通过靶向肿瘤相关巨噬细胞的嵌合受体工程化溶瘤病毒重振内源性抗肿瘤免疫
Rejuvenating endogenous antitumor immunity via a chimeric receptor-engineered oncolytic virus targeting tumor-associated macrophages.
我们的研究结果定义了一个精准溶瘤平台,该平台能够解除TAM介导的免疫抑制,同时增强适应性免疫,为癌症免疫治疗提供了一条有前景的转化途径。
英文原题:Combination of CIK cells with oncolytic viruses: A potential Immunovirotherapy strategy for the treatment of solid tumors.
Combination of CIK cells with oncolytic viruses: A potential Immunovirotherapy strategy for the treatment of solid tumors.
细胞因子诱导的杀伤(CIK)细胞是一种有前景的细胞免疫疗法,具有强大的细胞毒性、不受主要组织相容性复合体(MHC)限制的肿瘤识别能力以及易于体外扩增的特点。
细胞因子诱导的杀伤(CIK)细胞是一种有前景的细胞免疫疗法,具有强大的细胞毒性、不受主要组织相容性复合体(MHC)限制的肿瘤识别能力以及易于体外扩增的特点。尽管具备这些特性,其针对实体瘤的临床疗效仍受限于肿瘤浸润不良、体内持久性有限、肿瘤微环境(TME)中的免疫抑制机制以及致密细胞外基质(ECM)构成的物理屏障。溶瘤病毒(OVs)正被研究作为抗癌药物,因其具有肿瘤选择性复制、诱导免疫原性细胞死亡以及重塑TME的能力。OVs能够在实体瘤内播散,并比单纯基于细胞的疗法更有效地穿透肿瘤组织。除直接溶瘤作用外,OV诱导的肿瘤细胞死亡通过释放肿瘤相关抗原(TAAs)和损伤相关分子模式(DAMPs)促进全身性抗肿瘤免疫。临床前研究进一步表明,CIK细胞可作为OV递送的细胞载体,保护病毒颗粒免于过早的免疫清除,并改善瘤内病毒复制和播散。在此基础上,将OVs与CIK细胞联合提供了一种机制上协调一致的策略,将OV介导的溶瘤作用和免疫激活与效应免疫细胞的细胞毒性功能相结合。本综述探讨了CIK-OV联合免疫病毒疗法的分子理论基础,总结了当前的临床前和临床证据,并讨论了该联合方法用于实体瘤治疗的机会与局限性。
Cytokine-induced killer (CIK) cells represent a promising cellular immunotherapy, characterized by potent cytotoxicity, major histocompatibility complex (MHC)-unrestricted tumor recognition, and ease of ex vivo expansion. Despite these properties, their clinical efficacy against solid tumors remains limited by poor tumor infiltration, limited in vivo persistence, immunosuppressive mechanisms with in the tumor microenvironment (TME), and physical barriers imposed by the dense extracellular matrix (ECM). Oncolytic viruses (OVs) are being investigated as anticancer agents for their tumor-selective replication, induction of immunogenic cell death, and capacity to remodel the TME. OVs can disseminate within solid tumors and penetrate tumor tissue more effectively than cell-based therapies alone. Beyond direct oncolysis, OV-induced tumor cell death promotes systemic antitumor immunity through the release of tumor-associated antigens (TAAs) and damage-associated molecular patterns (DAMPs). Preclinical studies further suggest that CIK cells can serve as cellular vehicles for OV delivery, protecting viral particles from premature immune clearance and improving intratumoral viral replication and spread. On this basis, combining OVs with CIK cells offers a mechanistically coherent strategy that couples OV-mediated oncolysis and immune activation with the cytotoxic function of effector immune cells. This review explores the molecular rationale for CIK-OV combination immunovirotherapy, summarizes current preclinical and clinical evidence, and discusses the opportunities and limitations of this combinatorial approach for solid tumor treatment.
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