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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:TIPE2 knockdown enhances the anti-tumor efficacy of NKG2D CAR-T cells against pancreatic cancer via activating NF-κb signaling pathway.
TIPE2 knockdown enhances the anti-tumor efficacy of NKG2D CAR-T cells against pancreatic cancer via activating NF-κb signaling pathway.
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**背景:**肿瘤坏死因子α诱导蛋白8样2(TIPE2)是一种细胞内免疫检查点蛋白,可抑制T细胞活化和效应功能。尽管TIPE2会限制T细胞应答,CAR-T 细胞仍易受TIPE2介导的抑制信号影响。
因此研究者假设,抑制这一免疫检查点可增强CAR-T 抗肿瘤功能。**方法:**为克服TIPE2介导的负调控,研究者构建新型第二代NKG2D CAR-T,并将靶向TIPE2的shRNA序列直接整合进CAR构建体。通过qPCR和蛋白质印迹检测CAR构建体中TIPE2敲低效率。通过流式细胞术评估TIPE2下调CAR-T 的功能及机制特征,包括活化、细胞毒性、耗竭、凋亡、增殖和分化;并在胰腺癌临床前小鼠模型中验证体内抗肿瘤疗效。**结果:**流式分析显示,TIPE2缺失CAR-T 中活化标志物CD69、脱颗粒标志物CD107a、细胞毒标志物颗粒酶B及细胞因子IFN-γ表达显著升高,较常规CAR-T 更有效清除肿瘤细胞。沉默TIPE2还可减轻T细胞耗竭、降低凋亡易感性,并在与Panc-28胰腺癌细胞共培养时增强增殖。
此外,TIPE2抑制使CAR-T 分化偏向效应表型(T_EFF),表现为T-bet表达升高、Eomes生成减少。在机制上,这些功能增强由NF-κB信号上调介导,证据包括p-p65表达升高,以及抑制NF-κB可逆转功能增强。与野生型CAR-T 相比,TIPE2缺失CAR-T 体内抗肿瘤疗效也显著提高。**结论:**研究成功开发TIPE2下调型NKG2D-CAR-T 细胞,在靶向表达NKG2D配体的胰腺肿瘤时增强活化和细胞毒作用,同时限制凋亡与耗竭,提示TIPE2是优化实体瘤CAR-T 疗法的有前景细胞内免疫检查点靶点。
Tumor necrosis factor- -induced protein 8-like 2 (TIPE2) is an intracellular immune checkpoint protein known to suppress T cell activation and effector function. Despite its role in limiting T cell responses, CAR-T cells are prone to TIPE2-mediated inhibitory signaling. We therefore hypothesized that inhibiting this immune checkpoint would enhance CAR-T cell anti-tumor function.
To overcome TIPE2-mediated negative regulation, we engineered a novel second-generation NKG2D-based CAR-T cell by incorporating TIPE2-targeting shRNA sequences directly into the CAR construct. TIPE2 knockdown efficiency in the CAR constructs was measured by qPCR and western blot analysis. The functional and mechanistic properties of TIPE2-downregulated CAR-T cells were evaluated in vitro by flow cytometry, including analysis of activation, cytotoxicity, exhaustion, apoptosis, proliferation, and differentiation. Antitumor efficacy was further validated in vivo using a preclinical pancreatic cancer mouse model.
Flow cytometry analysis revealed that TIPE2-deficient CAR-T cells exhibited significantly higher expression of activation (CD69), degranulation (CD107a), cytotoxic (GzmB), and cytokine (IFN- ) markers, resulting in more efficient tumor cell elimination compared to conventional CAR-T cells. TIPE2 silencing also reduced T cell exhaustion, lowered susceptibility to apoptosis, and enhanced proliferation when co-cultured with Panc-28 pancreatic cancer cells. Moreover, TIPE2 inhibition skewed CAR-T cells differentiation towards an effector phenotype (T EFF ), characterized by higher T-bet expression and reduced Eomes production. Mechanistically, these functional enhancements were mediated by increased NF- B signaling, as confirmed by elevated p-p65 expression and functional reversal upon NF- B inhibition. Consistently, TIPE2-deficient CAR-T cells exhibited significantly improved anti-tumor efficacy in vivo compared to wild-type CAR-T cells.
We successfully developed TIPE2-downregulated NKG2D-CAR-T cells that exhibited enhanced activation and cytotoxicity while limiting apoptosis and exhaustion against NKG2D ligand-expressing pancreatic tumors, highlighting TIPE2 as a promising intracellular immune checkpoint target for optimizing CAR-T cell therapy in solid tumors.
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