靶向巨噬细胞的癌症治疗策略
Macrophage-directed therapeutic strategies in cancer.
肿瘤相关巨噬细胞(TAMs)是肿瘤微环境的主要组成部分,具有显著的功能可塑性,根据所处的微环境信号,既可表现为促进肿瘤进展的免疫抑制细胞,也可表现为支持抗肿瘤免疫的免疫刺激细胞。
英文原题:TCR-JANUS engager proteins enable bispecific targeting to overcome tumor heterogeneity in TCR-T cell therapy.
基于 T 细胞受体(TCR)的免疫疗法受限于肿瘤抗原异质性,后者常导致复发。
基于T细胞受体(TCR)的免疫疗法受到肿瘤抗原异质性的限制,而抗原异质性常导致疾病复发。研究人员开发了一种双特异性TCR-JANUS接合分子,可与TCR工程化T细胞(TCR-T)协同发挥作用。与靶向CD3的传统T细胞接合分子不同,TCR-JANUS同时结合转基因TCR的可变区(TRBV)和肿瘤表面抗原。研究采用靶向人源化KRAS-G12V特异性TCR及滋养层细胞表面抗原2(Trop2)的模型系统,结果显示,TCR-JANUS可有效引导TCR-T细胞裂解表达Trop2的肿瘤细胞,同时保留其对相应肽-HLA(pHLA)靶标的固有特异性,从而实现对两种抗原的同步识别。在肿瘤异质性模型中,TCR-JANUS与TCR-T细胞组成的联合系统被称为T Cell Dual Arsenal Recon;该系统通过清除抗原不同的肿瘤细胞群,有效抑制了肿瘤生长。此外,与基于抗CD3的接合分子相比,长期刺激时TCR-JANUS能够更好地维持T细胞功能,并减少T细胞耗竭。总之,该方法为克服抗原异质性提供了一种靶向性强且持久的策略,有望拓展TCR-T细胞疗法治疗实体瘤的临床应用前景。
T cell receptor (TCR)-based immunotherapy is limited by tumor antigen heterogeneity, which frequently leads to relapse. We developed a bispecific TCR-JANUS engager that functions synergistically with TCR engineered T cells (TCR-T). In contrast to conventional T cell engagers targeting CD3, TCR-JANUS engages both the variable region of a transgenic TCR (TRBV) and a tumor surface antigen. Using a model system targeting a humanized KRAS-G12V-specific TCR and trophoblast cell surface antigen 2 (Trop2), we show that TCR-JANUS effectively redirects TCR-T cells to lyse Trop2-expressing tumor cells while preserving intrinsic specificity toward the cognate pHLA target, thereby enabling simultaneous dual-antigen recognition. In heterogeneous tumor models, the combination of TCR-JANUS with TCR-T cells, an integrated system termed T Cell Dual Arsenal Recon, potently suppressed tumor growth by clearing antigenically divergent populations. Moreover, TCR-JANUS maintained enhanced T cell functionality with reduced exhaustion compared to anti-CD3-based engagers upon chronic stimulation. Together, this approach offers a targeted and durable strategy to overcome antigenic heterogeneity, expanding the clinical prospects of TCR-T cell therapy for solid tumors.
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