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:In vivo genome-wide CRISPR screens identify FOXR1 as a suppressor of CD8(+) T cell antitumor immunity.
T细胞功能障碍严重限制了实体瘤中基于T细胞的免疫疗法的疗效,然而T细胞功能障碍的内在调控因子仍未完全阐明。
T细胞功能障碍严重限制了基于T细胞的免疫疗法在实体瘤中的疗效,然而T细胞功能障碍的内在调控因子仍未被完全理解。通过在肿瘤浸润CD8+ T细胞中进行体内全基因组CRISPR筛选,我们鉴定出Forkhead Box R1(FOXR1)是CD8+ T细胞效应功能的有效转录抑制因子。FOXR1的基因敲除显著增强了小鼠和人类CD8+ T细胞的细胞因子产生和细胞毒性能力,而其过表达则损害了T细胞活化和效应分子表达。在机制上,RNA-seq、CUT&Tag-seq和ATAC-seq的多组学整合揭示,FOXR1直接结合关键效应基因(包括IL2、GZMB和PRF1)的启动子区域,并抑制其表达。重要的是,在人抗CD19 CAR T细胞中敲除FOXR1提高了其对抗实体瘤的疗效,表明FOXR1是T细胞效应功能的检查点,靶向FOXR1是增强CAR T细胞对抗实体瘤疗效的有前景策略。
T cell dysfunction critically limits the efficacy of T cell-based immunotherapies in solid tumors, yet the intrinsic regulators of T cell dysfunction remain incompletely understood. Through an in vivo genome-wide CRISPR screen in tumor-infiltrating CD8 + T cells, we identified Forkhead Box R1 (FOXR1) as a potent transcriptional suppressor of CD8 + T cell effector functions. Genetic ablation of FOXR1 significantly enhanced cytokine production and cytotoxic capacity in both murine and human CD8 + T cells, whereas its overexpression impaired T cell activation and effector molecule expression. Mechanistically, multiomics integration of RNA-seq, CUT&Tag-seq, and ATAC-seq revealed that FOXR1 binds directly to promoter regions of key effector genes, including IL2, GZMB, and PRF1 , and represses their expression. Importantly, FOXR1 deletion in human anti-CD19 CAR T cells improved their efficacy against solid tumors, demonstrating that FOXR1 is a checkpoint of T cell effector function and targeting FOXR1 is a promising strategy to enhance CAR T cell efficacy against solid tumors.
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