National Cancer Institute, Bethesda, MD, USA.
Blood. 2011 Jan 20;117(3):808-14. doi: 10.1182/blood-2010-05-286286. Epub 2010 Oct 22.
Cluster of differentiation (CD)8(+) T cells exist as naive, central memory, and effector memory subsets, and any of these populations can be genetically engineered into tumor-reactive effector cells for adoptive immunotherapy. However, the optimal subset from which to derive effector CD8(+) T cells for patient treatments is controversial and understudied. We investigated human CD8(+) T cells and found that naive cells were not only the most abundant subset but also the population most capable of in vitro expansion and T-cell receptor transgene expression. Despite increased expansion, naive-derived cells displayed minimal effector differentiation, a quality associated with greater efficacy after cell infusion. Similarly, the markers of terminal differentiation, killer cell lectin-like receptor G1 and CD57, were expressed at lower levels in cells of naive origin. Finally, naive-derived effector cells expressed higher CD27 and retained longer telomeres, characteristics that suggest greater proliferative potential and that have been linked to greater efficacy in clinical trials. Thus, these data suggest that naive cells resist terminal differentiation, or "exhaustion," maintain high replicative potential, and therefore may be the superior subset for use in adoptive immunotherapy.
分化簇 (CD)8(+)T 细胞存在于幼稚、中央记忆和效应记忆亚群中,这些群体中的任何一个都可以通过基因工程转化为针对肿瘤的效应细胞,用于过继免疫治疗。然而,用于患者治疗的最佳效应 CD8(+)T 细胞来源亚群仍存在争议,且研究较少。我们研究了人类 CD8(+)T 细胞,发现幼稚细胞不仅是最丰富的亚群,而且是体外扩增和 T 细胞受体转基因表达能力最强的群体。尽管扩增增加了,但幼稚细胞显示出最小的效应分化,这种特性与细胞输注后的更高疗效相关。同样,效应分化的标志物,杀伤细胞凝集素样受体 G1 和 CD57,在幼稚细胞中的表达水平较低。最后,幼稚细胞来源的效应细胞表达更高水平的 CD27 并保留更长的端粒,这些特征表明其具有更高的增殖潜力,并且在临床试验中与更高的疗效相关。因此,这些数据表明幼稚细胞抵抗终末分化或“衰竭”,保持高复制潜力,因此可能是过继免疫治疗的首选亚群。
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