UF Brain Tumor Immunotherapy Program, Preston A. Wells Center for Brain Tumor Therapy, Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.
Fourth Section of the Department of Neurosurgery, the First Affiliated Hospital, Harbin Medical University(HMU), Harbin, China.
Neuro Oncol. 2018 Jan 10;20(1):55-65. doi: 10.1093/neuonc/nox116.
BACKGROUND: Cancer immunotherapy represents a promising treatment approach for malignant gliomas but is hampered by the limited number of ubiquitously expressed tumor antigens and the profoundly immunosuppressive tumor microenvironment. We identified cluster of differentiation (CD)70 as a novel immunosuppressive ligand and glioma target. METHODS: Normal tissues derived from 52 different organs and primary and recurrent low-grade gliomas (LGGs) and glioblastomas (GBMs) were thoroughly evaluated for CD70 gene and protein expression. The association between CD70 and patients' overall survival and its impact on T-cell death was also evaluated. Human and mouse CD70-specific chimeric antigen receptors (CARs) were tested respectively against human primary GBMs and murine glioma lines. The antitumor efficacies of these CARs were also examined in orthotopic xenograft and syngeneic models. RESULTS: CD70 was not detected in peripheral and brain normal tissues but was constitutively overexpressed by isocitrate dehydrogenase (IDH) wild-type primary LGGs and GBMs in the mesenchymal subgroup and recurrent tumors. CD70 was also associated with poor survival in these subgroups, which may link to its direct involvement in glioma chemokine productions and selective induction of CD8+ T-cell death. To explore the potential for therapeutic targeting of this newly identified immunosuppressive axis in GBM tumors, we demonstrate that both human and mouse CD70-specific CAR T cells recognize primary CD70+ GBM tumors in vitro and mediate the regression of established GBM in xenograft and syngeneic models without illicit effect. CONCLUSION: These studies identify a previously uncharacterized and ubiquitously expressed immunosuppressive ligand CD70 in GBMs that also holds potential for serving as a novel CAR target for cancer immunotherapy in gliomas.
背景:癌症免疫疗法代表了一种有前途的治疗恶性神经胶质瘤的方法,但受到普遍表达的肿瘤抗原数量有限和深度免疫抑制肿瘤微环境的限制。我们鉴定出分化群(CD)70 是一种新的免疫抑制配体和神经胶质瘤靶标。
方法:对来自 52 种不同器官的正常组织以及原发性和复发性低级别神经胶质瘤(LGG)和胶质母细胞瘤(GBM)进行了彻底评估,以确定 CD70 基因和蛋白表达情况。还评估了 CD70 与患者总生存的关系及其对 T 细胞死亡的影响。分别针对人原发性 GBM 和鼠神经胶质瘤系测试了人源和鼠源 CD70 特异性嵌合抗原受体(CAR)。还在原位异种移植和同基因模型中检查了这些 CAR 的抗肿瘤功效。
结果:CD70 在周围和脑组织中未检测到,但 IDH 野生型原发性 LGG 和间充质亚组的 GBM 以及复发性肿瘤中持续过表达。在这些亚组中,CD70 也与不良预后相关,这可能与其直接参与神经胶质瘤趋化因子产生和选择性诱导 CD8+T 细胞死亡有关。为了探索在 GBM 肿瘤中针对这条新鉴定的免疫抑制轴进行治疗靶向的潜力,我们证明了人和鼠源 CD70 特异性 CAR T 细胞在体外识别原发性 CD70+GBM 肿瘤,并介导已建立的 GBM 在异种移植和同基因模型中的消退,而没有非法作用。
结论:这些研究在 GBM 中鉴定出一种以前未被描述的、普遍表达的免疫抑制配体 CD70,它也有可能作为神经胶质瘤癌症免疫治疗的新型 CAR 靶标。
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