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靶向 B7-H3-CAR-T 细胞中的 Regnase-1 重编程肿瘤微环境并增强骨肉瘤抗肿瘤疗效

英文原题:Targeting Regnase-1 in B7-H3-CAR T cells reprograms the tumor microenvironment and enhances antitumor efficacy for osteosarcoma.

PubMed 2026/08/25(内容时间) Cell Rep Med Q1 · IF 14(JCR 2025)

研究概要

实体瘤微环境是 CAR T 细胞治疗面临的一道免疫抑制性治疗屏障,目前尚不清楚能否通过敲除 CAR T 细胞中的负性调控因子来重塑它。

中文摘要

实体瘤微环境构成 CAR-T 细胞治疗面临的免疫抑制性屏障;目前尚不清楚,敲除 CAR-T 细胞中的负调控因子能否重塑这一微环境。为填补这一认知空白,我们评估了在 B7-H3-CAR-T 细胞中敲除负调控因子 Regnase-1(Reg-1),用于骨肉瘤免疫治疗时产生的细胞内在与外在效应。Reg-1 敲除可增强人源和小鼠源 B7-H3-CAR-T 细胞在体内的抗肿瘤活性。在免疫功能完整的模型中,Reg-1 敲除还使小鼠源 B7-H3-CAR-T 细胞能够营造促炎性微环境,其特征包括产生干扰素-γ(IFN-γ)的内源性 T 细胞和自然杀伤(NK)细胞浸润增加,以及包括 M2 样巨噬细胞在内的抑制性髓系细胞减少。因此,敲除 Reg-1 可带来细胞自主性和非细胞自主性获益,使 Reg-1 敲除的 B7-H3-CAR-T 细胞成为一种有前景的细胞产品,可在实体瘤患者中开展早期临床试验。

展开英文摘要原文

The microenvironment in solid tumors represents an immunosuppressive therapeutic barrier to CAR T cell therapy, and it is currently unknown whether it can be reshaped by the deletion of negative regulators in CAR T cells. To address this knowledge gap, we evaluated the intrinsic and extrinsic effects of deleting the negative regulator Regnase-1 (Reg-1) in B7-H3-CAR T cells for the immunotherapy of osteosarcoma. Reg-1 knockout (KO) improved the antitumor activity of human and murine B7-H3-CAR T cells in vivo. In immune-competent models, Reg-1 KO also endowed murine B7-H3-CAR T cells with the ability to create a proinflammatory landscape characterized by an influx of interferon gamma (IFN- )-producing endogenous T cells and natural killer (NK) cells and a reduction of inhibitory myeloid cells, including M2-like macrophages. Thus, deleting Reg-1 has cell- and non-cell-autonomous benefits, nominating Reg-1 KO B7-H3-CAR T cells as a promising cell product for early-phase clinical testing in patients with solid tumors.

论文信息

作者
Adeshakin AO、Shi H、Perry SS、Sheppard H、Nguyen P、Sun X、Zhou P、Métais JY
第一作者单位
Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.United States
通讯作者单位
Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN 38105, USA; Center of Excellence for Pediatric Immuno-Oncology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. Electronic address: stephen.gottschalk@stjude.org.United States
期刊
Cell reports. Medicine2026 Sep 15
原文标识
PubMed 42641597 · DOI 10.1016/j.xcrm.2026.103008