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:Nanoparticle delivery of VEGF-B mRNA promotes T cell infiltration within tumor and triggers robust antitumor immunity.
Nanoparticle delivery of VEGF-B mRNA promotes T cell infiltration within tumor and triggers robust antitumor immunity.
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基于mRNA的癌症免疫疗法的进展已获得显著势头,特别是在COVID-19大流行期间mRNA疫苗取得成功以及mRNA疫苗开发获得2023年诺贝尔奖认可之后。编码细胞因子、抗体和CAR-T 细胞的mRNA在临床前模型和临床试验中均显示出巨大的治疗潜力。先前的研究已确定血管内皮生长因子B(VEGF-B)是一种代谢调节因子,控制脂质合成并维持线粒体膜完整性,这对活化T细胞的存活至关重要。
在本研究中,我们证明通过脂质纳米颗粒递送至肿瘤的编码VEGF-B的mRNA在皮下和肺转移肿瘤模型中均能有效控制肿瘤生长。与programmed death-1阻断联合使用显著增强了治疗效果,在肺转移模型中导致肿瘤完全消退。免疫分析揭示,纳米颗粒递送VEGF-B mRNA通过增加CD8+ T细胞浸润和增强效应分子(包括干扰素-γ、肿瘤坏死因子α和颗粒酶B)的表达,同时下调耗竭分子programmed death-1,重编程了肿瘤微环境。这些发现凸显了基于mRNA的疗法在重塑肿瘤微环境和增强癌症免疫治疗结果方面的巨大前景。
The advancement of mRNA-based cancer immunotherapies has gained significant momentum, particularly after the success of mRNA vaccines during the COVID-19 pandemic and the recognition of mRNA vaccine development with the 2023 Nobel Prize. mRNA encoding cytokines, antibodies, and chimeric antigen receptor T cells has demonstrated substantial therapeutic potential in both preclinical models and clinical trials. Previous study identified vascular endothelial growth factor B (VEGF-B) as a metabolic regulator that controls lipid synthesis and maintains mitochondrial membrane integrity, essential for the survival of activated T cells.
In this study, we demonstrate that mRNA encoding VEGF-B, delivered to tumors via lipid nanoparticles, effectively controls tumor growth in both subcutaneous and lung metastasis tumor models. Combination with programmed death-1 blockade significantly amplified therapeutic efficacy, leading to complete tumor regression in the lung metastasis model.
Immune profiling revealed that nanoparticle delivery of VEGF-B mRNA reprograms the tumor microenvironment by increasing CD8 + T cell infiltration and enhancing the expression of effector molecules, including interferon-γ, tumor necrosis factor alpha, and granzyme B, while downregulating the exhaustion molecule programmed death-1.
These findings highlight the considerable promise of mRNA-based therapies in reshaping the tumor microenvironment and enhancing cancer immunotherapy outcomes.
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