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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Dual Specificity Phosphatase 4 Enhances Immunotherapy Response by Inhibiting TGF-β1 Secretion in Hepatocellular Carcinoma.
Dual Specificity Phosphatase 4 Enhances Immunotherapy Response by Inhibiting TGF-β1 Secretion in Hepatocellular Carcinoma.
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肿瘤免疫微环境(TIME)的异质性限制了免疫治疗在肝细胞癌(HCC)中的疗效,凸显了对预测性生物标志物和治疗靶点的需求。我们此前发现双特异性磷酸酶4(DUSP4)是索拉非尼耐药的介导因子,但其免疫调节作用尚不清楚。
通过糖蛋白3(GPC3)特异性嵌合抗原受体(CAR)T细胞杀伤实验评估DUSP4对HCC免疫敏感性的影响。在雌性C57BL/6J小鼠中建立Dusp4过表达细胞的皮下肿瘤模型,以评估DUSP4介导的微环境重塑及抗PD-L1治疗的疗效。对DUSP4过表达的HCC细胞进行bulk RNA测序以鉴定下游通路。利用公共数据库分析DUSP4表达与HCC中免疫检查点阻断(ICB)应答及免疫浸润的相关性。
DUSP4过表达在体外显著增强HCC细胞对CAR-T 细胞杀伤的敏感性,并在体内增强抗PD-L1的疗效,同时伴随TIME重塑。机制上,RNA测序显示DUSP4介导TGF-信号通路的下调,并通过中和抗体进行功能验证,该抗体消除了增强的CAR-T 杀伤作用。公共数据库证实DUSP4表达与HCC中增强的免疫细胞溶解活性及良好的预后结局相关。
DUSP4是连接靶向治疗耐药与免疫治疗敏感性增强的关键分子枢纽。通过减弱TGF-信号通路,DUSP4将TIME重编程为免疫活跃状态,从而增强免疫治疗的疗效。这些发现确立了 DUSP4 作为指导 HCC 序贯治疗的颇具前景的动态生物标志物,并凸显了其作为新型治疗靶点在改善实体瘤免疫治疗结局方面的潜力。
Background : Tumor immune microenvironment (TIME) heterogeneity limits immunotherapy efficacy in hepatocellular carcinoma (HCC), underscoring the need for predictive biomarkers and therapeutic targets.
We previously identified dual specificity phosphatase 4 (DUSP4) as a mediator of sorafenib resistance, but its immunomodulatory role remains unknown. Methods : Glypican-3 (GPC3)-specific chimeric antigen receptor (CAR) T-cell cytotoxicity assays were performed to assess the impact of DUSP4 on HCC immune susceptibility. A subcutaneous tumor model using Dusp4-overexpressing cells in female C57BL/6J mice was established to evaluate DUSP4-mediated microenvironment remodeling and anti-PD-L1 therapy efficacy.
Bulk RNA sequencing of DUSP4-overexpressing HCC cells identified downstream pathways. Public datasets were interrogated to correlate DUSP4 expression with immune checkpoint blockade (ICB) response and immune infiltration in HCC. Results : DUSP4 overexpression significantly enhanced HCC cell susceptibility to CAR-T cell killing in vitro and potentiated anti-PD-L1 efficacy in vivo, accompanied by TIME remodeling.
Mechanistically, RNA sequencing revealed DUSP4-mediated downregulation of the TGF- signaling pathway, functionally confirmed using a neutralizing antibody that abrogated the enhanced CAR-T killing. Public datasets confirmed associations between DUSP4 expression and enhanced immune cytolytic activity with favorable prognostic outcomes in HCC.
Conclusions : DUSP4 serves as a critical molecular nexus linking targeted therapy resistance to enhanced immunotherapy sensitivity. By attenuating the TGF- signaling pathway, DUSP4 reprograms TIME toward an immunologically active state, thereby augmenting the efficacy of immunotherapy.
These findings establish DUSP4 as a promising dynamic biomarker for guiding sequential therapy in HCC and highlight its potential as a novel therapeutic target to improve outcomes in solid tumor immunotherapy.
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