决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Enhancing cDC1-mediated anti-tumor immunity limits tumor progression and potentiates anti-PD-1 therapy in intrahepatic cholangiocarcinoma.
我们的研究结果表明,在iCCA中,招募并激活肿瘤内cDC1是可行的,并且对于驱动抗肿瘤CD8+ T细胞免疫反应以及增强抗PD-1治疗效果至关重要。
常规1型树突状细胞(cDC1s)主导抗肿瘤免疫,并在决定癌症免疫疗法疗效中发挥关键作用。在本研究中,我们试图揭示肝内胆管癌(iCCA)发展过程中肿瘤免疫景观的动态变化,并利用靶向cDC1s的治疗潜力进行癌症治疗。
我们通过流体动力学尾静脉注射(HDTVi)编码 AKT/YAP 的质粒,构建了自发性小鼠 iCCA。为了表征 iCCA 癌变和进展过程中肿瘤浸润免疫细胞群体的特征,我们进行了飞行时间质谱流式细胞术(CyTOF)。为了扩增并激活 cDC1s,我们将 Flt3L 与 poly I:C 联合(FL-pIC)治疗,并在 AKT/YAP 诱导的 iCCA 和皮下肿瘤注射模型中评估了其治疗疗效。采用流式细胞术分析评估 cDCs 和 CD8 + T 细胞的瘤内浸润水平。
CyTOF分析揭示,随着iCCA进展,免疫抑制性肿瘤微环境逐步形成。关键在于,与早期肿瘤相比,晚期iCCA中cDC1s的浸润显著减少。联合FL-pIC治疗优先扩增了CD103+ cDC1s,强效抑制了AKT/YAP驱动的小鼠iCCA中的肿瘤发生,并使这些肿瘤对抗PD-1治疗敏感。此外,FL-pIC治疗显著抑制了已建立的mIC-23皮下肿瘤的生长。
PURPOSE: Conventional type 1 dendritic cells (cDC1s) mastermind anti-cancer immunity and play a pivotal role in determining the efficacy of cancer immunotherapies. In this study, we sought to decipher the dynamic changes in the tumor immune landscape during intrahepatic cholangiocarcinoma (iCCA) development and harness the therapeutic potential of targeting cDC1s for cancer therapy. METHODS: We constructed spontaneous murine iCCAs via hydrodynamic tail vein injection (HDTVi) of plasmids encoding AKT/YAP. To characterize tumor-infiltrating immune cell populations throughout iCCA carcinogenesis and progression, we performed time-of-flight mass cytometry (CyTOF). To expand and activate cDC1s, we combined Flt3L with poly I:C (FL-pIC) therapy and assessed its therapeutic efficacy in both AKT/YAP-induced iCCAs and a subcutaneous tumor injection model. Flow cytometric analyses were used to evaluate intra-tumoral infiltration levels of cDCs and CD8 + T cells. RESULTS: CyTOF analysis revealed the progressive formation of an immunosuppressive tumor microenvironment as iCCA advances. Crucially, infiltration of cDC1s dramatically decreases in advanced iCCAs compared to early-stage tumors. Combined FL-pIC therapy preferentially expanded CD103 + cDC1s, powerfully inhibiting tumorigenesis in AKT/YAP-driven murine iCCAs and sensitizing these tumors to anti-PD-1 therapy. Moreover, FL-pIC therapy markedly suppressed the growth of established mIC-23 subcutaneous tumors. CONCLUSIONS: Our findings demonstrate that recruiting and activating intra-tumoral cDC1s is feasible and essential for driving anti-tumor CD8 + T cell immune responses and enhancing anti-PD-1 therapeutic effectiveness in iCCA.
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