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:Antibody blockade of the PSGL-1 immune checkpoint enhances T-cell responses to B-cell lymphoma.
这些结果表明,PSGL-1 抗体阻断可增强 T 细胞针对 B 细胞淋巴瘤的活性,提示这是一种治疗此类恶性肿瘤的潜在新型免疫治疗策略。
尽管癌症免疫治疗不断进步,大多数淋巴瘤仍对免疫检查点抑制剂无应答。P-选择素糖蛋白配体-1(PSGL-1)近期在小鼠黑色素瘤模型中被发现可促进T细胞耗竭,现已成为一种新型免疫检查点蛋白和有前景的免疫治疗靶点。本研究探讨靶向PSGL-1抗体治疗B细胞淋巴瘤的潜力。利用异体共培养系统,我们发现,针对人PSGL-1的抗体干预可增强T细胞活化,并促进其在响应淋巴瘤细胞时产生效应细胞因子。此外,使用PSGL-1抗体体外处理原发性淋巴瘤细胞悬液,可增强自体淋巴瘤浸润T细胞的活化。在A20同系B细胞淋巴瘤小鼠模型中,PSGL-1抗体治疗显著延缓肿瘤发展并降低终点肿瘤负荷。伴随这一抗肿瘤效应,肿瘤内CD4+和CD8+ T细胞浸润增加,而调节性T细胞浸润减少。最后,在携带侵袭性Eμ-Myc淋巴瘤细胞的小鼠中,给予抗PSGL-1抗体可促进此前输注的CAR T细胞扩增,并改善疾病控制。这些结果表明,阻断PSGL-1抗体可增强T细胞对抗B细胞淋巴瘤的活性,提示其可能成为治疗此类恶性肿瘤的新型免疫治疗策略。
Despite advancements in cancer immunotherapy, most lymphomas remain unresponsive to checkpoint inhibitors. P-selectin glycoprotein ligand-1 (PSGL-1), recently identified as a promoter of T-cell exhaustion in murine melanoma models, has emerged as a novel immune checkpoint protein and promising immunotherapeutic target. In this study, we investigated the potential of PSGL-1 antibody targeting in B-cell lymphoma. Using allogeneic co-culture systems, we demonstrated that targeted antibody interventions against human PSGL-1 enhanced T-cell activation and effector cytokine production in response to lymphoma cells. Moreover, in vitro treatment of primary lymphoma cell suspensions with PSGL-1 antibody resulted in increased activation of autologous lymphoma-infiltrating T cells. Using the A20 syngeneic B-cell lymphoma mouse model, we found that PSGL-1 antibody treatment significantly slowed tumor development and reduced the endpoint tumor burden. This antitumoral effect was accompanied by augmented tumor infiltration of CD4 + and CD8 + T cells and reduced infiltration of regulatory T cells. Finally, anti-PSGL-1 administration enhanced the expansion of CAR T cells previously transferred to mice bearing the aggressive E -Myc lymphoma cells and improved disease control. These results demonstrate that PSGL-1 antibody blockade bolsters T-cell activity against B-cell lymphoma, suggesting a potential novel immunotherapeutic approach for treating these malignancies.
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