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:A Transient Immunostimulatory Niche Synergizes Adoptive and Endogenous Immunity for Enhanced Tumor Control.
A Transient Immunostimulatory Niche Synergizes Adoptive and Endogenous Immunity for Enhanced Tumor Control.
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过继性细胞治疗(ACT)已在血液系统恶性肿瘤中实现治愈性应答,但其向实体瘤的转化仍受限于生产瓶颈、全身毒性以及在免疫抑制性肿瘤微环境(TME)中T细胞浸润和持久性差的问题。
在此,我们报道了ACTIVATE(用于抗肿瘤疗效的过继性细胞治疗与免疫刺激载体)的开发及其机制,该技术利用可注射水凝胶储库技术,形成一个瞬时炎症微环境,用于局部共递送过继性T细胞和天然细胞因子。通过调节细胞因子的种类,ACTIVATE能够精确调控T细胞的扩增、效应功能以及与内源性免疫网络的相互作用。
我们发现,仅增强T细胞增殖不足以驱动稳健的肿瘤控制;相反,过继性和内源性免疫应答的协同参与对于持久的抗肿瘤疗效至关重要。在体内,通过ACTIVATE实现的这种协同作用增强了过继性和宿主来源免疫效应细胞的浸润和细胞毒性,同时驱动肿瘤引流淋巴结中T细胞、B细胞、树突状细胞和巨噬细胞的强劲募集和激活。这种局部免疫激活可进一步重塑TME,促进抗原呈递并抑制免疫调节性细胞群,从而在小鼠黑色素瘤模型中增强抗肿瘤疗效。这些发现确立了ACTIVATE作为一个模块化平台,用于协同 orchestrate 免疫应答以改善实体瘤中ACT的疗效。
Adoptive Cell Therapy (ACT) has achieved curative responses in hematological malignancies, yet its translation to solid tumors remains limited by manufacturing bottlenecks, systemic toxicities, and poor T-cell infiltration and persistence within the immunosuppressive tumor microenvironment (TME).
Here, we report the development and mechanism of ACTIVATE (Adoptive Cell Therapy and Immunostimulatory Vehicle for Anti-Tumor Efficacy), which leverages an injectable hydrogel depot technology that forms a transient inflammatory niche for localized co-delivery of adoptive T cells and native cytokines. By tuning cytokine identity, ACTIVATE enables precise modulation of T-cell expansion, effector function, and interaction with endogenous immune networks.
We found that enhancing T-cell proliferation alone is insufficient to drive robust tumor control; instead, coordinated engagement of both adoptive and endogenous immune responses is critical for durable anti-tumor efficacy.
In vivo , this orchestration via ACTIVATE led to enhanced infiltration and cytotoxicity of both adoptive and host-derived immune effectors, while driving robust recruitment and activation of T cells, B cells, dendritic cells, and macrophages in the tumor-draining lymph nodes. This local immune activation can further reshape the TME, promoting antigen presentation and suppressing immunoregulatory populations, thus enhancing anti-tumor efficacy in a murine melanoma model.
These findings establish ACTIVATE as a modular platform for orchestrating coordinated immune responses to improve ACT outcomes in solid tumors.
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