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通过细菌重塑肿瘤微环境增强过继性 T 细胞疗法在晚期实体瘤中的疗效

英文原题:Remolding the tumor microenvironment by bacteria augments adoptive T cell therapy in advanced-stage solid tumors.

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Remolding the tumor microenvironment by bacteria augments adoptive T cell therapy in advanced-stage solid tumors.

PubMed 2024/11/22(内容时间) Signal Transduct Target Ther Q1 · IF 81.2(JCR 2025)

研究概要

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。

中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Zhu C、Liu C、Wu Q、Sheng T、Zhou R、Ren E、Zhang R、Zhao Z
第一作者单位
Department of Hepatobiliary and Pancreatic Surgery the Second Affiliated Hospital, School of Medicine, Zhejiang University, 310009, Hangzhou, China.China
通讯作者单位
Department of Hepatobiliary and Pancreatic Surgery the Second Affiliated Hospital, School of Medicine, Zhejiang University, 310009, Hangzhou, China. hongjun@zju.edu.cn.China
文献类型
非美国政府资助研究
期刊
Signal transduction and targeted therapy2024 Nov 22
原文标识
PubMed 39572541 · DOI 10.1038/s41392-024-02028-3