帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:TGF-β neutralization attenuates tumor residency of activated T cells to enhance systemic immunity in mice.
TGF-β neutralization attenuates tumor residency of activated T cells to enhance systemic immunity in mice.
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肿瘤浸润T细胞中组织驻留样表型可限制全身抗肿瘤免疫。在头颈癌患者中,新辅助PD-L1免疫检查点阻断(ICB)联合转化生长因子β(TGF-β)中和后可观察到全身抗肿瘤免疫增强。我们在口腔癌同源模型中利用T细胞受体(TCR)测序和功能性免疫测定,剖析这些治疗对增强全身免疫的相对贡献。在ICB基础上加入TGF-β中和,导致扩增且耗竭的CD8+TIL(肿瘤浸润淋巴细胞)进入循环,并增强全身抗肿瘤免疫。这种增强的流出与Itgae(CD103)及其上游调控因子Znf683表达降低相关。治疗后循环CD8+ T细胞表达更高的Cxcr3,这一观察也在接受TGF-β中和联合ICB治疗的患者样本中见到。这些发现为在局部区域疾病确定性治疗之前,对新诊断癌患者使用PD-L1 ICB和TGF-β中和提供了科学依据。
A tissue resident-like phenotype in tumor infiltrating T cells can limit systemic anti-tumor immunity. Enhanced systemic anti-tumor immunity is observed in head and neck cancer patients after neoadjuvant PD-L1 immune checkpoint blockade (ICB) and transforming growth factor β (TGF-β) neutralization. Using T cell receptor (TCR) sequencing and functional immunity assays in a syngeneic model of oral cancer, we dissect the relative contribution of these treatments to enhanced systemic immunity.
The addition of TGF-β neutralization to ICB resulted in the egress of expanded and exhausted CD8 + tumor infiltrating lymphocytes (TILs) into circulation and greater systemic anti-tumor immunity. This enhanced egress associated with reduced expression of Itgae (CD103) and its upstream regulator Znf683 . Circulating CD8 + T cells expressed higher Cxcr3 after treatment, an observation also made in samples from patients treated with dual TGF-β neutralization and ICB.
These findings provide the scientific rationale for the use of PD-L1 ICB and TGF-β neutralization in newly diagnosed patients with carcinomas prior to definitive treatment of locoregional disease.
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