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:Oncolytic virus OVV-03 enhances CAR-T cell therapy against glioblastoma via immune modulation and specific HER2 upregulation.
这些发现表明,OVV-03 通过直接溶瘤和免疫激活(包括 PD-L1 调控)发挥强效抗肿瘤作用。
胶质母细胞瘤(GBM)因治疗耐药和免疫抑制而仍难以治疗,溶瘤病毒疗法提供了有前景的策略。本研究构建新型HER2武装溶瘤水疱性口炎病毒OVV-03,并评估其治疗GBM的疗效。OVV-03在GBM细胞系和患者来源细胞中表现出强效感染力及细胞毒性,可诱导胱天蛋白酶依赖性凋亡并抑制增殖和克隆形成。在小鼠GBM模型中,OVV-03显著抑制肿瘤生长、改善生存并增强CD8 T细胞浸润。单细胞RNA测序显示,OVV-03重塑肿瘤免疫微环境,增强细胞毒性T细胞活性并抑制免疫抑制通路,尤其是PD-L1/PD-1信号。机制上,OVV-03通过抑制JNK-c-Fos/c-Jun轴下调PD-L1;TNF-α刺激可逆转这一作用。关键的是,OVV-03与靶向B7-H3或HER2的CAR-T细胞协同,在原位模型中诱导更优肿瘤消退并延长生存。这些发现表明,OVV-03可通过直接溶瘤和免疫活化(包括调节PD-L1)发挥强效抗肿瘤作用;其与CAR-T的协同作用使OVV-03成为治疗GBM极具前景的溶瘤免疫病毒平台。OVV-03还可特异性上调GBM细胞表面HER2,改善肿瘤异质性背景下靶向免疫治疗的抗原识别基础。它通过直接溶解GBM细胞及JNK通路介导的PD-L1抑制重塑免疫抑制性肿瘤微环境;与B7-H3或HER2靶向CAR-T联合均显示强效协同,联合方案疗效显著优于单药。
Glioblastoma (GBM) remains therapeutically challenging due to treatment resistance and immunosuppression. Oncolytic virotherapy offers a promising strategy. This study engineered OVV-03, a novel HER2-armed oncolytic vesicular stomatitis virus (VSV), and evaluated its efficacy against GBM. OVV-03 demonstrated potent infectivity and cytotoxicity in GBM cell lines and patient-derived cells, inducing caspase-dependent apoptosis and suppressing proliferation/clonogenicity. In murine GBM models, OVV-03 significantly suppressed tumor growth, improved survival, and enhanced CD8 T cell infiltration. Single-cell RNA sequencing revealed OVV-03 remodels the tumor immune microenvironment by boosting cytotoxic T cell activity and inhibiting immunosuppressive pathways, notably PD-L1/PD-1 signaling. Mechanistically, OVV-03 downregulated PD-L1 by inhibiting the JNK-c-Fos/c-Jun axis, reversible by TNF- stimulation. Critically, OVV-03 synergized with B7H3- or HER2-targeted CAR-T cells, inducing superior tumor regression and prolonged survival in orthotopic models. These findings demonstrate that OVV-03 exerts potent antitumor effects through direct oncolysis and immune activation, including PD-L1 modulation. Its synergistic combination with CAR-T cells highlights OVV-03 as a highly promising oncolytic immunovirotherapy platform for GBM. OVV-03 addresses tumor heterogeneity by specifically upregulating HER2 surface antigen expression in glioblastoma, enhancing the antigenic recognition basis for targeted immunotherapy.OVV-03 remodels the immunosuppressive tumor microenvironment through direct oncolysis of GBM cells and JNK pathway-mediated suppression of PD-L1 expression.OVV-03 demonstrates potent synergy with both B7H3-targeted and HER2-targeted CAR-T therapies, with combination regimens achieving significantly superior antitumor efficacy compared to monotherapies.
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