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:IFN-γ-resistant CD28 CAR T cells demonstrate increased survival, efficacy, and durability in multiple murine tumor models.
IFN-γ-resistant CD28 CAR T cells demonstrate increased survival, efficacy, and durability in multiple murine tumor models.
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干扰素(IFN)在癌症中具有复杂、有时甚至相互矛盾的作用,可能影响患者对免疫疗法等治疗的应答。我们近期发现,在血液系统肿瘤模型中,嵌合抗原受体(CAR)T细胞产生IFN并非疗效所必需;而实体瘤细胞中的IFN受体(IFN-R)信号可促进CAR-T 细胞黏附和抗原特异性细胞毒作用。本文显示,IFN可诱导携带CD28胞内信号结构域的CAR-T 细胞凋亡,而靶向IFN或IFN-R可减轻这一效应。在血液系统恶性肿瘤中,敲除CAR-T 细胞的IFN-R(IFN-RKO)可增强其持久性,且不损害疗效。在异种移植和同基因实体瘤模型中,IFN-R敲除CAR-T 细胞显示更强的肿瘤控制、延长生存期并改善T细胞记忆,从而保护小鼠免受肿瘤再次攻击。对荷瘤小鼠来源的肿瘤浸润IFN-RKO CAR-T 细胞进行RNA测序发现,肿瘤细胞死亡增加。
总体而言,这些数据表明,抑制IFN信号可增强基于CD28的CAR-T 细胞在血液和实体瘤中的扩增及抗肿瘤活性。
Interferon- (IFN- ) plays complex and, sometimes, contradictory roles in cancer, which can affect patient responses to treatments such as immunotherapies.
We recently demonstrated that IFN- production by chimeric antigen receptor (CAR) T cells is not required for efficacy in hematologic tumor models, whereas IFN- receptor (IFN- R) signaling in solid tumor cells facilitates CAR T cell adhesion and antigen-specific cytotoxicity.
Here, we show that IFN- induces apoptosis of CAR T cells bearing a CD28 intracellular signaling domain, which can be reduced through targeting of IFN- or IFN- R. In hematologic malignancies, knockout of IFN- R (IFN- RKO) in CAR T cells increased their persistence without compromising efficacy. In xenograft and syngeneic solid tumor models, IFN- R knockout CAR T cells displayed more potent tumor control, prolonged survival, and improved T cell memory that conferred protection from tumor rechallenge.
RNA sequencing of tumor-infiltrating IFN- RKO CAR T cells derived from tumor-bearing mice revealed increased cell death in tumor cells. Collectively, these data show that inhibition of IFN- signaling can increase the expansion and antitumor activity of CD28-based CAR T cells in liquid and solid tumors.
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