CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:IL-36γ armored CAR T cells reprogram neutrophils to induce endogenous antitumor immunity.
IL-36γ armored CAR T cells reprogram neutrophils to induce endogenous antitumor immunity.
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嵌合抗原受体(CAR)T细胞由于抗原异质性和免疫抑制性肿瘤微环境(TME)等障碍,对实体瘤疗效不佳。此前的努力集中于增强CAR-T 细胞的细胞毒性和持久性,而通过利用CAR-T 细胞对宿主抗肿瘤免疫的调节作用来提高其治疗疗效的可行性仍不清楚。在此,我们报道IL-36装甲CAR-T 细胞能够清除原发性实体瘤,并使机体能够排斥再次接种的抗原阴性肿瘤。IL-36装甲CAR-T 细胞有利地调节TME,并重编程具有杀肿瘤能力和抗原(交叉)呈递功能的独特中性粒细胞亚群,从而诱导出能够识别CAR靶向抗原之外肿瘤抗原的内源性T细胞。我们的研究表明,CAR-T 细胞对中性粒细胞的招募是建立肿瘤-免疫循环的关键步骤,并引入了一种广泛适用的方法来克服实体瘤过继细胞疗法的关键障碍。
Chimeric antigen receptor (CAR) T cells are ineffective against solid tumors due to obstacles of antigen heterogeneity and the immunosuppressive tumor microenvironment (TME). Previous efforts focused on enhancing cytotoxicity and persistence of CAR T cells, while the feasibility of improving their therapeutic efficacy by leveraging the modulatory effects of CAR T cells on host anti-tumor immunity remains unclear.
Here, we report that IL-36 armored CAR T cells eradicate primary solid tumors and enable rejection of rechallenged antigen-negative tumors. IL-36 armored CAR T cells favorably modulate the TME and reprogram unique neutrophil subsets with tumoricidal ability and antigen-(cross) presenting functions, resulting in the induction of endogenous T cells recognizing tumor antigens beyond CAR-targeted antigens.
Our study demonstrates that neutrophil engagement by CAR T cells is a critical step in the establishment of the cancer-immunity cycle and introduces a broadly applicable method to overcome key barriers to adoptive cell therapies for solid tumors.
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