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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Slc7a5 promotes T cell anti-tumor immunity through sustaining cytotoxic T lymphocyte effector function.
Slc7a5 promotes T cell anti-tumor immunity through sustaining cytotoxic T lymphocyte effector function.
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色氨酸(Trp)代谢物已成为宿主肿瘤免疫和癌症患者免疫治疗应答的重要调节因子,但肿瘤微环境中肿瘤活化细胞毒性 T 淋巴细胞(CTL)内 Trp 的功能和机制尚不完全清楚。研究者使用肿瘤特异性 CTL 与表达相应抗原肿瘤细胞的明确共培养体系,开展全基因组代谢组筛查,发现肿瘤细胞活化的 CTL 中 Trp 水平升高。平行的全基因组 RNA 测序和 ATAC 测序分析表明,肿瘤特异性 CTL 对肿瘤细胞的应答包括转录激活 Slc7a5。药理学抑制 Slc7a5 会减少肿瘤活化 CTL 摄取 Trp,并抑制其体外杀伤肿瘤细胞的裂解活性。仅在 T 细胞中缺失 Slc7a5 的小鼠肿瘤浸润 T 细胞减少,肿瘤生长和转移增加。
单细胞 RNA 测序显示,Slc7a5 缺失导致芳香烃受体(AhR)通路活化降低,并抑制肿瘤浸润 T 细胞 FasL 表达。染色质免疫沉淀证实 AhR 可结合肿瘤浸润 T 细胞中的 Faslg 启动子。阻断 FasL 会促进荷瘤小鼠肿瘤生长和转移。在人类癌症患者中,AhR 表达与肿瘤浸润 T 细胞 FasL 表达相关;FasL 表达还与患者对 pembrolizumab 的应答和生存时间相关。研究显示,Slc7a5-Trp 代谢通路可激活 AhR,上调肿瘤浸润 T 细胞 FasL 表达,从而维持 CTL 抗肿瘤免疫。通过 CAR-T 上调 Slc7a5 以维持 T 细胞增殖和功能,可能成为癌症免疫治疗的有前景方向。
Tryptophan (Trp) metabolites have emerged as key regulators of host tumor immunity and cancer patient response to immunotherapy.
However, the function of and mechanism underlying Trp in tumor-activated CTLs in the tumor microenvironment are incompletely understood. Using a defined co-culture system of tumor-specific CTLs and cognate antigen-expressing tumor cells, we performed a genome-wide metabolomics screening and observed that Trp level is elevated in the tumor cell-activated CTLs. Parallel genome-wide RNA-Sequencing and ATAC-Sequencing analysis determined that tumor-specific CTLs respond to tumor cells by transcriptionally activating Slc7a5 expression. Pharmacological inhibition of Slc7a5 decreased Trp uptake in tumor-activated CTLs and suppressed CTL lytic activity in killing tumor cells in vitro.
Mice with Slc7a5 deficiency only in T cells exhibited diminished level of tumor-infiltrating T cells and increased tumor growth and metastasis. scRNA-sequencing analysis revealed that Slc7a5 deficiency resulted in decreased activation of the aryl hydrocarbon receptor (AhR) pathway and repressed FasL expression in tumor-infiltrating T cells.
Chromatin immunoprecipitation determined that AhR binds to Faslg promoter in tumor-infiltrating T cells. FasL blockade therapy promotes tumor growth and metastasis in tumor-bearing mice. In human cancer patients, AhR expression correlates with FasL expression in tumor-infiltrating T cells.
Furthermore, FasL expression is correlated with patient response to pembrolizumab and survival time.
Our finding determines that the Slc7a5-Trp metabolic pathway activates AhR to up-regulate FasL expression in tumor-infiltrating T cells to sustain CTL anti-tumor immunity. Targeting CAR-T cells to up-regulate Slc7a5 to maintain T cell proliferation and function therefore could be a promising direction in cancer immunotherapy.
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