Department of Pediatrics and National University Cancer Institute Singapore, National University of Singapore, Singapore.
MediSix Therapeutics, Singapore.
J Clin Invest. 2019 Mar 12;129(5):2094-2106. doi: 10.1172/JCI123955. Print 2019 May 1.
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.
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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