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患者来源类器官模型用于基于 NKT 细胞的癌症免疫治疗

英文原题:Patient-Derived Organoid Models for NKT Cell-Based Cancer Immunotherapy.

查看英文原题

Patient-Derived Organoid Models for NKT Cell-Based Cancer Immunotherapy.

PubMed 2025/01/26(内容时间) Cancers (Basel) Q2 · IF 4.8(JCR 2025)

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中文摘要

恒定自然杀伤T(iNKT)细胞是T细胞的一个独特亚群,连接固有免疫与适应性免疫,通过细胞因子分泌、直接细胞毒性以及招募CD8+ T细胞和NK细胞等免疫效应细胞,展现出强大的抗肿瘤特性。尽管具有治疗潜力,但以调节性T细胞、髓源性抑制细胞(MDSCs)和肿瘤相关巨噬细胞(TAMs)为特征的免疫抑制性肿瘤微环境(TME)限制了iNKT细胞的疗效。患者来源类器官(PDO)平台为剖析这些复杂相互作用以及评估在TME中重振iNKT细胞功能的策略提供了创新模型。PDO密切模拟原发肿瘤的遗传、表型和结构特征,使研究肿瘤-免疫动态成为可能。将iNKT细胞整合到PDO中,为研究CD1d介导的相互作用、由α-GalCer等糖脂类似物驱动的Th1偏向性免疫应答以及免疫检查点抑制剂等联合治疗提供了强有力的平台。

此外,PDO系统可以评估代谢调节的效果,包括减少乳酸积累或靶向谷氨酰胺通路,对增强iNKT细胞活性的影响。新兴创新技术,如器官芯片类器官系统、CRISPR-Cas9基因编辑和多组学方法,进一步拓展了PDO-iNKT平台在个体化免疫治疗研究中的潜力。尽管iNKT细胞在PDO中的应用仍不成熟,但这些系统在连接临床前研究与临床转化方面具有巨大前景。通过应对TME的挑战并优化治疗策略,PDO-iNKT平台为推动癌症免疫治疗和个体化医疗提供了一条变革性途径。

展开英文摘要原文

Invariant Natural Killer T (iNKT) cells are a unique subset of T cells that bridge innate and adaptive immunity, displaying potent anti-tumor properties through cytokine secretion, direct cytotoxicity, and recruitment of immune effector cells such as CD8 + T cells and NK cells. Despite their therapeutic potential, the immunosuppressive tumor microenvironment (TME), characterized by regulatory T cells, myeloid-derived suppressor cells (MDSCs), and tumor-associated macrophages (TAMs), limits iNKT cell efficacy.

Patient-derived organoid (PDO) platforms provide an innovative model for dissecting these complex interactions and evaluating strategies to reinvigorate iNKT cell functionality within the TME. PDOs closely mimic the genetic, phenotypic, and structural characteristics of primary tumors, enabling the study of tumor-immune dynamics.

Integrating iNKT cells into PDOs offers a robust platform for investigating CD1d-mediated interactions, Th1-biased immune responses driven by glycolipid analogs like α-GalCer, and combination therapies such as immune checkpoint inhibitors.

Additionally, PDO systems can assess the effects of metabolic modulation, including reducing lactic acid accumulation or targeting glutamine pathways, on enhancing iNKT cell activity. Emerging innovations, such as organoid-on-a-chip systems, CRISPR-Cas9 gene editing, and multi-omics approaches, further expand the potential of PDO-iNKT platforms for personalized immunotherapy research.

Although the application of iNKT cells in PDOs is still undeveloped, these systems hold immense promise for bridging preclinical studies and clinical translation. By addressing the challenges of the TME and optimizing therapeutic strategies, PDO-iNKT platforms offer a transformative avenue for advancing cancer immunotherapy and personalized medicine.

论文信息

作者
Palacios PA、Flores I、Cereceda L、Otero FF、Müller M、Brebi P、Contreras HR、Carreño LJ
单位
Millennium Institute on Immunology and Immunotherapy, Programa de Inmunología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile.Chile
文献类型
综述
期刊
Cancers2025 Jan 26
原文标识
PubMed 39941775 · DOI 10.3390/cancers17030406