不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Light Metabolically Reprograms CD8(+) T Cells to Potentiate STING-Driven Tumor Eradication and Prevent Metastasis.
Light Metabolically Reprograms CD8(+) T Cells to Potentiate STING-Driven Tumor Eradication and Prevent Metastasis.
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免疫治疗在许多实体瘤中仍然无效,原因是T细胞浸润不良以及代谢抑制性肿瘤微环境。本文提出一种将低水平光(LLL)疗法与纳米级干扰素基因刺激因子(STING)激动剂制剂(nanoSTING@Mn)相结合的双重策略,以增强免疫激活和代谢适应性,从而在T细胞淋巴瘤(EL4)模型中实现持久抗肿瘤免疫。NanoSTING@Mn由ADU-S100与Mn 2 ⁺复合并封装于仿生脂质体中组成,可有效激活cGAS-STING通路,诱导I型干扰素反应,并促进淋巴细胞浸润。这些单核细胞极化为M1巨噬细胞,抑制调节性T细胞。
同时,LLL光生物调节重编程肿瘤浸润CD8⁺ T细胞和NK 细胞的线粒体代谢,恢复其持久性并导致局部肿瘤完全清除。单细胞RNA测序显示,该联合方案扩增了一个具有Tcf-1⁺祖细胞耗竭特征且记忆/效应基因表达升高的独特CD8⁺ T细胞亚群,增强了增殖和细胞毒性。鼻内递送nanoSTING@Mn可将这些经LLL复苏的T细胞动员至肺部,在那里它们分化为驻留记忆T细胞并建立全身性抗肿瘤免疫。静脉再次攻击后,播散性肿瘤细胞被清除,从而防止转移并确保长期保护。这种协同方法提供了一个可扩展的平台来增强免疫治疗疗效,并重新定义了基于免疫的转移预防策略。
Immunotherapy remains ineffective in many solid tumors due to poor T-cell infiltration and a metabolically suppressive tumor microenvironment. A dual strategy combining low-level light (LLL) therapy with a nanoscale stimulator of interferon genes (STING) agonist formulation (nanoSTING@Mn) is presented to enhance immune activation and metabolic fitness for durable tumor immunity against T-cell lymphoma (EL4) model. NanoSTING@Mn, composed of ADU-S100 complexed with Mn 2 ⁺ and encapsulated in biomimetic liposomes, potently activates the cGAS-STING pathway, induces a type I interferon response, and promotes lymphocyte infiltration. These monocytes polarize into M1 macrophages, suppressing regulatory T cells.
Simultaneously, LLL photo-biomodulation reprograms mitochondrial metabolism in tumor-infiltrating CD8⁺ T and natural killer cells, restoring their durability and leading to complete local tumor eradication. This combination expands a distinct CD8⁺ T-cell subset with Tcf-1⁺ progenitor-exhausted features and elevated memory/effector gene expression, enhancing proliferation and cytotoxicity, as shown by single-cell RNA sequencing.
Intranasal nanoSTING@Mn delivery mobilizes these LLL-revived T cells to the lung, where they differentiate into resident memory T cells and establish systemic antitumor immunity. Upon intravenous rechallenge, disseminated tumor cells are eliminated, preventing metastasis and ensuring long-term protection. This synergistic approach offers a scalable platform to boost immunotherapy efficacy and redefines immune-based metastasis prevention strategies.
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