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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CCL3 and IL-7 Synergistically Enhance CAR-T Efficacy in Solid Tumors.
CCL3 and IL-7 Synergistically Enhance CAR-T Efficacy in Solid Tumors.
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嵌合抗原受体(CAR)T细胞疗法已显示出显著的临床疗效,但其用于实体瘤治疗仍面临挑战,主要包括浸润能力不足、活性不理想以及肿瘤抗原逃逸。
本研究发现,趋化因子CCL3在调节肿瘤内T细胞的细胞毒作用方面发挥重要作用。然而,单独使用CCL3不足以维持CAR-T 细胞持久杀伤肿瘤,这主要是因为肿瘤会诱导T细胞死亡。相比之下,将CCL3与已知可增强T细胞存活的细胞因子白细胞介素-7(IL-7)联合使用,可产生显著的协同效应。该组合显著提高了CAR-T 细胞在实体瘤中的浸润和持久性,从而实现强效抗肿瘤作用,且未引起明显副作用或全身毒性。
机制上,CCL3联合IL-7促进RUNX3表达,并推动CD69⁺CD103⁺组织驻留记忆T(Trm)细胞分化。此外,使用共表达CCL3和IL-7的CAR-T 细胞(3P7-CAR-T)治疗,可重塑实体瘤的免疫环境,表现为M1样巨噬细胞和CD103⁺迁移性树突状细胞浸润增加。这些变化增强了抗原呈递,进而促进内源性抗肿瘤T细胞应答的启动。
综上,本研究结果表明,CCL3与IL-7协同作用,可增强CAR-T 细胞记忆特性及其治疗实体瘤的疗效。
Chimeric antigen receptor (CAR) T cell therapy has demonstrated remarkable clinical efficacy, but challenges remain in the therapeutic application for solid tumors, primarily due to poor infiltration capacity, suboptimal activity, and tumor antigen escape.
Here, we found that the chemokine CCL3 plays a significant role in modulating intratumoral T cell cytotoxicity.
However, CCL3 alone is insufficient to sustain durable CAR-T cell-mediated tumor killing, largely due to tumor-induced T cell death. In contrast, the combination of CCL3 with interleukin-7 (IL-7), a cytokine known to enhance T cell survival, exerted a potent synergistic effect. This combination significantly improved CAR-T cell infiltration and longevity in solid tumors, leading to robust anti-tumor efficacy without significant side effects or systemic toxicity.
Mechanistically, CCL3 plus IL-7 promoted RUNX3 expression and facilitated the differentiation of CD69 + CD103 + tissue-resident memory T (Trm) cells.
Furthermore, treatment with CAR-T cells co-expressing CCL3 and IL-7 (3P7-CAR-T) remodeled the immune landscape of solid tumors, marked by an increased infiltration of M1-like macrophages and CD103 + migratory dendritic cells. These changes enhance antigen presentation, thereby promoting the priming of endogenous anti-tumor T cell responses. Taken together, our results demonstrate that CCL3 synergizes with IL-7 to augment CAR-T cell memory and therapeutic effectiveness in solid tumors.
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