下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Avidity-optimized TCR-T cells target KRAS neoantigens for potent cancer clearance and tumor microenvironment remodeling.
TCR3 可能有助于 KRAS 新抗原靶向的临床免疫治疗,帮助解决癌症免疫逃逸,并提高临床有效性和安全性。
**引言:**KRAS(Kirsten大鼠肉瘤病毒癌基因同源物)新抗原是特异性癌症治疗靶点,但目前尚无靶向KRAS新抗原的免疫产品获批临床使用,其疗效和普适性仍面临关键挑战。 **方法:**研究分离出一种天然人T细胞抗原受体TCR0,可特异识别负载KRAS G12V 8–16肽的HLA-A*11:01阳性T2细胞。然而,转导TCR0基因的T细胞对肿瘤细胞系应答不足。研究者因此制备表达TCR0突变体的T细胞,并命名为TCR3。 **结果:**TCR3-T细胞的亲和力和对肿瘤细胞系的应答均显著优化;其仍特异识别KRAS G12V8–16肽,不响应正常细胞;可在体内外杀伤PD-L1高表达肿瘤细胞;其增殖未受吲哚胺2,3-双加氧酶显著影响,且能抵抗转化生长因子β;还可通过趋化因子浸润肿瘤并招募其他免疫细胞。 **讨论:**TCR3可能用于KRAS新抗原靶向临床免疫治疗,有助于解决癌症免疫逃逸并提高临床疗效和安全性。
INTRODUCTION: Neoantigens from the Kirsten rat sarcoma viral oncogene homolog (KRAS) are specific cancer therapeutic targets. However, to date, no immune product targeting KRAS neoantigens has been approved for clinical use, and key challenges regarding efficacy and generalizability remain. METHODS: In this study, we isolated a natural human T-cell antigen receptor (TCR) 0 that specifically recognized human leukocyte antigen (HLA)-A*11:01+ T2 cells pulsed with KRAS G12V 8-16 peptides. However, TCR0 gene-transduced T cells demonstrated inadequate response to tumor cell lines. We generated T cells expressing a TCR0 mutant, being designated as TCR3. RESULTS: TCR3-T cells showed significantly optimized avidity and response to tumor cell lines, retained specificity for the KRAS G12V8-16 peptide with no response to normal cells, killed tumor cells that highly expressed programmed cell death-ligand 1 in vitro and in vivo , proliferated without being seriously affected by indoleamine 2,3-dioxygenase, resisted transforming growth factor , and infiltrated and recruited other immune cells to the tumor site through chemokines. DISCUSSION: TCR3 may be useful for KRAS neoantigen-targeted clinical immunotherapy, help resolve cancer immune escape, and enhance clinical effectiveness and safety.
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