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:Remolding the tumor microenvironment by bacteria augments adoptive T cell therapy in advanced-stage solid tumors.
Remolding the tumor microenvironment by bacteria augments adoptive T cell therapy in advanced-stage solid tumors.
复杂的肿瘤微环境通过限制转移T细胞的浸润并诱导其耗竭,对过继性T细胞疗法在实体瘤治疗中的疗效构成了严峻障碍。
复杂的肿瘤微环境通过限制转移T细胞的浸润并诱导其耗竭,对过继性T细胞疗法在实体瘤治疗中的疗效构成了巨大障碍。在此,我们开发了一种基于细菌的佐剂方法,可增强过继性T细胞疗法治疗实体瘤的疗效。我们的研究揭示,瘤内注射E. coli MG1655可使肿瘤血管正常化,并将肿瘤相关巨噬细胞重编程为M1表型,使其产生大量CCL5,共同促进过继转移T细胞的肿瘤浸润。在体内清除肿瘤相关巨噬细胞或中和CCL5会导致在细菌治疗存在的情况下,过继性T细胞的实体瘤浸润显著减少。这种由E. coli佐剂和过继性T细胞疗法组成的联合疗法,可有效根除早期黑色素瘤并抑制胰腺肿瘤的进展。值得注意的是,这一双重策略还通过诱导原位肿瘤疫苗增强了过继性T细胞疗法的远端肿瘤控制能力。这种针对实体瘤内部进行细菌治疗、同时由过继性T细胞疗法攻击肿瘤周边的双重治疗策略,通过从肿瘤组织内外协同攻击,在实现晚期肿瘤(包括黑色素瘤和肝细胞癌)的根除方面展现出强效的治疗效果。
The intricate tumor microenvironment presents formidable obstacles to the efficacy of adoptive T cell therapy in the management of solid tumors by limiting the infiltration and inducing exhaustion of the transferred T cells. Here, we developed a bacterial-based adjuvant approach that augments the efficacy of adoptive T-cell therapy for solid tumor treatment. Our study reveals that intratumor injection of E. coli MG1655 normalizes tumor vasculatures and reprograms tumor-associated macrophages into M1 phenotype that produce abundant CCL5, together facilitating tumor infiltration of adoptively transferred T cells. The depletion of tumor-associated macrophages or CCL5 neutralization in vivo leads to the significantly decreased solid tumor infiltration of adoptive T cells in the presence of bacteriotherapy. This combinatorial therapy, consisting of E. coli adjuvant and adoptive T-cell therapy, effectively eradicates early-stage melanoma and inhibits the progression of pancreatic tumors. Notably, this dual strategy also strengthened the distal tumor control capabilities of adoptive T-cell therapy through the induction of in situ tumor vaccination. This dual therapeutic approach involving bacterial therapy targeting the interior of solid tumors and adoptive T-cell therapy attacking the tumor periphery exhibits potent therapeutic efficacy in achieving the eradication of advanced-stage tumors, including melanoma and hepatocellular carcinoma, by converging attacks from both inside and outside the tumor tissues.
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