CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Dap10 co-stimulation enhances the anti-HCC efficacy of NKp30 chimeric antigen receptor T cells.
Dap10 co-stimulation enhances the anti-HCC efficacy of NKp30 chimeric antigen receptor T cells.
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嵌合抗原受体(CAR)T细胞免疫疗法在复发/难治性血液系统恶性肿瘤治疗中取得重大突破,但治疗实体瘤的疗效仍有限。本研究开发了一种嵌合NKp30(chNKp30)受体,其配体B7H6常在多种肿瘤细胞中上调,而在健康细胞中仅少量表达。将DNAX活化蛋白10(DAP10)胞质结构域导入CAR后,所得chNKp30-Dap10 CAR-T 细胞在抗原刺激后,相较于传统chNKp30-CD28 CAR-T 细胞及缺少任何结构域的chNKp30-Wt CAR-T 细胞,表现出更强的细胞增殖和活化能力以及更低的凋亡水平,并诱导中央记忆T细胞表型;而chNKp30-CD28和chNKp30-Wt则诱导效应记忆表型。
此外,chNKp30-Dap10 T细胞分泌更多IL-2、IFN-γ和TNF-α等促炎细胞因子,而chNKp30-CD28 T细胞分泌更多抗炎细胞因子IL-10。杀伤实验中,chNKp30-Dap10 T细胞表现出更强抗肿瘤作用。在肝细胞癌移植瘤模型中同样观察到更好的肿瘤消退。这些发现提示,B7H6是有吸引力的治疗靶点,DAP10信号参与肝细胞癌CAR-T 细胞功能调控,可能影响治疗中的细胞因子谱和分化;NKp30-Dap10 CAR-T 疗法为肝细胞癌治疗提供了潜在选择。
Chimeric antigen receptor (CAR) T-cell immunotherapy has made significant breakthroughs in the treatment of relapsed or refractory hematologic malignancies, but its efficacy in solid tumors remains limited. In this study, we developed a chimeric NKp30 (chNKp30) receptor whose ligand, B7H6, is often up-regulated in various tumor cells and sparsely expressed in healthy cells.
Introduction of the cytoplasmic structural domain of dnax-activating protein 10 (DAP10) into CAR resulted in chNKp30-Dap10 CAR-T cells that showed superior cell proliferation, activation, and apoptosis inhibition after antigenic stimulation compared with conventional chNKp30-CD28 and chNKp30-Wt CAR-T cells lacking any structural domains, along with inducing a central memory T cell phenotype, whereas chNKp30-CD28 and chNKp30-Wt triggered an effector memory phenotype.
In addition, chNKp30-Dap10 T cells secreted higher levels of pro-inflammatory cytokines such as IL-2, IFN- , and TNF- , while chNKp30-CD28 T cells secreted more of the anti-inflammatory cytokine IL-10. In the killing assay, chNKp30-Dap10 T cells demonstrated stronger anti-tumor effects. Similarly, better tumor regression was observed in the hepatocellular carcinoma transplantation tumor model.
These findings suggest that B7H6 is an attractive therapeutic target and DAP10 signaling is involved in the functional regulation of CAR-T cells in hepatocellular carcinoma, which may induce preferential cytokine profiling and differentiation for cancer therapy, and that NKp30-Dap10 CAR-T cell therapy offers a potential option for the treatment of hepatocellular carcinoma.
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