靶向巨噬细胞的癌症治疗策略
Macrophage-directed therapeutic strategies in cancer.
肿瘤相关巨噬细胞(TAMs)是肿瘤微环境的主要组成部分,具有显著的功能可塑性,根据所处的微环境信号,既可表现为促进肿瘤进展的免疫抑制细胞,也可表现为支持抗肿瘤免疫的免疫刺激细胞。
英文原题:mRNA-engineered T lymphocytes secreting bispecific T cell engagers with therapeutic potential in solid tumors.
我们的结果强烈支持mRNA工程化的TCE分泌型T细胞作为一种有前景的实体瘤治疗策略。
过去十年中,嵌合抗原受体(CAR)修饰的T细胞已彻底改变了血液系统恶性肿瘤的治疗格局。然而,在实体瘤中的抗肿瘤反应仍然不佳,且寻找真正肿瘤特异性靶抗原的困难导致脱靶/脱肿瘤毒性风险较高。采用mRNA进行瞬时修饰正逐渐成为一种替代病毒转导的方法,以期获得更好的安全性。另一方面,已有报道称,分泌双特异性T细胞衔接器(TCEs)的T细胞在抗肿瘤疗效上优于表达膜锚定CAR的T淋巴细胞,这得益于可溶性TCEs能够招募未修饰的旁观者T细胞。
我们已将编码抗EGFR×抗CD3双特异性T细胞衔接器的体外转录mRNA电穿孔导入人原代T细胞。此类mRNA修饰的T细胞(STAR EGFR-T细胞)已分析其抗EGFR双特异性TCE分泌能力,以及在体外和体内驱动针对表达EGFR细胞的抗肿瘤反应的能力。
STAR EGFR-T细胞在体外实验中可瞬时分泌双特异性TCE,能够重定向T淋巴细胞以发挥肿瘤细胞特异性杀伤作用。此外,STAR EGFR-T细胞在实体恶性肿瘤的体内异种移植模型中有效控制肿瘤生长。
BACKGROUND: In the last decade, c himeric antigen receptor (CAR)-modified T cells have revolutionized the treatment of hematologic malignancies. However, antitumor responses in solid tumors remain poor, and the difficulty in finding truly tumor-specific target antigens leads to a high risk of on-target/off-tumor toxicity. Transient modification with mRNA is gaining momentum as an alternative approach to viral transduction in order to achieve a better safety profile. On the other hand, generation of T cells secreting bispecific T cell engagers (TCEs) has been reported to outperform the antitumor efficacy of T lymphocytes expressing membrane-anchored CARs, due to the ability of the soluble TCEs to recruit unmodified bystander T cells. METHODS: We have electroporated human primary T cells with in vitro transcribed mRNA encoding an anti-EGFR x anti-CD3 bispecific T cell engager. Such mRNA-modified T cells (STAR EGFR -T cells) have been analyzed for anti-EGFR bispecific TCE secretion and for their ability to drive anti-tumor responses against EGFR-expressing cells, both in vitro and in vivo . RESULTS: STAR EGFR -T cells transiently secrete bispecific TCEs capable of redirecting T lymphocytes to exert tumor cell-specific killing in in vitro assays. Moreover, STAR EGFR -T cells efficiently control tumor growth in in vivo xenograft models of solid malignancy. CONCLUSIONS: Our results strongly support mRNA-engineered TCE-secreting T cells as a promising therapeutic strategy for solid tumors.
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