Department of Basic Medical Sciences and Institute for Immunology, Tsinghua University School of Medicine, Beijing, China.
Center of Hepatopancreatobiliary Diseases, Beijing Tsinghua Changgung Hospital, Tsinghua University, School of Medicine, Beijing, China.
Eur J Immunol. 2020 May;50(5):712-724. doi: 10.1002/eji.201948457. Epub 2020 Feb 10.
Unlike hematological malignancies, solid tumors have proved to be less susceptible to chimeric antigen receptor (CAR)-T cell therapy, which is partially caused by reduced accumulation of therapeutic T cells in tumor site. Since efficient trafficking is the precondition and pivotal step for infused CAR-T cells to exhibit their anti-tumor function, strategies are highly needed to improve the trafficking ability of CAR-T cells for solid tumor treatment. Here, based on natural lymphocyte chemotaxis theory and characteristics of solid tumor microenvironments, we explored the possibility of enhancing CAR-T cell trafficking by using chemokine receptors. Our study found that compared with other chemokines, several CXCR2 ligands showed relatively high expression level in human hepatocellular carcinoma tumor tissues and cell lines. However, both human peripheral T cells and hepatocellular carcinoma tumor infiltrating T cells lacked expression of CXCR2. CXCR2-expressing CAR-T cells exhibited identical cytotoxicity but displayed significantly increased migration ability in vitro. In a xenograft tumor model, we found that expressing CXCR2 in CAR-T cells could significantly accelerate in vivo trafficking and tumor-specific accumulation, and improve anti-tumor effect of these cells.
与血液系统恶性肿瘤不同,嵌合抗原受体(CAR)-T 细胞疗法已被证明对实体瘤的疗效较差,部分原因是治疗性 T 细胞在肿瘤部位的积累减少。由于有效的归巢是输注的 CAR-T 细胞发挥抗肿瘤功能的前提和关键步骤,因此迫切需要提高 CAR-T 细胞对实体瘤治疗的归巢能力。在这里,我们基于自然淋巴细胞趋化理论和实体瘤微环境的特点,探索了利用趋化因子受体增强 CAR-T 细胞归巢的可能性。我们的研究发现,与其他趋化因子相比,几种 CXCR2 配体在人肝癌肿瘤组织和细胞系中表达水平相对较高。然而,人外周 T 细胞和肝癌肿瘤浸润 T 细胞均不表达 CXCR2。表达 CXCR2 的 CAR-T 细胞表现出相同的细胞毒性,但在体外显示出明显增强的迁移能力。在异种移植肿瘤模型中,我们发现 CAR-T 细胞中表达 CXCR2 可显著加速体内归巢和肿瘤特异性聚集,并提高这些细胞的抗肿瘤效果。