CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:YTHDF2 promotes ATP synthesis and immune evasion in B cell malignancies.
YTHDF2 promotes ATP synthesis and immune evasion in B cell malignancies.
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CAR-T 细胞免疫治疗后,B细胞恶性肿瘤患者长期持久缓解仍不理想,常因抗原逃逸而复发。恶性B细胞转化和致癌性生长依赖高效ATP合成,但其机制尚不明确。本研究报告,YTHDF2促进B细胞恶性肿瘤能量供应及抗原逃逸,且单独过表达YTHDF2就足以引起B细胞转化和肿瘤发生。从机制上看,YTHDF2兼具双重RNA识别功能:作为5-甲基胞嘧啶(m5C)识别蛋白,它通过募集PABPC1稳定mRNA,从而提高相应表达及ATP合成;同时,作为N6-甲基腺苷(m6A)识别蛋白,它可使其他mRNA不稳定,从而促进免疫逃逸。使用小分子靶向YTHDF2可抑制侵袭性B细胞恶性肿瘤,并使肿瘤对CAR-T 细胞疗法更敏感。
Long-term durable remission in patients with B cell malignancies following chimeric antigen receptor (CAR)-T cell immunotherapy remains unsatisfactory, often due to antigen escape. Malignant B cell transformation and oncogenic growth relies on efficient ATP synthesis, although the underlying mechanisms remain unclear.
Here, we report that YTHDF2 facilitates energy supply and antigen escape in B cell malignancies, and its overexpression alone is sufficient to cause B cell transformation and tumorigenesis.
Mechanistically, YTHDF2 functions as a dual reader where it stabilizes mRNAs as a 5-methylcytosine (m 5 C) reader via recruiting PABPC1, thereby enhancing their expression and ATP synthesis. Concomitantly, YTHDF2 also promotes immune evasion by destabilizing other mRNAs as an N 6 -methyladenosine (m 6 A) reader. Small-molecule-mediated targeting of YTHDF2 suppresses aggressive B cell malignancies and sensitizes them to CAR-T cell therapy.
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