一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Enzymatically responsive nanocarriers targeting PD-1 and TGF-β pathways reverse immunotherapeutic resistance and elicit robust therapeutic efficacy.
Enzymatically responsive nanocarriers targeting PD-1 and TGF-β pathways reverse immunotherapeutic resistance and elicit robust therapeutic efficacy.
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免疫检查点抑制剂(ICIs)已彻底改变肺癌治疗格局,但耐药仍是难题。PD-1/PD-L1与TGF-β的双重抑制展现出前景,却面临疗效有限和全身毒性的问题。我们开发了明胶酶响应性纳米颗粒(GPNPs),递送抗PD-1抗体(αPD-1)和TGF-β受体I抑制剂galunisertib(Gal)。GPNPs有效抑制肿瘤进展,且未观察到副作用。通过流式细胞术进行的免疫分析显示,活化和耗竭的TIL(肿瘤浸润淋巴细胞)(TILs)及巨噬细胞均被大量募集。转录组分析表明细胞外基质受到调控,并得到胶原沉积和αSMA表达减少的支持。命运图谱分析证明Pdgfrα+成纤维细胞向αSMA肌成纤维细胞的转变被减弱,可能逆转“免疫排斥”状态。本研究验证了GPNPs作为一种有前景的肺癌免疫治疗平台,为临床转化和治疗增强提供了机制性见解。
Immune checkpoint inhibitors (ICIs) have revolutionized lung cancer treatment, yet resistance remains a challenge. Co-inhibition of PD-1/PD-L1 and TGF-β shows promise but faces limited efficacy and systemic toxicity.
We developed gelatinase-responsive nanoparticles (GPNPs) delivering anti-PD-1 antibody (αPD-1) and TGF-β receptor I inhibitor galunisertib (Gal). GPNPs effectively inhibit tumor progression without observed side effects. Immune profiling by cytometry assay reveals robust recruitment of both activated and exhausted tumor-infiltrating lymphocytes (TILs) and macrophages.
Transcriptomic analysis indicates extracellular matrix modulation, supported by reduced collagen deposition and αSMA expression. Fate mapping demonstrates attenuation of Pdgfrα + fibroblast transition to αSMA myofibroblasts, potentially reversing "immune-exclusive" status.
This study validates GPNPs as a promising lung cancer immunotherapy platform, offering mechanistic insights for clinical translation and therapeutic enhancement.
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