不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Age-independent and targetable transcription factor networks regulating CD8(+) T cell senescence in aging humans.
Age-independent and targetable transcription factor networks regulating CD8(+) T cell senescence in aging humans.
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免疫功能随年龄增长而下降,并伴随衰老CD8⁺ T细胞积累。本研究通过分离衰老细胞并结合多组学分析发现,无论供者年龄较轻还是较大,细胞向衰老状态转变均由染色质状态特异的转录因子(TF)网络调控。该网络广泛重塑增强子,抑制细胞身份相关基因,同时上调炎症和分泌通路。抑制或下调AP1、KLF5或RUNX2可调节转录输出,并部分恢复衰老CD8⁺ T细胞对刺激反应减弱的状态。衰老CD8⁺ T细胞基因特征还可预测弥漫大B细胞淋巴瘤患者对嵌合抗原受体(CAR)T细胞疗法的应答。总体而言,本研究界定了人CD8⁺ T细胞衰老背后的基因调控机制,指出扰动TF网络是调节衰老状态的可行策略,并确定衰老CD8⁺ T细胞基因特征可作为预测免疫治疗结局的工具。
The age-related decline in immunity is accompanied by the accumulation of senescent CD8 + T cells. Using senescent cell isolation coupled with multi-omics profiling, we reveal the transition to senescence to be controlled by chromatin state-specific transcription factor (TF) networks in younger and older donors independent of age.
These TF networks mediate widespread enhancer remodeling, repressing cell identity genes while upregulating inflammatory and secretory pathways. Inhibition or downregulation of AP1, KLF5, or RUNX2 modulates the transcriptional output and partially restores the blunted response to stimulation of senescent CD8 + T cells. Senescent CD8 + T cell gene signatures also predict responsiveness to chimeric antigen receptor (CAR)-T cell therapy in diffuse large B cell lymphomas.
Overall, our study defines the gene-regulatory mechanisms underlying human CD8 + T cell senescence, highlights TF network perturbation as a viable strategy to manipulate the senescence state, and identifies senescent CD8 + T cell gene signatures as prognostic tools for immunotherapy outcome.
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