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:RELB Reprograms Exhausted Tumor-Infiltrating Lymphocytes for Improved Adoptive Cell Therapy.
这些结果支持将促进RELB表达作为广泛实现TIL疗法治疗实体瘤的一种策略。
TIL(肿瘤浸润淋巴细胞)是一种有前景的治疗实体瘤的自体细胞疗法。TIL 的制备是通过从肿瘤活检组织中扩增并回输肿瘤反应性 T 细胞。TIL 疗法的疗效受到扩增后 TIL 产物异质性以及功能失调的耗竭 CD8+ T 细胞(T EX)高发生率的限制。尽管在多种癌症类型中,共表达 CD103 和 CD39 的 CD8+ TIL 亚群富含肿瘤反应性 TIL,但这些细胞通常处于 T EX 状态,增殖潜力低。为鉴定人 TIL 增殖的调控因子,我们筛选了一个编码所有人类转录因子(TF)的开放阅读框文库。RELB 成为人 TIL 扩增的主要驱动因子,并偏向 CD8+ 细胞。在 RELB 驱动的体外扩增多天后,TCR 多样性得以维持。对多种表达 RELB 的 TIL 亚型进行转录组分析,揭示了向记忆/共刺激样表型的转变。使用靶向 HER2 的 CAR 和肿瘤共培养模型,RELB 在体外多次肿瘤攻击后赋予改善的持久性,并在体内小鼠异种移植中改善实体瘤控制。最后,将过表达 RELB 的 TIL 与患者匹配的肿瘤类器官共培养,显示 TIL 产物的多功能性、肿瘤反应性和肿瘤杀伤增加。总体而言,这些结果支持促进 RELB 表达作为广泛实现 TIL 疗法治疗实体瘤的一种策略。
Tumor-infiltrating lymphocytes (TILs) are a promising autologous cell therapy to treat solid tumors. TILs are manufactured by expanding and reinfusing tumor-reactive T cells from tumor biopsies. Efficacy of TIL therapies has been limited by the heterogeneity of expanded TIL products and the high prevalence of dysfunctional exhausted CD8+ T cells (T EX ). While a subset of CD8+ TILs co-expressing CD103 and CD39 are enriched for tumor-reactive TILs across multiple cancer types, these cells are often in the T EX state with low proliferative potential. To identify regulators of human TIL proliferation, we screened an open reading frame library encoding for all human transcription factors (TFs). RELB emerged as the dominant driver of human TIL expansion with a skew towards CD8+ cells. TCR diversity was maintained after multiple days of in vitro expansion driven by RELB. Transcriptome profiling of multiple RELB-expressing TIL subtypes revealed a shift towards a memory/costimulatory-like phenotype. Using a HER2-targeting CAR and tumor co-culture model, RELB conferred improved persistence after multiple tumor challenges in vitro and improved solid tumor control in mouse xenografts in vivo . Finally, co-culture of RELB-overexpressing TILs with patient-matched tumor organoids showed an increase in TIL product polyfunctionality, tumor reactivity, and tumor killing. Collectively these results support promoting RELB expression as a strategy for broadly enabling TIL therapy for treating solid tumors.
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