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:Increased TIGIT expression correlates with impaired NK cell function in diffuse large B-cell lymphoma.
Increased TIGIT expression correlates with impaired NK cell function in diffuse large B-cell lymphoma.
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TIGIT 及其家族分子在 NK 细胞上的表达失调导致 NK 细胞功能障碍,并促进 DLBCL 中的肿瘤免疫逃逸。这些发现凸显 TIGIT 作为恢复 DLBCL 中 NK 细胞介导的抗肿瘤免疫的有前景的治疗靶点。
本研究旨在探讨弥漫大B细胞淋巴瘤(DLBCL)中自然杀伤(NK)细胞的状态及含Ig和ITIM结构域的T细胞免疫受体(TIGIT)介导的调控作用。
收集30例初诊DLBCL患者和25例健康对照者的外周血样本。采用多参数流式细胞术分析NK细胞上TIGIT及其家族分子(CD226和CD96)的表达水平,并评估NK细胞表型和功能。通过体外功能实验和体内动物模型评估TIGIT阻断对NK细胞细胞毒性的恢复作用。
与健康对照相比,DLBCL患者的NK细胞百分比和绝对数量显著降低。DLBCL患者NK细胞上TIGIT表达显著上调,而CD226表达下调;然而,CD96表达未见显著差异。这些改变与DLBCL患者NK细胞功能受损相关,包括颗粒酶B、穿孔素和CD107a等活化因子分泌减少。重要的是,TIGIT阻断在体外和体内环境中均显著增强了NK细胞对DLBCL细胞的细胞毒活性。
This study aims to investigate the status of natural killer (NK) cells and the role of T-cell immunoreceptor with Ig and ITIM domains (TIGIT)-mediated regulation in diffuse large B-cell lymphoma (DLBCL).
Peripheral blood samples from 30 newly diagnosed DLBCL patients and 25 healthy controls were collected. Multiparametric flow cytometry was used to analyze the expression levels of TIGIT and its family molecules (CD226 and CD96) on NK cells, as well as to assess NK cell phenotype and function. The restorative effects of TIGIT blockade on NK cell cytotoxicity were evaluated through in vitro functional assays and in vivo animal models.
Compared to healthy controls, DLBCL patients exhibited significantly reduced percentages and absolute numbers of NK cells. TIGIT expression was markedly upregulated on NK cells in DLBCL patients, while CD226 expression was downregulated; however, no significant difference in CD96 expression was observed. These alterations were associated with impaired NK cell function in DLBCL patients, including reduced secretion of activation factors such as granzyme B, perforin, and CD107a. Importantly, TIGIT blockade significantly enhanced the cytotoxic activity of NK cells against DLBCL cells in both in vitro and in vivo settings.
Dysregulated expression of TIGIT and its family molecules on NK cells contributes to NK cell dysfunction and promotes tumor immune escape in DLBCL. These findings highlight TIGIT as a promising therapeutic target for restoring NK cell-mediated antitumor immunity in DLBCL.
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