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阻断抑制性受体 NKG2A 的表达可克服肿瘤对 NK 细胞的抵抗。

Blocking expression of inhibitory receptor NKG2A overcomes tumor resistance to NK cells.

机构信息

Department of Pediatrics and National University Cancer Institute Singapore, National University of Singapore, Singapore.

MediSix Therapeutics, Singapore.

出版信息

J Clin Invest. 2019 Mar 12;129(5):2094-2106. doi: 10.1172/JCI123955. Print 2019 May 1.


DOI:10.1172/JCI123955
PMID:30860984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6486333/
Abstract

A key mechanism of tumor resistance to immune cells is mediated by expression of peptide-loaded HLA-E in tumor cells, which suppresses natural killer (NK) cell activity via ligation of the NK inhibitory receptor CD94/NKG2A. Gene expression data from approximately 10,000 tumor samples showed widespread HLAE expression, with levels correlating with those of KLRC1 (NKG2A) and KLRD1 (CD94). To bypass HLA-E inhibition, we developed a way to generate highly functional NK cells lacking NKG2A. Constructs containing a single-chain variable fragment derived from an anti-NKG2A antibody were linked to endoplasmic reticulum-retention domains. After retroviral transduction in human peripheral blood NK cells, these NKG2A Protein Expression Blockers (PEBLs) abrogated NKG2A expression. The resulting NKG2Anull NK cells had higher cytotoxicity against HLA-E-expressing tumor cells. Transduction of anti-NKG2A PEBL produced more potent cytotoxicity than interference with an anti-NKG2A antibody and prevented de novo NKG2A expression, without affecting NK cell proliferation. In immunodeficient mice, NKG2Anull NK cells were significantly more powerful than NKG2A+ NK cells against HLA-E-expressing tumors. Thus, NKG2A downregulation evades the HLA-E cancer immune-checkpoint, and increases the anti-tumor activity of NK cell infusions. Because this strategy is easily adaptable to current protocols for clinical-grade immune cell processing, its clinical testing is feasible and warranted.

摘要

肿瘤对免疫细胞的抵抗的一个关键机制是通过肿瘤细胞中负载肽的 HLA-E 的表达来介导的,其通过 NK 抑制受体 CD94/NKG2A 的连接来抑制自然杀伤 (NK) 细胞的活性。来自大约 10000 个肿瘤样本的基因表达数据显示 HLAE 的广泛表达,其水平与 KLRC1(NKG2A)和 KLRD1(CD94)的水平相关。为了绕过 HLA-E 的抑制,我们开发了一种生成缺乏 NKG2A 的高功能 NK 细胞的方法。含有源自抗 NKG2A 抗体的单链可变片段的构建体与内质网保留结构域相连。在人外周血 NK 细胞中经逆转录病毒转导后,这些 NKG2A 蛋白表达阻断剂 (PEBL) 使 NKG2A 表达失活。由此产生的 NKG2Anull NK 细胞对表达 HLA-E 的肿瘤细胞具有更高的细胞毒性。与干扰抗 NKG2A 抗体相比,转导抗 NKG2A PEBL 产生了更强的细胞毒性,并防止了新的 NKG2A 表达,而不影响 NK 细胞的增殖。在免疫缺陷小鼠中,NKG2A null NK 细胞对表达 HLA-E 的肿瘤比 NKG2A+ NK 细胞更有效。因此,NKG2A 的下调逃避了 HLA-E 癌症免疫检查点,并增加了 NK 细胞输注的抗肿瘤活性。由于该策略很容易适应当前的临床级免疫细胞处理方案,因此其临床测试是可行且必要的。

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[5]
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[8]
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[9]
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本文引用的文献

[1]
Anti-NKG2A mAb Is a Checkpoint Inhibitor that Promotes Anti-tumor Immunity by Unleashing Both T and NK Cells.

Cell. 2018-11-29

[2]
NKG2A Blockade Potentiates CD8 T Cell Immunity Induced by Cancer Vaccines.

Cell. 2018-11-29

[3]
A novel method to generate T-cell receptor-deficient chimeric antigen receptor T cells.

Blood Adv. 2018-3-13

[4]
Blockade of CD7 expression in T cells for effective chimeric antigen receptor targeting of T-cell malignancies.

Blood Adv. 2017-11-21

[5]
TIMER: A Web Server for Comprehensive Analysis of Tumor-Infiltrating Immune Cells.

Cancer Res. 2017-11-1

[6]
Phase 1 clinical trial using mbIL21 ex vivo-expanded donor-derived NK cells after haploidentical transplantation.

Blood. 2017-10-19

[7]
Cord blood NK cells engineered to express IL-15 and a CD19-targeted CAR show long-term persistence and potent antitumor activity.

Leukemia. 2017-7-20

[8]
In vivo CRISPR screening identifies Ptpn2 as a cancer immunotherapy target.

Nature. 2017-7-27

[9]
Immune selection during tumor checkpoint inhibition therapy paves way for NK-cell "missing self" recognition.

Immunogenetics. 2017-8

[10]
Therapeutic T cell engineering.

Nature. 2017-5-24

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