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可编程工程菌调控代谢并原位重塑 TME 以增强过继性细胞治疗

英文原题:Programmable engineered bacteria manipulate metabolism and remodel the TME in situ for enhancing adoptive cell therapy.

PubMed 2026/07/09(内容时间) Mol Ther Q1 · IF 11.4(JCR 2025)

研究概要

我们的研究结果共同表明,工程化细菌是可编程的免疫代谢调节剂,能够在实体瘤中实现有效且安全的 ACT。

中文摘要

在实体瘤中,过继性T细胞治疗(ACT)的疗效受到代谢受限的肿瘤环境制约,该环境会损害T细胞的持久性、功能状态和浸润能力。本研究构建了一种缺氧激活型细菌杂合系统(MM@TMV),以应对这些障碍。该杂合系统整合了经代谢工程改造的细菌和肿瘤膜囊泡(TMV),从而在缺氧肿瘤内实现肿瘤局限性的代谢重编程和免疫增强。在缺氧肿瘤中,系统可原位产生D-甘露糖,以维持干细胞样表型并限制T细胞耗竭;同时,TMV可直接激活CAR-T和TCR-T细胞,也可通过抗原呈递细胞(APC)介导其活化,并同步抑制肿瘤细胞生长。在原位、难治性和转移性肿瘤模型中,MM@TMV进一步提高了T细胞持久性,增强了肿瘤内浸润,并实现持续的肿瘤抑制。在Claudin18.2阳性胃肿瘤的人源化患者来源异种移植模型中,MM@TMV同样增强了具有临床相关性的ACT疗效。生物安全性测试证实该系统具有全身安全性。综上,研究结果确立了工程化细菌作为可编程免疫代谢调节剂的潜力,可支持实体瘤中有效且安全的ACT。

展开英文摘要原文

In solid tumors, the efficacy of adoptive T cell therapy (ACT) is limited by a metabolically constrained tumor environment that undermines T cell persistence, fitness, and infiltration. Here, we engineered a hypoxia-activated bacterial hybrid system (MM@TMV) to address these barriers. This hybrid system integrates metabolically engineered bacteria and tumor membrane vesicles (TMVs) to achieve tumor-restricted metabolic reprogramming and immune reinforcement within hypoxic tumors. Within hypoxic tumors, D-mannose is produced in situ to support stem-like phenotypes and limit exhaustion, while TMVs facilitate both direct and APC-mediated activation of CAR-T and TCR-T cells, concurrently restraining tumor cell growth. In orthotopic, refractory, and metastatic tumor models, MM@TMV further improved T cell persistence, enhanced intratumoral infiltration, and achieved sustained tumor suppression. In a humanized patient-derived xenograft model of Claudin18.2-positive gastric tumors, MM@TMV similarly potentiated clinically relevant ACT. Biosafety tests confirmed systemic safety. Collectively, our findings establish engineered bacteria as programmable immune metabolic modulators that enable effective and safe ACT in solid tumors.

论文信息

作者
Chen J、Liu T、Liu X、Zhang H、Wang C、Meng Y、Wu M、Nomura S
第一作者单位
College of Pharmaceutical Sciences, Soochow Medical College of Soochow University, Soochow University, Suzhou 215123, China.China
通讯作者单位
Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China; Digestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong 518107, China. Electronic address: dar12356@163.com.China
期刊
Molecular therapy : the journal of the American Society of Gene Therapy2026 Sep 2
原文标识
PubMed 42427031 · DOI 10.1016/j.ymthe.2026.06.042