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:Pan-cancer analysis identifies CD155 as a promising target for CAR-T cell therapy.
Pan-cancer analysis identifies CD155 as a promising target for CAR-T cell therapy.
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我们的研究表明,CD155 在癌细胞中选择性表达,而在正常组织中很少检出,可能成为 CAR-T 治疗的一个有前景的泛癌靶点。
CAR-T(CAR-T)细胞疗法治疗血液系统恶性肿瘤已取得显著成功,但治疗实体瘤的疗效仍有限。主要挑战之一是缺乏特异性肿瘤抗原,因此迫切需要探索并合理选择新的肿瘤靶点。本研究探讨CAR-T 细胞靶向CD155治疗癌症的潜力。
利用癌症基因组图谱(TCGA)数据分析多种癌症中的CD155表达,并通过组织芯片分析进行验证。采用CD155过表达或敲除的肿瘤细胞分析CD155对T细胞介导细胞毒作用的影响。随后,分别以TIGIT胞外结构域(ECD)或抗CD155单链可变片段(scFv)构建第二代CAR-T 细胞,在体内外评估其抗肿瘤效能。
研究证实,多种癌症中CD155均呈特异性过表达,且根据TCGA数据,其高表达与不良预后显著相关。与此一致,临床肿瘤组织及多种癌细胞系中CD155显著上调,而正常组织中少有表达。与健康供者相比,癌症患者来源的粒细胞中CD155表达也显著升高。从功能上看,CD155高表达显著抑制T细胞释放细胞毒性因子,因而可作为介导肿瘤免疫逃逸的免疫检查点。比较发现,基于scFv的抗CD155 CAR-T 细胞比基于TIGIT ECD的CAR-T 细胞具有更强的抗肿瘤活性。此外,基于scFv的CAR-T 细胞在体外及不同异种移植小鼠模型中,均能有效攻击多种CD155⁺实体瘤和血液系统肿瘤。
本研究表明,CD155选择性表达于癌细胞而在正常组织中少有检出,可作为有前景的泛癌CAR-T 治疗靶点。CAR-T 细胞靶向CD155为治疗实体瘤和血液系统恶性肿瘤提供了一种有效方法。
Chimeric antigen receptor T (CAR-T) cell therapy has shown remarkable success in treating hematologic malignancies. However, its efficacy against solid tumors remains limited. One of the major challenges is the lack of specific tumor antigens. Therefore, the exploration and rational selection of novel tumor targets is urgently needed. In this study, we investigate the therapeutic potential of targeting CD155 in cancer by CAR-T cells.
The expression of CD155 was analyzed across various cancer types using data from The Cancer Genome Atlas (TCGA) and validated by tissue microarray analysis. The impact of CD155 on T cell mediated cytotoxicity was analyzed using CD155 over-expression or knockout tumor cells. Subsequently, second-generation CAR-T cells were constructed using either the extracellular domain (ECD) of TIGIT or an anti-CD155 scFv to evaluate their anti-tumor efficacy both in vitro and in vivo.
We demonstrated that CD155 is specifically overexpressed across various cancer types and that its high expression is strongly associated with poor prognosis, as revealed by data from TCGA. Consistently, CD155 is significantly upregulated in clinical tumor tissues and in numerous cancer cell lines, while it is rarely expressed in normal tissues. Furthermore, CD155 expression is also significantly increased in granulocytes derived from cancer patients compared to those from healthy donors. Functionally, high CD155 expression significantly inhibits the release of cytotoxic factors from T cells, thereby functioning as an immune checkpoint that mediates tumor immune evasion. After comparison, the scFv based anti-CD155 CAR-T cells demonstrated stronger anti-tumor activity than ECD of TIGIT based CAR-T cells. Moreover, the scFv based CAR-T cells exhibited effective anti-tumor activity against multiple CD155 + solid and hematologic tumors both in vitro and in different xenograft mouse models.
Our study demonstrates that CD155 is selectively expressed in cancer cells while being rarely detected in normal tissues, and may serve as a promising pan-cancer target for CAR-T therapy. Targeting CD155 with CAR-T cells provides an effective approach to treating both solid and hematologic malignancies.
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