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.
英文原题:uPAR is highly expressed in recurrent glioblastoma and represents a candidate CAR T cell target.
uPAR is highly expressed in recurrent glioblastoma and represents a candidate CAR T cell target.
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胶质母细胞瘤(GBM)约占原发性中枢神经系统(CNS)肿瘤的 15%,占全球恶性原发性 CNS 肿瘤的 50%。GBM 存在显著肿瘤异质性,导致现有治疗效果不佳,且过去 20 年一线疗法没有取得有意义的改进。研究者对患者来源的原发和复发 GBM 细胞系开展多组学分析,发现尿激酶型纤溶酶原激活物受体(uPAR)是潜在脑肿瘤起始细胞的促肿瘤标志物和潜在治疗靶点。遗传学破坏 uPAR 表达会削弱体外和体内促肿瘤特征,凸显其在肿瘤发生中的生物学作用。随后,研究者制备了 uPAR 特异性嵌合抗原受体(CAR)T 细胞,其在复发性 GBM 患者来源异种移植模型中显示强效抗肿瘤活性。除直接杀伤肿瘤细胞外,研究还发现 GBM 相关巨噬细胞表达 uPAR,使 uPAR CAR-T 细胞能够同时靶向 GBM 本身及肿瘤微环境中的细胞。总体而言,这些数据说明靶向 uPAR 治疗 GBM 具有强效和治疗潜力。
Glioblastoma (GBM) comprises nearly 15% of primary central nervous system (CNS) tumors and 50% of malignant primary CNS tumors worldwide. Considerable tumoral heterogeneity exists in GBM, leading to inefficacy of current treatments and the absence of meaningful improvements in frontline therapies in the past 20 years.
Through multiomic analysis of patient-derived primary and recurrent GBM cell lines, we identified the urokinase plasminogen activator receptor (uPAR) as a protumorigenic marker of putative brain tumor-initiating cells and a potential therapeutic target.
We found that genetic disruption of uPAR expression impaired protumorigenic characteristics in vitro and in vivo, highlighting its biological role in tumorigenesis.
We then generated uPAR-specific chimeric antigen receptor (CAR) T cells, which demonstrated potent antitumor activity in recurrent GBM patient-derived xenograft models.
In addition to direct tumor cell killing, we found that uPAR is expressed on GBM-associated macrophages, enabling uPAR CAR T cells to target both GBM itself and cells in the tumor microenvironment.
Together, these data illustrate the potency and therapeutic potential of targeting uPAR in GBM.
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