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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The LXRβ/NF-κB axis reprograms CAR-T cells to resist exhaustion in the tumor microenvironment.
The LXRβ/NF-κB axis reprograms CAR-T cells to resist exhaustion in the tumor microenvironment.
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肝X受体β(LXRβ)是参与脂质代谢和免疫调节的关键转录因子,但其在肿瘤浸润T细胞中的功能尚未充分阐明。已有研究显示LXR可抑制NF-κB靶基因表达,但TME中LXR与NF-κB信号的机制性交互仍不清楚。
本研究确定LXR是实体瘤中调节CAR-T 细胞分化、代谢状态和效应功能的关键因子。过表达LXR改变CAR-T 细胞的转录和表型特征,包括调节干样TCF1细胞群、增殖能力(Ki-67)和细胞因子产生(IFN-γ、TNF)。通过对NF-κB组分,尤其是RelB进行基因扰动,研究进一步证明,破坏非经典NF-κB信号可增强CAR-T 细胞细胞毒性,并减轻TOX上调等耗竭相关特征。
值得注意的是,同时靶向LXR和RelB可产生叠加、在某些情境下甚至协同的获益,改善代谢适应性、减少终末耗竭,并增强体内抗肿瘤活性。
综上,研究界定了影响TME中CAR-T 命运和功能的LXRβ-NF-κB调控轴,并指出该通路是改善CAR-T 实体瘤治疗的有前景靶点。
Liver X receptor (LXR ) is a key transcription factor involved in lipid metabolism and immune regulation, yet its functional role in tumor-infiltrating T cells remains largely unresolved. While LXR has been shown to suppress NF- B target gene expression, the mechanistic interaction between LXR and NF- B signaling in the tumor microenvironment (TME) has not been fully established. In this study, we identify LXR as a critical regulator of CAR-T cell differentiation, the metabolic state, and effector function within solid tumors.
LXR overexpression altered the transcriptional and phenotypic landscape of CAR-T cells, including the modulation of stem-like TCF1 populations, proliferative capacity (Ki-67), and cytokine production (IFN , TNF ). Through genetic perturbation of NF- B components, particularly RelB, we further demonstrate that disrupting non-canonical NF- B signaling enhances CAR-T cell cytotoxicity and attenuates exhaustion-related features such as TOX upregulation.
Notably, combined targeting of LXR and RelB produced additive and, in some settings, synergistic benefits, improving metabolic fitness, reducing terminal exhaustion, and augmenting anti-tumor activity in vivo.
Together, these findings define an LXR -NF- B regulatory axis that shapes CAR-T cell fate and function in the TME and highlight this pathway as a promising target for improving CAR-T cell-based therapies against solid tumors.
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