决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Age-dependent differences in breast tumor microenvironment: challenges and opportunities for efficacy studies in preclinical models.
我们的结果表明,在设计临床前研究时,应考虑TME中与年龄相关的差异。
免疫在衰老过程中会出现功能缺陷,老年人癌症发病率升高。然而,大多数癌症模型使用的是年轻小鼠,这些小鼠不能很好地代表成年癌症患者。我们此前报道,三联疗法(TT)通过长春瑞滨激活抗原呈递细胞,并通过环磷酰胺生成TCF1+干细胞样T细胞(scTs),由于T细胞介导的肿瘤杀伤作用,在抗PD-1耐药模型如三阴性乳腺癌(TNBC)和非霍奇金淋巴瘤(NHL)中显著提高了抗PD-1疗效。在此,我们描述了TT对年轻小鼠(6-8周,代表人类青春期)与成年小鼠(12个月,代表40岁人类)TNBC生长及肿瘤微环境(TME)的影响。TT疗效在年轻小鼠和成年小鼠中相似,因为CD8+ scTs在成年小鼠中仅略有减少。然而,单细胞分析揭示了TME中的主要差异:成年小鼠中CD4+ scTs、初始B细胞和NK细胞较少,而记忆B细胞较多。具有细胞外基质(ECM)沉积特征的癌症相关成纤维细胞(CAF)(Matrix-CAFs)在年轻小鼠中更为常见,而促炎性基质细胞群和肌成纤维细胞在成年小鼠中更为丰富。成年小鼠中的Matrix-CAFs表现出ECM重塑能力下降、胶原沉积减少,以及与TME其他细胞不同的相互作用模式。综上所述,我们的结果表明,在设计临床前研究时应考虑TME中年龄相关的差异。
Immunity suffers a function deficit during aging, and the incidence of cancer is increased in the elderly. However, most cancer models employ young mice, which are poorly representative of adult cancer patients. We have previously reported that Triple-Therapy (TT), involving antigen-presenting-cell activation by vinorelbine and generation of TCF1 + -stem-cell-like T cells (scTs) by cyclophosphamide significantly improved anti-PD-1 efficacy in anti-PD1-resistant models like Triple-Negative Breast Cancer (TNBC) and Non-Hodgkin's Lymphoma (NHL), due to T-cell-mediated tumor killing. Here, we describe the effect of TT on TNBC growth and on tumor-microenvironment (TME) of young (6-8w, representative of human puberty) versus adult (12 m, representative of 40y-humans) mice. TT-efficacy was similar in young and adults, as CD8 + scTs were only marginally reduced in adults. However, single-cell analyses revealed major differences in the TME: adults had fewer CD4 + scTs, B-naïve and NK-cells, and more memory-B-cells. Cancer-associated-fibroblasts (CAF) with an Extracellular Matrix (ECM) deposition-signature (Matrix-CAFs) were more common in young mice, while pro-inflammatory stromal populations and myofibroblasts were more represented in adults. Matrix-CAFs in adult mice displayed decreased ECM-remodeling abilities, reduced collagen deposition, and a different pattern of interactions with the other cells of the TME. Taken together, our results suggest that age-dependent differences in the TME should be considered when designing preclinical studies.
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