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GITR 激活通过逆转耗竭增强胶质母细胞瘤扩增的 TIL(肿瘤浸润淋巴细胞)的抗肿瘤免疫

英文原题:GITR activation potentiates anti-tumor immunity of tumor-infiltrating lymphocytes expanded from glioblastoma by rescuing exhaustion.

PubMed 2026/03/04(内容时间) Oncogene Q1 · IF 9.1(JCR 2025)

研究概要

自体TIL(肿瘤浸润淋巴细胞)疗法对实体瘤具有变革性潜力,但其在胶质母细胞瘤中的疗效仍受限于 T 细胞耗竭和免疫抑制。

中文摘要

自体TIL(肿瘤浸润淋巴细胞)疗法对实体瘤具有变革性潜力,但其在胶质母细胞瘤中的疗效仍受T细胞耗竭和免疫抑制的限制。在本研究中,我们优化了一种有效且可靠的从胶质母细胞瘤病灶中体外扩增TIL的方法,并在体外和体内评估了其杀瘤能力。对扩增TIL的单细胞RNA测序(scRNA-seq)揭示了其异质性,并鉴定出一个具有独特耗竭特征的细胞毒性组织驻留记忆(TRM)CD8+ TIL亚群。值得注意的是,共刺激因子GITR(由TNFRSF18编码)不仅在免疫抑制性调节性T(Treg)细胞上高表达,也在耗竭的CD8+ TIL上高表达。通过GITR抗体激动GITR可实现双重效应:既直接增强CD8+ TIL活化,又同时消除Treg介导的免疫抑制。这种双重作用机制与PD-1疗法协同,放大TIL再激活,显著增强体内肿瘤控制。在机制上,GITR激活通过NF-κB/KALRN信号轴促进TIL中免疫突触(IS)的形成和功能,从而增强抗肿瘤反应。我们的研究确立了GITR作为CD8+ TIL抗肿瘤免疫的关键调节因子,将GITR靶向定位为改善胶质母细胞瘤TIL疗法的新策略,并具有前景广阔的临床应用意义。

展开英文摘要原文

Autologous tumor-infiltrating lymphocyte (TIL) therapy holds transformative potential for solid tumors, yet its efficacy in glioblastoma remains limited by T cell exhaustion and immunosuppression. In the current study, we optimized an effective and reliable method for in vitro expansion of TILs from glioblastoma lesions and assessed their tumor-killing capacity both in vitro and in vivo. Single-cell RNA sequencing (scRNA-seq) of expanded TILs uncovered their heterogeneity and identified a cytotoxic tissue-resident memory (TRM) CD8 + TIL subset with a unique exhaustion signature. Notably, the co-stimulatory factor GITR (encoded by TNFRSF18) is highly expressed not only on immunosuppressive regulatory T (Treg) cells but also on exhausted CD8 + TILs. GITR agonism via GITR antibody achieved dual effects: it directly enhanced CD8 + TIL activation while simultaneously abrogating Treg-mediated immunosuppression. This dual-action mechanism synergized with PD-1 therapy to amplify TIL reactivation, significantly enhancing tumor control in vivo. Mechanistically, GITR activation potentiated anti-tumor responses by promoting immunological synapse (IS) formation and function in TILs via the NF- B/KALRN signaling axis. Our findings established GITR as a crucial regulator of CD8 + TIL anti-tumor immunity, positioning GITR targeting as a novel strategy to improve TIL therapy for glioblastoma, with promising implications for clinical application.

论文信息

作者
Zhou J、Yang Y、Ye R、Lin J、Feng H、Pei X、Li M、Peng J
第一作者单位
Department of Neurosurgery, The Clinical Innovation & Research Centre, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China.China
通讯作者单位
Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. dlwu@surgery.cuhk.edu.hk.Hong Kong
期刊
Oncogene2026 Apr
原文标识
PubMed 41776051 · DOI 10.1038/s41388-026-03705-z