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:Enforced E-selectin ligand installation enhances homing and efficacy of adoptively transferred T cells.
Enforced E-selectin ligand installation enhances homing and efficacy of adoptively transferred T cells.
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过继性T细胞转移已经彻底改变了血液系统恶性肿瘤的治疗。然而,这种方法在治疗实体瘤方面收效甚微,主要原因是经血管给药的T细胞在肿瘤部位浸润不足。内皮E-选择素与其在白细胞上表达的同源配体sialyl Lewis X(sLe X)之间的抗剪切相互作用,是循环白细胞外渗的必要前提。
在此,我们报道,抗原特异性T细胞上强制表达的E-选择素配体(强制sLe X展示)可以通过细胞表面处理用人α1-3-岩藻糖基转移酶FUT6对细胞进行岩藻糖基化(“外源岩藻糖基化”),或通过高尔基体靶向的FUT6过表达(“高尔基体岩藻糖基化”)来实现。
然而,尽管E-选择素结合相当,只有通过外源岩藻糖基化而非高尔基体岩藻糖基化产生的sLe X修饰T细胞,才表现出对靶恶性部位实质浸润的增强。这种增强的归巢在多种小鼠同基因和异种移植癌症模型中产生了显著改善的治疗效果,包括皮下实体瘤、淋巴瘤和白血病,以及肺和骨髓转移。
因此,外源岩藻糖基化代表了一种有前景的策略,可提高过继性T细胞疗法的疗效,特别是在实体瘤和转移性疾病的治疗中。
Adoptive T-cell transfer has revolutionized the treatment of hematological malignancies.
However, this approach has had very limited success in treating solid tumors, largely due to inadequate infiltration of vascularly administered T cells at tumor sites. The shear-resistant interaction between endothelial E-selectin and its cognate ligand expressed on leukocytes, sialyl Lewis X (sLe X ), is an essential prerequisite for extravasation of circulating leukocytes.
Here, we report that enforced E-selectin ligand expression (enforced sLe X display) on antigen-specific T cells can be achieved by fucosylating cells via cell surface treatment with the human α1-3-fucosyltransferase, FUT6 ("exofucosylation"), or via Golgi-targeted FUT6 overexpression ("Golgi-fucosylation").
However, despite comparable E-selectin binding, only sLe X -modified T cells engendered by exofucosylation, not by Golgi-fucosylation, exhibited enhanced parenchymal infiltration of target malignant sites. This heightened homing yielded significantly improved therapeutic efficacy in various murine syngeneic and xenograft cancer models, including subcutaneous solid tumors, lymphoma and leukemia, as well as lung and bone marrow metastases.
Therefore, exofucosylation represents a promising strategy to improve the efficacy of adoptive T-cell therapy, particularly in the treatment of solid tumors and metastatic disease.
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