基于 DNA 超分子水凝胶的保护性 NK 细胞储库用于增强三阴性乳腺癌治疗
Protective NK Cell Reservoir Based on DNA Supramolecular Hydrogel for Enhanced Triple-Negative Breast Cancer Therapy.
过继性自然杀伤(NK)细胞疗法是治疗三阴性乳腺癌的一种有前景的策略,但其疗效往往受到瘤内持久性差以及在免疫抑制性肿瘤微环境中功能耗竭的限制。
英文原题:Therapeutic DC vaccination against the vascular antigen DLK1 effectively treats primary triple-negative breast cancer and prevents metastasis.
我们的结果表明,治疗性DC疫苗接种能够安全地激发抗血管生成T细胞活化并招募至TME,当与anti-PD1 ICB联合给药时,可在转化型TNBC小鼠模型中显著减少原发性和转移性肿瘤负荷。
尽管包括免疫检查点阻断(ICB)联合化疗在内的治疗选择已有所改善,但三阴性乳腺癌(TNBC)患者的临床预后在疾病复发和肿瘤转移方面仍然很差。迫切需要新的干预方法。一种有前景的免疫治疗策略是选择性靶向肿瘤血管,以协同限制肿瘤生长和转移。在此,我们描述了使用树突状细胞(DC)疫苗来引发针对保守肿瘤血管抗原(TBVA)DLK1的免疫应答,该抗原在TNBC患者肿瘤微环境(TME)中由血管外膜周细胞上调表达。我们的结果表明,治疗性DC疫苗接种能够安全地激发抗血管生成T细胞活化并招募至TME,当与抗PD1 ICB联合给药时,可显著减少转化型TNBC小鼠模型中的原发性和转移性肿瘤负荷。有趣的是,靶向DLK1的疫苗还促进针对TNBC抗原的多克隆T细胞应答的扩散,这可能增强了治疗小鼠的肿瘤控制。这些发现支持靶向DLK1的DC疫苗的抗肿瘤疗效,以及将该方法转化为TNBC患者新型治疗策略的前景。
Despite improved treatment options for triple-negative breast cancer (TNBC) patients including immune checkpoint blockade (ICB) alongside chemotherapy, clinical prognosis for these individuals remains poor with regard to disease recurrence and tumor metastasis. Novel interventional approaches are desperately needed. A promising immunotherapeutic strategy involves the selective targeting of tumor blood vessels to coordinately limit tumor growth and metastasis. Here, we describe the use of a dendritic cell (DC) vaccine to elicit immunity against the conserved tumor blood vessel antigen (TBVA) DLK1, which is upregulated and expressed by abluminal pericytes in the tumor microenvironment (TME) of TNBC patients. Our results demonstrate the ability of therapeutic DC vaccination to safely provoke anti-angiogenic T cell activation and recruitment into the TME, resulting in significant reduction in primary and metastatic tumor burden in translational TNBC mouse models when co-administered with anti-PD1 ICB. Interestingly, vaccines targeting DLK1 also promote spreading of polyclonal T cell responses against TNBC antigens that likely fortified tumor control in treated mice. These findings support the anti-tumor efficacy of DC-based vaccines targeting DLK1 and the translation of this approach as a novel treatment strategy for patients with TNBC.
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