决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Reprogramming CD8+ T-cell Branched N-Glycosylation Limits Exhaustion, Enhancing Cytotoxicity and Tumor Killing.
这些发现共同表明,MGAT5 介导的分支 N-聚糖在癌症中调控 CD8+ T 细胞功能,并提供了一种增强天然 T 细胞和 CAR T 细胞抗肿瘤活性的策略。
T 细胞疗法已改变癌症治疗。尽管细胞表面聚糖已被证明在调节 T 细胞发育和功能中发挥关键作用,糖组是否以及如何影响 T 细胞介导的肿瘤免疫,仍是活跃研究领域。本研究显示,人类结直肠癌早期瘤内 T 细胞糖组即发生改变,分支型 N-聚糖尤其显著变化。表达 β1,6-GlcNAc 分支型 N-聚糖的 CD8⁺ T 细胞呈现耗竭表型,表现为 PD-1 和 Tim3 表达升高。采用 CRISPR-Cas9 删除关键分支糖基转移酶基因后发现,Mgat5 在 T 细胞耗竭中发挥突出作用。在培养实验和肿瘤研究中,删除 CD8⁺ T 细胞的 Mgat5 可增强其杀伤癌细胞的能力。这些发现促使研究者评估在抗 CD19 CAR-T 中敲除 MGAT5,能否使该治疗模式适用于实体瘤。研究显示,MGAT5 敲除的抗 CD19 CAR-T 可抑制 CD19 转导肿瘤的生长。综上,MGAT5 介导的分支型 N-聚糖可调控癌症中的 CD8⁺ T 细胞功能,并提供一种增强天然 T 细胞和 CAR-T 抗肿瘤活性的策略。
T-cell therapies have transformed cancer treatment. Although surface glycans have been shown to play critical roles in regulating T-cell development and function, whether and how the glycome influences T cell-mediated tumor immunity remains an area of active investigation. In this study, we show that the intratumoral T-cell glycome is altered early in human colorectal cancer, with substantial changes in branched N-glycans. We demonstrated that CD8+ T cells expressing 1,6-GlcNAc-branched N-glycans adopted an exhausted phenotype, marked by increased PD1 and Tim3 expression. CRISPR-Cas9 deletion of key branching glycosyltransferase genes revealed that Mgat5 played a prominent role in T-cell exhaustion. In culture-based assays and tumor studies, Mgat5 deletion in CD8+ T cells resulted in improved cancer cell killing. These findings prompted the assessment of whether MGAT5 deletion in anti-CD19 chimeric antigen receptor (CAR) T cells could enable this therapeutic modality in a solid tumor setting. We showed that MGAT5 knockout anti-CD19-CAR T cells inhibited the growth of CD19-transduced tumors. Together, these findings show that MGAT5-mediated branched N-glycans regulate CD8+ T-cell function in cancer and provide a strategy to enhance the antitumor activity of native and CAR T cells.
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