RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
英文原题:A bio-orthogonally engineered probiotic-T cell chimera amplifies adoptive cell therapy through spatial DC-T cell immune licensing.
A bio-orthogonally engineered probiotic-T cell chimera amplifies adoptive cell therapy through spatial DC-T cell immune licensing.
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过继性细胞转移(ACT)已在血液系统恶性肿瘤中实现了持久的临床缓解,但在实体瘤中仍受限于T细胞浸润不良、持久性不足以及肿瘤驱动的免疫抑制。
在此,我们报道了一种生物正交工程化的益生菌-T细胞嵌合体(T-FOLactis),其构建了一个相互增强的细胞-微生物系统,其中FOLactis——一种表达Flt3L-OX40L融合蛋白的工程化乳酸乳球菌——提供局部免疫刺激信号以增强T细胞活化和效应功能,而过继转移的T细胞则作为细胞毒性效应细胞和移动载体,促进细菌载荷向肿瘤微环境的递送。利用应变促进的叠氮-炔环加成化学,FOLactis细菌被共价锚定在T细胞表面,生成了一种用于空间限制性免疫调节的细胞结合平台。在同系结直肠癌模型中,T-FOLactis相较于生理盐水处理的对照组将肿瘤负荷减少了78.1%,相较于常规ACT减少了65.0%,同时将中位生存期从22 d延长至46 d,且无明显全身毒性。在机制上,T-FOLactis促进了树突状细胞(DC)-T细胞的邻近接触,并建立了一个空间组织化的免疫许可生态位,放大了FOLactis诱导的炎症信号(包括IL-18)的功能影响。这种空间构型与细胞因子可利用性、DC成熟、局部共刺激和细胞毒性CD8+ T细胞效应编程的增强耦合相关。IL-18阻断损害了这一许可程序并降低了治疗获益,支持IL-18作为DC-T细胞许可生态位中的关键功能性介质。
总之,这些发现建立了一种模块化细胞表面工程策略,通过协调的免疫网络参与来增强结直肠癌中的ACT。
Adoptive cell transfer (ACT) has achieved durable clinical responses in hematological malignancies, yet remains limited in solid tumors owing to poor T cell infiltration, inadequate persistence, and tumor-driven immunosuppression.
Here, we report a bio-orthogonally engineered probiotic-T cell chimera (T-FOLactis) that creates a mutually reinforcing cellular-microbial system, in which FOLactis, an engineered Lactococcus lactis expressing a Flt3L-OX40L fusion protein, provides localized immunostimulatory cues to enhance T cell activation and effector function, while adoptively transferred T cells serve as cytotoxic effectors and mobile carriers that facilitate delivery of the bacterial payload to the tumor microenvironment.
Using strain-promoted azide-alkyne cycloaddition chemistry, FOLactis bacteria were covalently anchored onto the surface of T cells, generating a cell-bound platform for spatially restricted immune modulation. In syngeneic colorectal cancer models, T-FOLactis reduced tumor burden by 78. 1% compared with saline-treated controls and by 65. 0% relative to conventional ACT, while prolonging median survival from 22 to 46 d without overt systemic toxicity.
Mechanistically, T-FOLactis promoted dendritic cell (DC)-T cell proximity and established a spatially organized immune-licensing niche that amplified the functional impact of FOLactis-induced inflammatory cues, including IL-18.
This spatial configuration was associated with enhanced coupling of cytokine availability, DC maturation, local co-stimulation and cytotoxic CD8 + T cell effector programming. IL-18 blockade impaired this licensing program and reduced therapeutic benefit, supporting IL-18 as a key functional mediator within the DC-T cell licensing niche.
Together, these findings establish a modular cell-surface engineering strategy for augmenting ACT in colorectal cancer through coordinated immune network engagement.
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