RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
肿瘤细胞治疗研究
英文原题:Synergistic anti-tumor effects of mRNA vaccine and PERK inhibitor combination in melanoma treatment.
Synergistic anti-tumor effects of mRNA vaccine and PERK inhibitor combination in melanoma treatment.
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黑色素瘤是一种高度侵袭性皮肤癌。mRNA疫苗将编码特定抗原的遗传物质递送至细胞,诱导宿主免疫系统产生该抗原。Gp-100是一种表达于黑色素瘤细胞表面的抗原性蛋白,可作为靶向mRNA刺激细胞毒性T淋巴细胞(CTL)应答。
然而,缺乏自然杀伤(NK)细胞可能导致肿瘤细胞大量增殖。TLR7激动剂Gardiquimod可增强NK细胞细胞毒性,促进肿瘤清除。晚期黑色素瘤中,未折叠蛋白反应(UPR)常发生失调。抑制蛋白激酶R样内质网激酶(PERK)可破坏UPR,诱导癌细胞凋亡,并使肿瘤微环境(TME)向M1/M2巨噬细胞比例升高的方向转变。
本研究利用DOTMA开发了一种阳离子脂质体mRNA疫苗(GD-LPR),共同递送gp-100 mRNA和TLR7激动剂Gardiquimod,并联合PERK抑制剂GSK2656157(GSK),以协同治疗黑色素瘤。GD-LPR的mRNA包封率达95%,在体内外均可增强树突状细胞成熟和NK细胞活化。在皮下黑色素瘤模型中,GD-LPR联合GSK通过调节TME降低肿瘤体积并延长生存:增加CD8+ T细胞(图3f)、使M2巨噬细胞重极化为M1型(图4f)、抑制IL-10并提高促炎细胞因子(IL-2、IFN-γ、TNF-α)水平。
机制上,GSK抑制PERK/ATF-4信号,与GD-LPR协同抑制肺转移。GD-LPR疫苗联合GSK为治疗黑色素瘤,特别是皮下肿瘤和肺转移,提供了新的潜在策略。
Melanoma is a highly aggressive form of skin cancer. mRNA vaccines deliver genetic material encoding specific antigens into cells, thereby triggering the host immune system to produce the antigen. Gp-100, an antigenic protein expressed on the surface of melanoma cells, serves as a target mRNA to stimulate the cytotoxic T lymphocyte (CTL) response.
However, the absence of natural killer (NK) cells can lead to significant tumor cell proliferation. Gardiquimod, a TLR7 agonist, enhances NK cell cytotoxicity, promoting tumor clearance. In advanced melanoma, the unfolded protein response (UPR) often becomes dysregulated. By inhibiting protein kinase R-like ER kinase (PERK), the UPR can be disrupted, inducing apoptosis in cancer cells and shifting the tumor microenvironment (TME) towards an increased M1/M2 macrophage ratio.
This study developed a cationic liposome-based mRNA vaccine (GD-LPR) using DOTMA to co-deliver gp-100 mRNA and the TLR7 agonist Gardiquimod, combined with the PERK inhibitor GSK2656157 (GSK), for synergistic melanoma immunotherapy. GD-LPR achieved 95 % mRNA encapsulation efficiency and demonstrated enhanced dendritic cell maturation and NK cell activation both in vitro and in vivo.
In subcutaneous melanoma models, GD-LPR+GSK reduced tumor volume and prolonged survival by modulating the tumor microenvironment (TME): increasing CD8 + T cells (Fig. 3 f), repolarizing M2 to M1 macrophages (Fig. 4 f), and suppressing IL-10 while elevating pro-inflammatory cytokines (IL-2, IFN- , TNF- ).
Mechanistically, GSK inhibited PERK/ATF-4 signaling, synergizing with GD-LPR to suppress lung metastasis. The combination of the GD-LPR vaccine and GSK provides new potential strategies for treating melanoma, particularly in subcutaneous tumors and lung metastases.
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