英文原题:Collagen-disruptive cell therapy: adoptive transfer of membrane-anchored, tumor cell surface vimentin-targeted interleukin 12-armed TILs suppress collagen expression to boost deep T-cell infiltration via dual signaling activation and significant CCKAR reduction.
Collagen-disruptive cell therapy: adoptive transfer of membrane-anchored, tumor cell surface vimentin-targeted interleukin 12-armed TILs suppress collagen expression to boost deep T-cell infiltration via dual signaling activation and significant CCKAR reduction.
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多种肿瘤靶向T细胞疗法正在迅速发展,但这类疗法受到肿瘤周围胶原屏障的限制,难以穿透肿瘤。破坏肿瘤胶原具有重要意义,因为胶原既抑制T细胞,也参与细胞外基质形成。
我们此前报道,靶向细胞表面波形蛋白(CSV)并携带膜锚定IL-12(attIL12)的T细胞,可通过杀伤癌相关成纤维细胞减少胶原生成,从而增加T细胞浸润。
然而,对于CCKAR高表达的肿瘤,attIL12-T细胞无法降低其胶原表达。本研究发现,CCKAR可在体外和体内直接促进肿瘤细胞产生胶原。attIL12修饰的TIL(肿瘤浸润淋巴细胞)能够抑制CCKAR高表达自体肿瘤细胞在体外以及肉瘤患者来源异种移植模型(PDX)中的胶原生成。肿瘤细胞胶原生成的破坏需要attIL12靶向自体肿瘤细胞CSV与attIL12-TIL上的HLA-TCR同时发生相互作用;任一相互作用被阻断,胶原生成和CCKAR表达都不会被抑制。
从机制上看,attIL12-TIL与自体肿瘤细胞的相互作用增强IFN生成;这与CCKAR下调共同作用,通过抑制TGF刺激的SMAD活化及CCKAR-AKT信号通路,降低胶原表达。减少肿瘤细胞胶原表达可显著增加T细胞浸润,并改善肉瘤PDX模型中的肿瘤生长抑制效果。据我们所知,本研究首次发现了能够破坏肿瘤胶原的T细胞疗法。这一发现意义重大,因为胶原在多数高级别CCKAR阳性人肉瘤中富集。
因此,attIL12-TIL疗法具有显著临床潜力,有望促进高级别、富含胶原肿瘤中的T细胞浸润。
Tumor-targeted T-cell therapies of various types have been booming, but T-cell therapy is limited by its inability to penetrate the collagen barrier surrounding tumors. The destruction of tumor collagen is significant because collagen both suppresses T cells and contributes to the formation of the extracellular matrix.
Our previously reported cell surface vimentin (CSV)-targeted and membrane-anchored IL12-armed (attIL12) T cells can reduce collagen production by killing cancer-associated fibroblasts, thereby increasing T-cell infiltration.
However, attIL12-T cells cannot reduce collagen expression by tumors that highly express CCKAR. In this study, we discovered that CCKAR directly boosts collagen production by tumor cells in vitro and in vivo. attIL12-modified tumor-infiltrating lymphocytes (TILs) disabled collagen production by CCKAR-high autologous tumor cells in vitro and sarcoma patient-derived xenografts (PDXs) in vivo.
This disruption of collagen production by tumor cells required a simultaneous interaction between the CSV on autologous tumor cells, which is targeted by attIL12, and HLA-TCR on attIL12-TILs; when either interaction was abrogated, collagen production and CCKAR expression were not shut down.
Mechanistically, the interaction between attIL12-TILs and autologous tumor cells synergized IFN production, which in combination with CCKAR downregulation reduced collagen expression through suppression of both TGF -stimulated SMAD activation and CCKAR-AKT signaling. Diminishing collagen expression from tumor cells significantly increased T-cell infiltration and improved tumor growth inhibition in PDX sarcomas.
This study thus uncovers the first tumor collagen-disrupting T-cell therapy we know of. This is significant because collagen is enriched in most high-grade CCKAR+ human sarcomas.
Thus, this attIL12-TIL therapy holds great clinical potential for boosting T-cell infiltration in high-grade, collagen-rich tumors.
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