工程化益生菌用于肿瘤靶向联合化学免疫治疗
Engineered probiotics for tumor-targeted combination chemoimmunotherapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:SOT201: cis-acting PD-1/IL-15 mutein-based immunocytokine under investigational study in solid tumors.
SOT201: cis-acting PD-1/IL-15 mutein-based immunocytokine under investigational study in solid tumors.
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顺式作用免疫细胞因子代表了一类有前景的先进治疗药物,能够选择性地将细胞因子载荷导向 TIL(肿瘤浸润淋巴细胞)。该策略已被证明可诱导持久的抗肿瘤免疫,并在某些情况下促进免疫记忆形成,同时限制全身毒性。正在进行的临床评估和合理的联合治疗方案最终将确定其在精准癌症免疫治疗中的治疗定位。
细胞因子的全身给药受限于其多效性活性、剂量依赖性毒性以及较短的血清半衰期,从而限制了其在癌症治疗中的治疗窗。为克服这些挑战,已开发出将细胞因子信号传导限制于肿瘤微环境内特定免疫细胞亚群的策略,以增强疗效同时尽量减少脱靶效应。其中,抗体-细胞因子融合蛋白代表了一种合理的设计平台,能够实现细胞因子向特定免疫群体的选择性和局部化递送。涵盖领域:本报告概述了靶向肿瘤相关抗原及顺式递送的基于IL-2和IL-15的免疫细胞因子平台的设计原理,特别强调以PD-1为导向的顺式信号传导策略。总结了SOT201的临床前数据,重点阐述其亲和力优化的IL-15突变蛋白如何促进PD-1+CD8+T细胞的选择性增殖并增强其效应功能。
INTRODUCTION: The systemic administration of cytokines is constrained by their pleiotropic activity, dose-dependent toxicities, and short serum half-life, limiting their therapeutic window in cancer treatment. To overcome these challenges, strategies that restrict cytokine signaling to defined immune cell subsets within the tumor microenvironment have been developed to enhance efficacy while minimizing off-target effects. Among these, antibody-cytokine fusion proteins represent a rational design platform that enables selective and localized cytokine delivery to specific immune populations. AREAS COVERED: This report outlines the design principles underlying tumor-associated antigen-targeted and cis -delivered IL-2- and IL-15-based immunocytokine platforms, with particular emphasis on the PD-1-directed cis -signaling strategy.
Preclinical data on SOT201 are summarized, highlighting how its affinity optimized IL-15 mutein promote selective proliferation and enhanced effector function of PD-1 + CD8 + T cells. EXPERT OPINION: Cis -acting immunocytokines represent a promising class of advanced therapeutics that selectively direct cytokine payload to tumor infiltrating lymphocytes.
This strategy has been shown to induce durable antitumor immunity and, in some cases, promote immune memory formation while limiting systemic toxicity. Ongoing clinical evaluation and rational combination approaches will ultimately define its therapeutic positioning in precision cancer immunotherapy.
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