不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Butyrate-producing Faecalibacterium prausnitzii suppresses natural killer/T-cell lymphoma by dampening the JAK-STAT pathway.
Butyrate-producing Faecalibacterium prausnitzii suppresses natural killer/T-cell lymphoma by dampening the JAK-STAT pathway.
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这些发现揭示了 NKTCL 中独特的肠道微生物群特征,并为利用 F.
自然杀伤/T细胞淋巴瘤(NKTCL)是一种高度侵袭性的恶性肿瘤,预后极差,目前对于影响疾病结局的决定因素的认识仍存在空白。
表征肠道微生物群特征,并鉴定可能改善NKTCL发展的潜在益生菌。
这项横断面研究采用鸟枪法宏基因组测序,对两个中国NKTCL队列的肠道微生物群进行了分析,并在一个独立的韩国队列中进行了验证。采用单变量和多变量Cox比例风险分析,评估所鉴定的标志物种与患者预后之间的关联。利用全面的体内和体外模型研究了其抑瘤效应。此外,采用代谢组学、RNA测序、染色质免疫沉淀测序、Western blot分析、免疫组织化学和慢病毒介导的基因敲低系统来阐明其潜在机制。
我们首次揭示了NKTCL患者中存在显著的肠道菌群失调,其突出标志为Faecalibacterium prausnitzii的显著减少,且与患者较短的生存期密切相关。随后,我们在NKTCL小鼠模型中证实了F. prausnitzii的抗肿瘤特性。此外,F. prausnitzii培养上清液在抑制NKTCL细胞生长方面表现出显著疗效。代谢组学分析揭示丁酸盐是这些抑瘤效应背后的关键代谢物,并在三种人NKTCL细胞系和多种荷瘤小鼠模型中得到验证。在机制上,丁酸盐通过增强组蛋白乙酰化,促进细胞因子信号传导抑制因子1的表达,从而抑制Janus激酶-信号转导与转录激活因子的激活。
Natural killer/T-cell lymphoma (NKTCL) is a highly aggressive malignancy with a dismal prognosis, and gaps remain in understanding the determinants influencing disease outcomes.
To characterise the gut microbiota feature and identify potential probiotics that could ameliorate the development of NKTCL. DESIGN: This cross-sectional study employed shotgun metagenomic sequencing to profile the gut microbiota in two Chinese NKTCL cohorts, with validation conducted in an independent Korean cohort. Univariable and multivariable Cox proportional hazards analyses were applied to assess associations between identified marker species and patient outcomes. Tumour-suppressing effects were investigated using comprehensive in vivo and in vitro models. In addition, metabolomics, RNA sequencing, chromatin immunoprecipitation sequencing, Western blot analysis, immunohistochemistry and lentiviral-mediated gene knockdown system were used to elucidate the underlying mechanisms.
We first unveiled significant gut microbiota dysbiosis in NKTCL patients, prominently marked by a notable reduction in Faecalibacterium prausnitzii which correlated strongly with shorter survival among patients. Subsequently, we substantiated the antitumour properties of F. prausnitzii in NKTCL mouse models. Furthermore, F. prausnitzii culture supernatant demonstrated significant efficacy in inhibiting NKTCL cell growth. Metabolomics analysis revealed butyrate as a critical metabolite underlying these tumour-suppressing effects, validated in three human NKTCL cell lines and multiple tumour-bearing mouse models. Mechanistically, butyrate suppressed the activation of Janus kinase-signal transducer and activator of transcription pathway through enhancing histone acetylation, promoting the expression of suppressor of cytokine signalling 1.
These findings uncover a distinctive gut microbiota profile in NKTCL and provide a novel perspective on leveraging the therapeutic potential of F. prausnitzii to ameliorate this malignancy.
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