VISTA 是一种新型广谱负检查点调节剂,可用于癌症免疫治疗。
VISTA is a novel broad-spectrum negative checkpoint regulator for cancer immunotherapy.
机构信息
Authors' Affiliations: Medical Research Council Centre of Transplantation, Guy's Hospital; Department of Immune Regulation and Intervention, King's College, King's Health Partners, London, United Kingdom; Van Andel Research Institute, Grand Rapids, Michigan; Departments of Medicine and Microbiology and Immunology, and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; and Department of Microbiology and Molecular Genetics, Medical College of Wisconsin, Milwaukee, WisconsinAuthors' Affiliations: Medical Research Council Centre of Transplantation, Guy's Hospital; Department of Immune Regulation and Intervention, King's College, King's Health Partners, London, United Kingdom; Van Andel Research Institute, Grand Rapids, Michigan; Departments of Medicine and Microbiology and Immunology, and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; and Department of Microbiology and Molecular Genetics, Medical College of Wisconsin, Milwaukee, Wisconsin
Authors' Affiliations: Medical Research Council Centre of Transplantation, Guy's Hospital; Department of Immune Regulation and Intervention, King's College, King's Health Partners, London, United Kingdom; Van Andel Research Institute, Grand Rapids, Michigan; Departments of Medicine and Microbiology and Immunology, and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; and Department of Microbiology and Molecular Genetics, Medical College of Wisconsin, Milwaukee, Wisconsin.
出版信息
Cancer Immunol Res. 2014 Jun;2(6):510-7. doi: 10.1158/2326-6066.CIR-14-0072.
In the past few years, the field of cancer immunotherapy has made great progress and is finally starting to change the way cancer is treated. We are now learning that multiple negative checkpoint regulators (NCR) restrict the ability of T-cell responses to effectively attack tumors. Releasing these brakes through antibody blockade, first with anti-CTLA4 and now followed by anti-PD1 and anti-PDL1, has emerged as an exciting strategy for cancer treatment. More recently, a new NCR has surfaced called V-domain immunoglobulin (Ig)-containing suppressor of T-cell activation (VISTA). This NCR is predominantly expressed on hematopoietic cells, and in multiple murine cancer models is found at particularly high levels on myeloid cells that infiltrated the tumors. Preclinical studies with VISTA blockade have shown promising improvement in antitumor T-cell responses, leading to impeded tumor growth and improved survival. Clinical trials support combined anti-PD1 and anti-CTLA4 as safe and effective against late-stage melanoma. In the future, treatment may involve combination therapy to target the multiple cell types and stages at which NCRs, including VISTA, act during adaptive immune responses.
在过去的几年中,癌症免疫疗法领域取得了重大进展,终于开始改变癌症的治疗方式。我们现在了解到,多种负性检查点调节剂(NCR)限制了 T 细胞反应有效攻击肿瘤的能力。通过抗体阻断释放这些制动器,首先是抗 CTLA4,现在是抗 PD1 和抗 PD-L1,已成为癌症治疗的令人兴奋的策略。最近,出现了一种新的 NCR,称为含 V 结构域免疫球蛋白(Ig)的 T 细胞激活抑制因子(VISTA)。这种 NCR 主要在造血细胞上表达,在多种小鼠癌症模型中,浸润肿瘤的髓样细胞上的表达水平特别高。VISTA 阻断的临床前研究显示,抗肿瘤 T 细胞反应有了显著改善,导致肿瘤生长受阻和存活率提高。临床试验支持联合使用抗 PD1 和抗 CTLA4 治疗晚期黑色素瘤,是安全且有效的。未来,治疗可能涉及联合治疗,以针对包括 VISTA 在内的 NCR 在适应性免疫反应中作用的多种细胞类型和阶段。