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算法引导的个体化 T 细胞治疗:机器学习开启下一代 TCR 工程化免疫治疗

英文原题:Algorithm guided personalized T cell therapy: machine learning unlocks next generation TCR engineered immunotherapy.

PubMed 2025/12/10(内容时间) Pharmacol Rep Q2 · IF 4.5(JCR 2025)

研究概要

本研究旨在强调利用ML平台统一过继性T细胞疗法的多样性与精准性,从而实现快速、个性化地筛选肿瘤反应性克隆,用于下一代实体瘤免疫治疗。

中文摘要

过继性T细胞疗法,包括TIL(肿瘤浸润淋巴细胞)输注以及工程化嵌合抗原受体(CAR)或T细胞受体(TCR)疗法,已经改变了免疫肿瘤学的格局,但仍受限于抗原多样性(广度)与靶点精确性之间的根本性差异。TIL疗法能够捕获多样化的抗原识别,但往往无法富集具有持续增殖潜力的肿瘤反应性克隆。另一方面,CAR-T疗法实现了强效的抗原特异性细胞毒性,却受限于肿瘤异质性以及需要预先确定的靶点。机器学习(ML)的最新进展有望弥合这一差距。PredicTCR和TRTpred等平台基于配对的TCR序列和单细胞转录组学进行训练,能够从单次肿瘤活检中以> 90%的准确率预测肿瘤反应性克隆,从而在数天内实现高多样性、高精确度的筛选。互补的深度学习框架,包括MATE-Pred和BertTCR,将预测能力扩展到多种表位和HLA背景。这些创新预示了一种范式,即ML驱动的算法指导个性化TCR工程化产品的快速设计,有望将生产周期从数月缩短至数周。然而,挑战仍然存在,包括验证模型在不同肿瘤类型中的泛化能力、尽量减少假阳性预测,以及将安全性分析整合到计算筛选流程中。通过将计算智能与细胞免疫疗法相融合,ML增强的过继性T细胞疗法可能克服当前局限,并实现长期以来追求的目标:针对实体瘤的个体化、肿瘤特异性免疫治疗。总体而言,本研究旨在强调利用ML平台统一过继性T细胞疗法的多样性与精准性,从而实现快速、个性化地筛选肿瘤反应性克隆,用于下一代实体瘤免疫治疗。

展开英文摘要原文

Adoptive T cell therapies, including tumor-infiltrating lymphocyte (TIL) transfer and engineered chimeric antigen receptor (CAR) or T cell receptor (TCR) therapies, have transformed the immuno-oncology landscape but remain limited by a fundamental variation between antigenic variety (breadth) and target precision. TIL therapies capture diverse antigen recognition but often fail to enrich tumor-reactive clones with sustained proliferative potential. On the other hand, CAR-T therapies achieve potent, antigen-specific cytotoxicity, yet are constrained by tumor heterogeneity and the need for pre-identified targets. Recent advances in machine learning (ML) promise to bridge this gap. Platforms such as PredicTCR and TRTpred, trained on paired TCR sequences and single-cell transcriptomics, can predict tumor-reactive clones with > 90% accuracy from a single tumor biopsy, enabling high-variety, high-precision selection within days. Complementary deep learning frameworks, including MATE-Pred and BertTCR, extend predictive capacity across diverse epitopes and HLA backgrounds. These innovations foreshadow a paradigm in which ML-driven algorithms guide the rapid design of personalized TCR-engineered products, potentially reducing manufacturing timelines from months to weeks. However, challenges remain in validating model generalizability across tumor types, minimizing false predictions, and integrating safety profiling into computational selection pipelines. By converging computational intelligence with cellular immunotherapy, ML-enhanced adoptive T cell therapies may overcome current limitations and realize the long-sought goal of individualized, tumor-specific immunotherapy for solid tumors. Overall, the study aims to highlight the use of ML platforms to unify variety and precision in adoptive T-cell therapies, enabling rapid, personalized selection of tumor-reactive clones for next-generation solid tumor immunotherapy.

论文信息

作者
Rafiq Z、Bashir T、Lu W、Osorio NP
第一作者单位
Department of Pharmaceutical Sciences, School of Pharmacy, University of Texas at El Paso, 500 W. University Ave, El Paso, TX, 79968, USA. zrafiq@utep.edu.United States
通讯作者单位
Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA. npuebla@mdanderson.org.United States
文献类型
综述
期刊
Pharmacological reports : PR2026 Feb
原文标识
PubMed 41366595 · DOI 10.1007/s43440-025-00812-8