下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Collagen-disrupting attIL12 TIL therapy boosts deep T cell infiltration via dual signaling activation and CCKAR reduction in sarcomas.
各种类型的肿瘤靶向 T 细胞疗法蓬勃发展,但 T 细胞疗法受限于无法穿透肿瘤周围的胶原屏障。
多种靶向肿瘤的T细胞疗法发展迅速,但胶原屏障包绕肿瘤,限制T细胞治疗的穿透能力。破坏肿瘤胶原十分重要,因为胶原既抑制T细胞,也参与细胞外基质形成。我们此前报道,靶向细胞表面波形蛋白(CSV)并表达膜锚定白细胞介素12(attIL12)的T细胞,可通过杀伤癌症相关成纤维细胞减少胶原生成;但其不能降低肿瘤细胞自身的胶原表达,导致肿瘤对attIL12-T细胞治疗耐药。本研究发现,胆囊收缩素A受体(CCKAR)可在体外和体内直接促进肿瘤细胞产生胶原。经attIL12改造的TIL(肿瘤浸润淋巴细胞)可抑制CCKAR高表达自体肿瘤细胞在体外及肉瘤患者来源异种移植(PDX)模型中的胶原生成。attIL12-TIL破坏肿瘤细胞胶原生成,克服了对attIL12-T细胞治疗的耐药;这一作用需要attIL12靶向的自体肿瘤细胞CSV与attIL12-TIL上人白细胞抗原-T细胞受体之间同时发生相互作用。任一相互作用被阻断时,胶原生成和CCKAR表达均不会被关闭。机制上,attIL12-TIL与自体肿瘤细胞相互作用协同诱导IFN-γ产生;结合下调CCKAR后,通过抑制TGF-β刺激的SMAD活化和CCKAR-AKT信号,降低胶原表达。减少肿瘤细胞胶原表达可显著增加T细胞浸润,并改善PDX肉瘤模型中的肿瘤生长抑制。因此,attIL12-TIL疗法在促进高级别、富含胶原肿瘤的T细胞浸润方面具有很大的临床潜力。
Tumor-targeted T cell therapies of various types have been booming, but T cell therapy is limited by its inability to penetrate the collagen barrier surrounding tumors. The destruction of tumor collagen is significant because collagen both suppresses T cells and contributes to the formation of the extracellular matrix. Our previously reported cell-surface vimentin (CSV)-targeted and membrane-anchored interleukin 12-armed (attIL12) T cells can reduce collagen production by killing cancer-associated fibroblasts, but fail to reduce collagen expression by tumor cells, resulting in resistance to attIL12-T cell treatment. In this study, we found that CCKAR directly boosts collagen production by tumor cells in vitro and in vivo. attIL12-modified tumor-infiltrating lymphocytes (TILs) disabled collagen production by CCKAR-high autologous tumor cells in vitro and sarcoma patient-derived xenografts (PDXs) in vivo. This disruption of collagen production by tumor cells by attIL12-TILs overcomes resistance to attIL12-T cell treatment and required a simultaneous interaction between the CSV on autologous tumor cells, which is targeted by attIL12, and human leukocyte antigen-T cell receptor on attIL12-TILs; When either interaction was abrogated, collagen production and CCKAR expression were not shut down. Mechanistically, the interaction between attIL12-TILs and autologous tumor cells induced interferon gamma production synergistically, which in combination with CCKAR downregulation reduced collagen expression through suppression of both transforminggrowth factor beta-stimulated SMAD activation and CCKAR-AKT signaling. Diminishing collagen expression from tumor cells significantly increased T cell infiltration and improved tumor growth inhibition in PDX sarcomas. Thus, this attIL12-TIL therapy holds great clinical potential for boosting T cell infiltration in high-grade, collagen-rich tumors.
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