RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:DF6215, an α-optimized IL-2-Fc fusion, expands immune effectors and drives robust preclinical anti-tumor activity.
DF6215, an α-optimized IL-2-Fc fusion, expands immune effectors and drives robust preclinical anti-tumor activity.
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DF6215是一种经过合理设计的白细胞介素-2(IL-2)Fc融合蛋白,旨在克服传统IL-2肿瘤免疫治疗的疗效和安全性局限。与消除CD25结合且临床表现不佳的非α(non-α)IL-2变体不同,DF6215保留了中等的IL-2受体α(IL-2Rα)亲和力,同时增强IL-2Rβγ信号传导,并通过工程化免疫球蛋白(Ig)G1 Fc结构域延长半衰期。该设计优先扩增细胞毒性CD8+ T细胞和NK 细胞,而非调节性T细胞,从而在小鼠模型中产生有利的效应细胞与调节性细胞比例、增强免疫激活并实现显著的肿瘤消退。在免疫原性差的肿瘤中,DF6215与PD-1阻断协同作用,实现持久缓解且未增加毒性。食蟹猴研究证实了DF6215的药效学特征和良好的安全性,未出现血管渗漏综合征或细胞因子释放综合征的迹象。这些发现使DF6215成为一种差异化的IL-2,能够调节肿瘤微环境并以改善的耐受性实现强效抗肿瘤免疫,支持其推进至实体瘤临床试验。
DF6215 is a rationally engineered interleukin-2 (IL-2) Fc-fusion protein developed to overcome efficacy and safety limitations of traditional IL-2 cancer immunotherapy. Unlike non-alpha (non-α) IL-2 variants that eliminate CD25 binding and underperform clinically, DF6215 retains moderate IL-2 receptor α (IL-2Rα) affinity while enhancing IL-2Rβγ signaling and extending the half-life via an engineered immunoglobulin (Ig)G1 Fc domain.
This design preferentially expands cytotoxic CD8 + T cells and natural killer cells over regulatory T cells, resulting in favorable effector-to-regulatory cell ratios, enhanced immune activation, and robust tumor regression in mouse models. In poorly immunogenic tumors, DF6215 synergized with PD-1 blockade to achieve durable responses without added toxicity. Cynomolgus monkey studies confirm DF6215's pharmacodynamics and favorable safety profile, with no signs of vascular leak syndrome or cytokine release syndrome.
These findings position DF6215 as a differentiated IL-2 capable of modulating the tumor microenvironment and achieving potent anti-tumor immunity with improved tolerability, supporting its advancement into clinical trials for solid tumors.
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