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.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:The atypical IκB factor IκBδ enhances CD8 T cell accumulation and effector functions in solid tumors.
肿瘤抵御免疫控制的两个突出机制是:限制 T 细胞和 CAR T 细胞在肿瘤中存活和扩增的能力,以及抑制其维持完整细胞毒能力的能力。
肿瘤逃避免疫控制的两种突出机制是:限制T细胞和CAR T细胞在肿瘤内存活、扩增,以及抑制其维持充分细胞毒功能的能力。我们发现,由Nfkbid编码、特征尚未充分明确的IκB家族成员IκBδ,是克服抗肿瘤CD8+TIL(肿瘤浸润淋巴细胞)上述两种限制的分子调节因子。Nfkbid是NFAT靶基因,在CD8+效应T细胞中表达,在CD8+ TIL中则呈中等水平表达。我们发现,耗减Nfkbid会损害TIL积累,加速实体瘤生长。相反,异位过表达IκBδ可增强TIL扩增,降低耗竭相关转录因子和抑制性受体表达,并提高细胞毒分子生成,从而加强肿瘤控制。IκBδ还存在一种较短的蛋白亚型,其核心区域与长亚型相同,包含已知可与NF-κB蛋白相互作用的锚蛋白重复结构域,但缺少约150个氨基酸的N端区域。我们证实,共同的核心区域足以驱动T细胞积累,而N端肽段则是实现强效应功能和对抗耗竭所必需的。这表明肿瘤浸润CD8+ T细胞的积累与效应分化是可分离的过程。本研究提供证据表明,作为NF-κB家族非典型成员的IκBδ,是克服限制CD8+ TIL抗肿瘤效力的两大关键缺陷——肿瘤内积累不足和效应功能下降——的调节因子。
Two prominent mechanisms by which tumors fend off immune control are by constraining the ability of T cells and CAR T cells to survive and expand in the tumor, and by restraining their ability to sustain full cytotoxic capacity. We identified I B , encoded by Nfkbid , a poorly characterized I B family member, as a molecular lever that overcomes both of these constraints on anti-tumor CD8 + tumor-infiltrating lymphocytes (TILs). Nfkbid is an NFAT target gene that is expressed in CD8 + effector T cells and, at modest levels, in CD8 + TILs. We found that Nfkbid depletion impaired TIL accumulation, exacerbating the growth of solid tumors. On the other hand, ectopic I B overexpression enhanced TIL expansion, reduced the expression of exhaustion-associated transcription factors and inhibitory receptors, and elevated cytotoxic molecule production, leading to enhanced tumor control. I B has a shorter protein isoform that is identical in a core region spanning the ankyrin-repeat domain known to interact with NF B proteins, but that lacks the ~150-residue N-terminal region. We showed that the shared core region is sufficient to drive T cell accumulation, whereas the N-terminal peptide region is required for robust effector function and to counter exhaustion, underscoring that tumor-infiltrating CD8 + T cell accumulation and effector differentiation are separable programs. Our current study provides evidence that I B , an atypical member of the NF B family, is a lever to overcome two cardinal deficits that limit CD8 + TIL anti-tumor efficacy: impaired accumulation in the tumor and diminished effector function.
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