一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The transcription factor ZEB2 mediates the antitumor efficacy of tumor-infiltrating lymphocytes in non-small cell lung cancer.
The transcription factor ZEB2 mediates the antitumor efficacy of tumor-infiltrating lymphocytes in non-small cell lung cancer.
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免疫检查点阻断(ICB)为晚期非小细胞肺癌(NSCLC)提供了一种在体内激活CD8+TIL(肿瘤浸润淋巴细胞)(CD8+TILs)的方法。很大一部分NSCLC患者对ICB无应答并复发,原因是出现了细胞毒性受损的功能失调CD8+TILs。
因此,为了NSCLC患者ICB治疗的成功,需要更好地理解有利于细胞毒性T效应细胞而非功能失调CD8+TILs发育的调控因子。
在此,我们基于metaVIPER对来自14例未经治疗的NSCLC患者的深度CD8+细胞scRNA-seq数据进行分析,揭示主调控子ZEB2可能驱动NSCLC肿瘤中CD8+沿细胞毒性效应轨迹分化。在体外,ZEB2作用于T-bet下游,刺激肺肿瘤反应性T效应细胞分化。这一T-bet/ZEB2轴对KP.SIY肺肿瘤表现出独立于ICB治疗的免疫治疗效应,并介导小鼠血清白蛋白融合IL-2+IL-12联合免疫治疗(IL2-MSA+IL12-MSA)在小鼠中的治疗效果。IL2-MSA+IL12-MSA通过平行的STAT4/FOXO1介导机制发挥作用,促进CD8+TIL中T-bet/ZEB2表达及肺肿瘤反应性T效应细胞分化。
总之,支持CD8+细胞中ZEB2活性的免疫治疗方案可能在NSCLC患者中具有前景。
Immune checkpoint blockade (ICB) offers an in vivo approach to activate CD8 + tumor-infiltrating lymphocytes (CD8 + TILs) in cases of advanced non-small cell lung cancer (NSCLC). A large fraction of NSCLC patients is unresponsive to ICBs and relapse due to the development of dysfunctional CD8 + TILs with impaired cytotoxicity.
Therefore, an improved understanding of regulator(s) that favor the development of cytotoxic T eff cells over dysfunctional CD8 + TILs is required for the success of ICB therapy in NSCLC patients.
Here, our metaVIPER-based scRNA-seq analysis of deep CD8 + cell scRNA-seq data from 14 treatment-na ve NSCLC patients revealed that the master regulon ZEB2 may drive CD8 + differentiation along the cytotoxic effector trajectory in NSCLC tumors. In vitro, ZEB2 acts downstream of T-bet to stimulate lung tumor-reactive T eff cell differentiation. This T-bet/ZEB2 axis displays immunotherapeutic effects on KP.
SIY lung tumors independent of ICB therapy and mediates the therapeutic effects of murine serum albumin-fused IL-2 + IL-12 combination immunotherapy (IL2-MSA + IL12-MSA) in mice. IL2-MSA + IL12-MSA operates through a parallel STAT4/FOXO1-mediated mechanism that promotes CD8 + TIL T-bet/ZEB2 expression and lung tumor-reactive T eff cell differentiation.
In conclusion, immunotherapeutic regimens that support ZEB2 activity in CD8 + cells may show promise in NSCLC patients.
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