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:Vascular normalization by erianin unleashes CAR-T immunotherapy in glioblastoma.
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。
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。
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.
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