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:GPR183 potentiates CAR-T cell infiltration and antitumor immunity through a positive feedback loop involving the oxysterol 7α,25-OHC.
本研究首次揭示,GPR183介导的正反馈环路是调控T细胞肿瘤浸润的关键新机制。通过基因工程增强GPR183表达是一种有前景的策略,可显著提高CAR-T细胞的迁移能力和抗肿瘤功能,从而为克服当前实体瘤治疗的局限性提供了新的治疗靶点和理论基础。
T 细胞向实体瘤的浸润不足是有效免疫治疗的一大障碍,尤其是在 CAR-T 疗法中。因此,鉴定能够促进 T 细胞向肿瘤部位迁移的关键分子至关重要。GPR183(EBI2)是一种氧化固醇受体,其在抗肿瘤 T 细胞免疫中的作用及其在 CAR-T 细胞工程中的应用潜力尚未被充分阐明。
通过分析乳腺癌和卵巢癌的公共单细胞转录组数据,以识别GPR183在不同T细胞亚群中的独特表达模式,并使用流式细胞术进行验证。功能实验,包括体外Transwell迁移实验,以及GPR183敲除和过表达模型,证明GPR183调控T细胞迁移。为了探究潜在的分子机制,我们采用了配体刺激、共培养系统和转录组测序。此外,我们构建了GPR183敲低或过表达的HER2靶向CAR-T细胞模型,并通过体外细胞毒性实验、IFN-分泌测量以及小鼠体内肿瘤异种移植模型,系统评估了GPR183对CAR-T细胞功能的影响。
单细胞分析揭示,GPR183high T 细胞呈现中央记忆表型,并富集于迁移相关信号通路。功能实验证实 GPR183 是 T 细胞迁移的关键正向调控因子。在机制上,T 细胞与肿瘤细胞的直接接触诱导肿瘤细胞中 CH25H 和 CYP7B1 上调,导致 7 ,25-OHC 生成增加,进而激活 GPR183 并进一步增强其表达,形成正反馈环路。在 HER2-CAR-T 模型中,GPR183 过表达显著增强了肿瘤浸润、IFN- 分泌和肿瘤细胞杀伤,并在体内实现了叠加改善的抗肿瘤疗效。
BACKGROUND: Insufficient T cell infiltration into solid tumors represents a major barrier to effective immunotherapy, particularly in the context of CAR-T therapy. Identifying key molecules capable of promoting T cell migration to tumor sites is therefore critical. GPR183 (EBI2), a receptor for oxidized sterols, has not yet been fully characterized in terms of its role in antitumor T cell immunity or its potential for application in CAR-T cell engineering. METHODS: Public single-cell transcriptomic data from breast cancer and ovarian cancer were analyzed to identify distinct expression patterns of GPR183 across T cell subsets, which were validated using flow cytometry. Functional assays, including in vitro Transwell migration experiments, as well as GPR183 knockout and overexpression models, demonstrated that GPR183 regulates T cell migration. To investigate the underlying molecular mechanisms, we employed ligand stimulation, co-culture systems, and transcriptome sequencing. Furthermore, we generated HER2-targeted CAR-T cell models with either GPR183 knockdown or overexpression, and systematically evaluated the impact of GPR183 on CAR-T cell function through in vitro cytotoxicity assays, IFN- secretion measurements, and in vivo tumor xenograft models in mice. RESULTS: Single-cell analysis revealed that GPR183high T cells exhibit a central memory phenotype and are enriched in migration-related signaling pathways. Functional experiments confirmed that GPR183 acts as a key positive regulator of T cell migration. Mechanistically, direct contact between T cells and tumor cells induced upregulation of CH25H and CYP7B1 in tumor cells, leading to increased production of 7 ,25-OHC, which activated GPR183 and further enhanced its expression, establishing a positive feedback loop. In the HER2-CAR-T model, GPR183 overexpression significantly enhanced tumor infiltration, IFN- secretion, and tumor cell killing, and resulted in an additively improved antitumor efficacy in vivo. CONCLUSION: This study reveals, for the first time, that the GPR183-mediated positive feedback loop is a critical novel mechanism governing T cell tumor infiltration. Enhancing GPR183 expression through genetic engineering represents a promising strategy that significantly improves the migratory capacity and antitumor functionality of CAR-T cells, thereby providing a new therapeutic target and theoretical foundation for overcoming current limitations in the treatment of solid tumors.
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