑制微环境。本研究的目的是开发患者来源的异种移植(PDX)模型,将其遗传学与原始活检进行比较,并评估自体TIL(肿瘤浸润淋巴细胞)是否在胰腺癌中具有抗肿瘤活性。
我们将29例患者的肿瘤皮下移植到NOG小鼠中以生成PDX模型。我们建立了TIL培养物并将其注射到PDX小鼠中。我们分析了活检组织和PDX肿瘤的组织学和遗传学。
29例移植中有11例确认肿瘤生长。PDX肿瘤在组织学上与其原始活检相似,但由于PDX模型肿瘤中的基质细胞来自小鼠,其基因表达与原始活检不同。胰腺癌中表达了除programmed death ligand-1(PD-L1)以外的免疫检查点配体,但PD-L1很少表达。当其表达时,与PDX模型中的肿瘤成瘤相关。3例表达PD-L1的肿瘤中,1例为腺鳞癌,另1例存在错配修复缺陷。从6例肿瘤中扩增了TIL,并将其注射到携带PDX肿瘤的NOG或人白细胞介素-2转基因-NOG小鼠中。在接受自体TIL治疗的6个PDX模型中,有3个可在人白细胞介素-2转基因-NOG小鼠中验证肿瘤消退,包括腺鳞癌PDX模型。
We subcutaneously transplanted tumors from 29 patients into NOG mice to generate PDX models. We established TIL cultures and injected them into PDX mice. We analyzed histology and genetics of biopsies and PDX tumors.
Tumor growths were confirmed in 11 of 29 transplantations. The PDX tumors histologically resembled their original biopsies, but because stromal cells in the PDX model tumors were from mouse, their gene expression differed from the original biopsies. Immune checkpoint ligands other than programmed death ligand-1 (PD-L1) were expressed in pancreatic cancers, but PD-L1 was rarely expressed. When it was expressed, it correlated with tumor take in PDX models. One of the 3 tumors that expressed PD-L1 was an adenosquamous cancer, and another had a mismatch repair deficiency. TILs were expanded from 6 tumors and were injected into NOG or human interleukin-2 transgenic-NOG mice carrying PDX tumors. Regression of tumors could be verified in human interleukin-2 transgenic-NOG mice in 3 of the 6 PDX models treated with autologous TILs, including the adenosquamous PDX model.
PDX models of pancreatic cancer can be used to learn more about tumor characteristics and biomarkers and to evaluate responses to adoptive cell therapy and combination therapies. The major benefit of the model is that modifications of T cells can be tested in an autologous humanized mouse model to gain preclinical data to support the initiation of a clinical trial.
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