Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104-5156, USA; Smilow Center for Translational Research, 3400 Civic Center Blvd., Philadelphia, PA 19104-5156, USA.
Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104-5156, USA.
Mol Ther. 2018 Jul 5;26(7):1855-1866. doi: 10.1016/j.ymthe.2018.05.003. Epub 2018 May 8.
Cancer has an impressive ability to evolve multiple processes to evade therapies. While immunotherapies and vaccines have shown great promise, particularly in certain solid tumors such as prostate cancer, they have been met with resistance from tumors that use a multitude of mechanisms of immunosuppression to limit effectiveness. Prostate cancer, in particular, secretes transforming growth factor β (TGF-β) as a means to inhibit immunity while allowing for cancer progression. Blocking TGF-β signaling in T cells increases their ability to infiltrate, proliferate, and mediate antitumor responses in prostate cancer models. We tested whether the potency of chimeric antigen receptor (CAR) T cells directed to prostate-specific membrane antigen (PSMA) could be enhanced by the co-expression of a dominant-negative TGF-βRII (dnTGF-βRII). Upon expression of the dominant-negative TGF-βRII in CAR T cells, we observed increased proliferation of these lymphocytes, enhanced cytokine secretion, resistance to exhaustion, long-term in vivo persistence, and the induction of tumor eradication in aggressive human prostate cancer mouse models. Based on our observations, we initiated a phase I clinical trial to assess these CAR T cells as a novel approach for patients with relapsed and refractory metastatic prostate cancer (ClinicalTrials.gov: NCT03089203).
癌症具有令人印象深刻的进化多种机制以逃避治疗的能力。免疫疗法和疫苗已经显示出巨大的潜力,特别是在某些实体瘤如前列腺癌中,但它们遇到了肿瘤的抵抗,肿瘤利用多种免疫抑制机制来限制其有效性。特别是前列腺癌分泌转化生长因子 β(TGF-β)作为抑制免疫的手段,同时允许癌症进展。在前列腺癌模型中,阻断 T 细胞中的 TGF-β 信号可以增强其浸润、增殖和介导抗肿瘤反应的能力。我们测试了靶向前列腺特异性膜抗原(PSMA)的嵌合抗原受体(CAR)T 细胞的效力是否可以通过共表达显性负 TGF-βRII(dnTGF-βRII)来增强。在 CAR T 细胞中表达显性负 TGF-βRII 后,我们观察到这些淋巴细胞的增殖增加,细胞因子分泌增强,对衰竭的抵抗力增强,体内长期持久性增强,并在侵袭性人类前列腺癌小鼠模型中诱导肿瘤消除。基于我们的观察,我们启动了一项 I 期临床试验,以评估这些作为一种新方法用于治疗复发和难治性转移性前列腺癌的 CAR T 细胞(ClinicalTrials.gov:NCT03089203)。
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