单细胞追踪揭示黑色素瘤 TIL 治疗过程中肿瘤反应性 T 细胞的可塑性
Single-cell tracking reveals tumor-reactive T cell plasticity during melanoma TIL therapy.
TIL(肿瘤浸润淋巴细胞)过继细胞治疗可在转移性黑色素瘤中诱导持久缓解,然而在体外扩增过程中及回输后,调控肿瘤反应性T细胞命运的克隆和转录动态仍知之甚少。
英文原题:Hallmarks and correlates of effective adoptive cell immunotherapy for cancer.
癌症免疫治疗已在多种不同类型的肿瘤中展现出前景与成功,但许多实体上皮肿瘤仍难以攻克。
癌症免疫疗法已在多种肿瘤中显示出前景和疗效,但许多实体上皮肿瘤仍难以治疗。肿瘤细胞体细胞突变可导致新抗原表达,而新抗原是人体抗肿瘤免疫反应的强效靶点。可通过过继细胞转移(ACT)靶向这些新抗原特异性T细胞,包括TIL(肿瘤浸润淋巴细胞)或T细胞受体工程化T细胞(TCR-T)。已有研究显示,该方法可使黑色素瘤、乳腺癌和胃肠道癌等不同类型转移性实体瘤患者的肿瘤消退。免疫基因组学、系统免疫学和基因编辑如今提供了设计实体癌细胞疗法的多学科工具。本文回顾ACT采用TIL或TCR-T的历史探索及当前概念认识,并重点介绍ACT应答的新兴相关因素,以及整合肿瘤免疫学、癌症基因组学、计算生物学和T细胞工程以开发下一代细胞免疫疗法的新策略。
Cancer immunotherapies have shown promise and success in a number of different types of tumours, yet many solid epithelial tumours remain recalcitrant. Somatic mutations in tumour cells can lead to the expression of neoantigens, which are potent targets of the human antitumour immune response. These can be targeted through adoptive cell transfer (ACT) of neoantigen-specific T cells, including tumour-infiltrating lymphocytes (TILs) or T cell receptor (TCR)-engineered T cells (TCR-T cells), an approach that has been shown to achieve tumour regression in patients with different types of metastatic solid tumours including melanoma, breast and gastrointestinal cancer. Immunogenomics, systems immunology and genome editing now provide multidisciplinary tools to design cell therapies against solid cancer. Here, we review historical efforts and our current conceptual understanding of ACT using TILs or TCR-T cells. Moreover, we highlight emerging correlates of response to ACT and novel strategies that integrate tumour immunology, cancer genomics, computational biology and T cell engineering for the development of next-generation cellular immunotherapies.
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