← 返回前沿论文

毛兰素介导的血管正常化解锁胶质母细胞瘤的 CAR-T 免疫治疗

英文原题:Vascular normalization by erianin unleashes CAR-T immunotherapy in glioblastoma.

PubMed 2026/02/12(内容时间) Angiogenesis Q1 · IF 11.2(JCR 2025)

研究概要

异常肿瘤血管是限制免疫治疗(包括实体瘤中的CAR-T 细胞 疗法)疗效的主要屏障,它通过限制 T 细胞浸润并损害其功能活性发挥作用。

中文摘要

异常肿瘤血管是限制实体瘤免疫治疗(包括CAR-T 细胞[CAR-T]治疗)疗效的主要障碍,会限制T细胞浸润并损害其功能。胶质母细胞瘤(GBM)是血管最丰富且免疫治疗耐药性最强的癌症之一,其血管高度异常、微环境极度“冷”,集中体现了上述挑战。GBM样本单细胞转录组分析提示,内皮—间质转化(Endo-MT)是血管异常的重要机制。本研究通过精选化合物库进行功能筛选,发现天然小分子紫杉叶素(erianin)是强效Endo-MT抑制剂,可使肿瘤血管正常化,并增强GBM小鼠模型中的T细胞浸润。重要的是,紫杉叶素可提高GBM对Egfrviii CAR-T治疗的敏感性,并改善临床前模型中的化疗疗效。化学蛋白质组和生物物理分析显示,紫杉叶素靶向P4HA1的Arg379位点,该位点位于α-酮戊二酸(α-KG)结合口袋内;这会下调HIF1α/SNAIL/SLUG通路,通过稳定VE-钙黏蛋白介导的连接恢复内皮完整性,并上调ICAM1增强T细胞黏附。这些发现凸显紫杉叶素克服血管屏障、重编程肿瘤微环境的潜力,为增强GBM及其他实体瘤免疫治疗提供新策略。

展开英文摘要原文

Aberrant tumor vasculature is a major barrier limiting the efficacy of immunotherapy, including chimeric antigen receptor T-cell (CAR-T) therapy in solid tumors, by restricting T cell infiltration and impairing their functional activity. Glioblastoma (GBM), one of the most vascularized and immunotherapy-refractory cancers, exemplifies these challenges with its highly abnormal vessels and profoundly immune-cold microenvironment. Single-cell transcriptomic analysis of GBM samples suggests that endothelial-to-mesenchymal transformation (Endo-MT) is a key mechanism contributing to vascular abnormalities. Here, we conduct functional screening using a curated chemical library and identify erianin, a natural small-molecule compound, as a potent inhibitor of Endo-MT, thereby normalizing tumor vasculature and subsequently enhancing T cell infiltration in GBM mouse models. Importantly, erianin sensitizes GBM to Egfrviii CAR-T cell therapy and improves chemotherapy efficacy in preclinical models. Chemoproteomic and biophysical analyses reveal that erianin targets P4HA1 at the Arg379 site within the -ketoglutarate ( -KG) binding pocket, leading to downregulation of the HIF1 /SNAIL/SLUG pathway, thereby restoring endothelial integrity by stabilizing VE-cadherin-mediated junctions and upregulating ICAM1 to enhance T-cell adhesion. These findings highlight erianin's potential to overcome vascular barriers and reprogram the tumor microenvironment, providing a novel therapeutic strategy to enhance immunotherapy in GBM and other solid tumors.

论文信息

作者
Zhou S、Qian S、Sun B、Shi P、Guo S、Yang C、Zhang J、Gong Y
第一作者单位
Department of Obstetrics and Gynecology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.China
通讯作者单位
Department of Obstetrics and Gynecology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China. fanyangforever@gmail.com.China
期刊
Angiogenesis2026 Feb 12
原文标识
PubMed 41677939 · DOI 10.1007/s10456-026-10031-1