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持续释放 IL-15 通过激活 FOXO1 信号轴增强 CAR-T 疗法在多发性骨髓瘤中的疗效

英文原题:Sustained IL-15 release enhances CAR-T therapy in multiple myeloma via FOXO1 signaling axis activation.

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Sustained IL-15 release enhances CAR-T therapy in multiple myeloma via FOXO1 signaling axis activation.

PubMed 2026/03/31(内容时间) Biomaterials Q1 · IF 13.6(JCR 2025)

研究概要

本研究开发了一种缺氧响应型N-803纳米凝胶(BiA-N-803 NG),用于控制释放IL-15超级激动剂,以增强CAR-T细胞治疗多发性骨髓瘤的疗效。

中文摘要

本研究开发了一种缺氧响应型N-803纳米凝胶(BiA-N-803 NG),用于控释IL-15超激动剂以增强多发性骨髓瘤中的CAR-T细胞治疗。该纳米凝胶双靶向CD138和TIM-3,并表现出稳定的缺氧触发释放特性。体外分析表明,BiA-N-803 NG促进CAR-T细胞扩增、记忆编程和抗肿瘤功能,其特征为记忆T细胞亚群增加和耗竭表型减少。转录组分析确定FOXO1信号轴的激活是CAR-T细胞记忆分化的关键机制。体内研究进一步显示CAR-T细胞持久性改善、NK细胞募集增强以及免疫抑制细胞浸润减少,共同导致多发性骨髓瘤中免疫微环境重塑和治疗耐久性提高。

展开英文摘要原文

This study developed a hypoxia-responsive N-803 nanogel (BiA-N-803 NG) for controlled release of an IL-15 superagonist to enhance CAR-T cell therapy in multiple myeloma. The nanogel was dual-targeted to CD138 and TIM-3 and exhibited stable, hypoxia-triggered release properties. In vitro analyses demonstrated that BiA-N-803 NG promoted CAR-T cell expansion, memory programming, and antitumor function, characterized by increased memory T-cell subsets and reduced exhaustion phenotypes. Transcriptomic profiling identified activation of the FOXO1 signaling axis as a key mechanism underlying CAR-T cell memory differentiation. In vivo studies further showed improved CAR-T cell persistence, enhanced NK cell recruitment, and reduced infiltration of immunosuppressive cells, collectively leading to a remodeled immune microenvironment and improved therapeutic durability in multiple myeloma.

论文信息

作者
Yu K、Zeng Y、Lu B、Xie M、Wang Y、Sun T、Xu X、Song Y
第一作者单位
Department of Transfusion Medicine, Key Laboratory of Jiangxi Province for Transfusion Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330209, China.China
通讯作者单位
Department of Hematology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, 518107, China. Electronic address: xiaowei@sysush.com.China
期刊
Biomaterials2026 Oct
原文标识
PubMed 41936184 · DOI 10.1016/j.biomaterials.2026.124187