单细胞追踪揭示黑色素瘤 TIL 治疗过程中肿瘤反应性 T 细胞的可塑性
Single-cell tracking reveals tumor-reactive T cell plasticity during melanoma TIL therapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:IL-7-PD-L1 nano-antibody mediated "zipper" effect augments the tumoricidal activity of tumor-infiltrating lymphocytes.
IL-7-PD-L1 nano-antibody mediated "zipper" effect augments the tumoricidal activity of tumor-infiltrating lymphocytes.
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癌症是一个紧迫的全球健康问题,其特征是存在大量未满足的临床需求。细胞疗法已成为一种有前景且有效的癌症治疗方法,尤其是TIL(肿瘤浸润淋巴细胞)(TILs),在多项临床研究中已证明其能显著提高患者的总生存率。
然而,肿瘤微环境对 TILs 产生不利影响,导致其快速耗竭和功能紊乱。因此,这阻碍了它们有效根除肿瘤的能力,从而妨碍了预期治疗效果的实现。
在此,我们采用慢病毒载体介导的基因工程改造 TILs,使其表达 TIGIT shRNA、IL-7-PD-L1 纳米抗体融合蛋白以及“分子开关”HuEGFRt。工程化 TILs 表现出更高的活力、增强的细胞扩增能力以及对 IL-2 的依赖性降低。工程化 TILs 的干性比例显著增加,并且在与肿瘤细胞共培养时其激活水平增强。
同时,工程化 TILs 在肿瘤细胞反复刺激后仍能发挥持久的细胞毒性。体外实验已证明,使用 Cetuximab 可通过 HuEGFRt 诱导工程化 TILs 特异性凋亡,从而确保整个治疗过程的安全性。在小鼠肿瘤模型中,输注工程化 TILs 后,肿瘤体积显著缩小,再次证明了工程化 TILs 的有效性。
我们的研究结果表明工程化 TILs 具有卓越的性能,这无疑为工程化 TILs 的临床应用带来了巨大希望,最终将惠及更广大的癌症患者群体。
Cancer represents a pressing global health concern, characterized by a substantial number of unmet clinical needs. Cell therapy has emerged as a promising and efficacious approach for cancer treatment, particularly tumor-infiltrating lymphocytes (TILs), which have demonstrated remarkable improvements in patients' overall survival rates across various clinical studies.
However, the tumor microenvironment exerts a adverse effect on TILs, leading to their rapid exhaustion and functional disorder. Consequently, this impedes their ability to effectively eradicate tumors and thus hinders the achievement of the anticipated therapeutic efficacy.
Here, we employed lentiviral vector-mediated genetic engineering to manipulate TILs for the expression of TIGIT shRNA, IL-7-PD-L1 nano-antibody fusion protein, and the 'molecular switch' HuEGFRt. The engineered TILs exhibited higher viability, reinforced cell expansion, and reduced reliance on IL-2. The stem-like proportion of engineered TILs is significantly augmented, and their activation level is enhanced when co-cultured with tumor cells. Meanwhile, the engineered TILs exert sustained cytotoxicity after repeated stimulation from tumor cells.
The use of Cetuximab has been demonstrated in vitro to induce specific apoptosis of engineered TILs through HuEGFRt, thereby ensuring safety throughout the treatment process. In the mouse tumor model, following infusion of engineered TILs, the tumor volume significantly reduced, once again demonstrating the effectiveness of engineered TILs.
The findings of our study demonstrate the exceptional performance of engineered TILs, which undoubtedly holds great promise for the clinical application of engineered TILs, ultimately benefiting a larger population of cancer patients.
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