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显性失活 TGF-β 受体增强 PSMA 靶向的人源 CAR T 细胞增殖并增强前列腺癌清除。

Dominant-Negative TGF-β Receptor Enhances PSMA-Targeted Human CAR T Cell Proliferation And Augments Prostate Cancer Eradication.

机构信息

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.

出版信息

Mol Ther. 2018 Jul 5;26(7):1855-1866. doi: 10.1016/j.ymthe.2018.05.003. Epub 2018 May 8.


DOI:10.1016/j.ymthe.2018.05.003
PMID:29807781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6037129/
Abstract

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).

摘要

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)。

相似文献

[1]
Dominant-Negative TGF-β Receptor Enhances PSMA-Targeted Human CAR T Cell Proliferation And Augments Prostate Cancer Eradication.

Mol Ther. 2018-5-8

[2]
Efficacy Against Human Prostate Cancer by Prostate-specific Membrane Antigen-specific, Transforming Growth Factor-β Insensitive Genetically Targeted CD8 T-cells Derived from Patients with Metastatic Castrate-resistant Disease.

Eur Urol. 2017-12-21

[3]
Chimeric cytokine receptor enhancing PSMA-CAR-T cell-mediated prostate cancer regression.

Cancer Biol Ther. 2020-6-2

[4]
Engineered Jurkat Cells for Targeting Prostate-Specific Membrane Antigen on Prostate Cancer Cells by Nanobody-Based Chimeric Antigen Receptor.

Iran Biomed J. 2020-3

[5]
Anti-PSMA CAR-engineered NK-92 Cells: An Off-the-shelf Cell Therapy for Prostate Cancer.

Cells. 2020-6-2

[6]
Antitumor activity of AZD0754, a dnTGFβRII-armored, STEAP2-targeted CAR-T cell therapy, in prostate cancer.

J Clin Invest. 2023-11-15

[7]
PSMA-targeting TGFβ-insensitive armored CAR T cells in metastatic castration-resistant prostate cancer: a phase 1 trial.

Nat Med. 2022-4

[8]
Targeted elimination of prostate cancer by genetically directed human T lymphocytes.

Cancer Res. 2005-10-1

[9]
Construction of a chimeric antigen receptor bearing a nanobody against prostate a specific membrane antigen in prostate cancer.

J Cell Biochem. 2019-1-22

[10]
Armored bicistronic CAR T cells with dominant-negative TGF-β receptor II to overcome resistance in glioblastoma.

Mol Ther. 2024-10-2

引用本文的文献

[1]
Constructing the cure: engineering the next wave of antibody and cellular immune therapies.

J Immunother Cancer. 2025-8-25

[2]
Immunological synapse: structures, molecular mechanisms and therapeutic implications in disease.

Signal Transduct Target Ther. 2025-8-11

[3]
Advancing CAR-based cell therapies for solid tumours: challenges, therapeutic strategies, and perspectives.

Mol Cancer. 2025-7-7

[4]
Immunotherapy in metastatic prostate cancer.

Ther Adv Med Oncol. 2025-7-3

[5]
Prostate cancer immunotherapy-based strategies: an updated review emphasizing immune checkpoint inhibitors.

Front Immunol. 2025-6-18

[6]
ADI-270: an armored allogeneic gamma delta T cell therapy designed to target CD70-expressing solid and hematologic malignancies.

J Immunother Cancer. 2025-7-1

[7]
Tumour-associated vasculature in T cell homing and immunity: opportunities for cancer therapy.

Nat Rev Immunol. 2025-6-27

[8]
Targeting Aggressive Prostate Carcinoma Cells with Mesothelin-CAR-T Cells.

Biomedicines. 2025-5-16

[9]
Immunomodulation and Immunotherapy for Patients with Prostate Cancer: An Up-to-Date Review.

Biomedicines. 2025-5-12

[10]
Next-generation immunotherapeutic approaches for blood cancers: Exploring the efficacy of CAR-T and cancer vaccines.

Exp Hematol Oncol. 2025-5-17

本文引用的文献

[1]
Tumor-Specific T-Cells Engineered to Overcome Tumor Immune Evasion Induce Clinical Responses in Patients With Relapsed Hodgkin Lymphoma.

J Clin Oncol. 2018-1-9

[2]
PD-1 is a haploinsufficient suppressor of T cell lymphomagenesis.

Nature. 2017-12-7

[3]
Endothelial Activation and Blood-Brain Barrier Disruption in Neurotoxicity after Adoptive Immunotherapy with CD19 CAR-T Cells.

Cancer Discov. 2017-10-12

[4]
The Diagnosis and Treatment of Prostate Cancer: A Review.

JAMA. 2017-6-27

[5]
Therapeutic T cell engineering.

Nature. 2017-5-24

[6]
Is autoimmunity the Achilles' heel of cancer immunotherapy?

Nat Med. 2017-5-5

[7]
T-cell invigoration to tumour burden ratio associated with anti-PD-1 response.

Nature. 2017-5-4

[8]
The Principles of Engineering Immune Cells to Treat Cancer.

Cell. 2017-2-9

[9]
Elements of cancer immunity and the cancer-immune set point.

Nature. 2017-1-18

[10]
PD-1 blockade modulates chimeric antigen receptor (CAR)-modified T cells: refueling the CAR.

Blood. 2017-2-23

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