National Cancer Institute (NCI), NIH, Bethesda, Maryland. Department of Surgery, University of California Los Angeles, Los Angeles, California. Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
National Cancer Institute (NCI), NIH, Bethesda, Maryland.
Cancer Res. 2015 Jan 15;75(2):296-305. doi: 10.1158/0008-5472.CAN-14-2277. Epub 2014 Nov 28.
Adoptive cell therapy (ACT) using autologous tumor-infiltrating lymphocytes (TIL) results in complete regression of advanced cancer in some patients, but the efficacy of this potentially curative therapy may be limited by poor persistence of TIL after adoptive transfer. Pharmacologic inhibition of the serine/threonine kinase Akt has recently been shown to promote immunologic memory in virus-specific murine models, but whether this approach enhances features of memory (e.g., long-term persistence) in TIL that are characteristically exhausted and senescent is not established. Here, we show that pharmacologic inhibition of Akt enables expansion of TIL with the transcriptional, metabolic, and functional properties characteristic of memory T cells. Consequently, Akt inhibition results in enhanced persistence of TIL after adoptive transfer into an immunodeficient animal model and augments antitumor immunity of CD8 T cells in a mouse model of cell-based immunotherapy. Pharmacologic inhibition of Akt represents a novel immunometabolomic approach to enhance the persistence of antitumor T cells and improve the efficacy of cell-based immunotherapy for metastatic cancer.
过继细胞疗法(ACT)使用自体肿瘤浸润淋巴细胞(TIL),可使部分晚期癌症患者完全消退,但这种潜在的治愈疗法的疗效可能受到 TIL 过继转移后持续时间短的限制。最近的研究表明,丝氨酸/苏氨酸激酶 Akt 的药理学抑制作用可促进病毒特异性小鼠模型中的免疫记忆,但这种方法是否能增强 TIL 作为特征性衰竭和衰老的记忆特征(如长期持久性)尚不清楚。在这里,我们发现 Akt 的药理学抑制作用可使 TIL 扩增,并具有记忆 T 细胞的转录、代谢和功能特性。因此,Akt 抑制作用可增强 TIL 在免疫缺陷动物模型中的过继转移后的持久性,并增强细胞免疫治疗小鼠模型中 CD8 T 细胞的抗肿瘤免疫。Akt 的药理学抑制作用代表了一种增强抗肿瘤 T 细胞持久性和提高转移性癌症细胞免疫治疗疗效的新型免疫代谢组学方法。
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