CD19 靶向融合蛋白联合 PD1 抗体增强小鼠模型中的抗肿瘤免疫。

CD19-targeting fusion protein combined with PD1 antibody enhances anti-tumor immunity in mouse models.

机构信息

Department of Pathogenic Microbiology and Immunology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, Xi'an, China.

Institute of Infection and Immunity, Xi'an Jiaotong University Translational Medicine Center, Xi'an, China.

出版信息

Oncoimmunology. 2020 Apr 21;9(1):1747688. doi: 10.1080/2162402X.2020.1747688. eCollection 2020.

Abstract

In our previous studies, using a B cell vaccine (scFv-Her2), the targeting of tumor-associated antigen Her2 (human epidermal growth factor receptor-2) to B cells via the anti-CD19 single chain variable fragment (scFv) was shown to augment tumor-specific immunity, which enhanced tumor control in the prophylactic and therapeutic setting. However, the fusion protein displayed limited activity against established tumors, and local relapses often occurred following scFv-Her2 treatment, indicating that scFv-Her2-induced responses are inadequate to maintain anti-tumor immunity. In this study, targeting the IV region (D4) of the extracellular region of Her2 to B cells via CD19 molecules (scFv-Her2) was found to enhance IFN-γ-producing-CD8 T cell infiltration in tumor tissues and reduced the number of tumor-infiltrating myeloid-derived suppressor cells (MDSCs). However, negative co-stimulatory molecules such as programmed cell death protein-1 (PD-1), CD160, and LAG-3 on T cells and programmed death protein ligand-1 (PD-L1) on tumor cells were upregulated in the tumor microenvironment after scFv-Her2 treatment. Further, anti-PD1 administration enhanced the efficacy of scFv-Her2 and anti-tumor immunity, as evidenced by the reversal of tumor-infiltrating CD8 T cell exhaustion and the reduction of MDSCs and Treg cells, which suppress T cells and alter the tumor immune microenvironment. Moreover, combining this with anti-PD1 antibodies promoted complete tumor rejection. Our data provide evidence of a close interaction among tumor vaccines, T cells, and the PD-L1/PD-1 axis and establish a basis for the rational design of combination therapy with immune modulators and tumor vaccine therapy.

摘要

在我们之前的研究中,使用 B 细胞疫苗(scFv-Her2),通过抗 CD19 单链可变片段(scFv)将肿瘤相关抗原 Her2(人表皮生长因子受体-2)靶向 B 细胞,增强了肿瘤特异性免疫,从而在预防和治疗环境中增强了肿瘤控制。然而,融合蛋白对已建立的肿瘤显示出有限的活性,并且在用 scFv-Her2 治疗后经常发生局部复发,这表明 scFv-Her2 诱导的反应不足以维持抗肿瘤免疫。在这项研究中,通过 CD19 分子(scFv-Her2)将 Her2 的细胞外区域的 IV 区(D4)靶向 B 细胞被发现增强了肿瘤组织中 IFN-γ 产生的 CD8 T 细胞浸润,并减少了肿瘤浸润性髓源抑制细胞(MDSCs)的数量。然而,在 scFv-Her2 治疗后,肿瘤微环境中 T 细胞上的负共刺激分子(如程序性细胞死亡蛋白-1(PD-1)、CD160 和 LAG-3)和肿瘤细胞上的程序性死亡蛋白配体-1(PD-L1)上调。此外,抗 PD1 给药增强了 scFv-Her2 的功效和抗肿瘤免疫,这表现为肿瘤浸润性 CD8 T 细胞衰竭的逆转以及 MDSCs 和 Treg 细胞的减少,这抑制了 T 细胞并改变了肿瘤免疫微环境。此外,将其与抗 PD1 抗体结合可促进完全肿瘤排斥。我们的数据提供了肿瘤疫苗、T 细胞和 PD-L1/PD-1 轴之间密切相互作用的证据,并为免疫调节剂和肿瘤疫苗联合治疗的合理设计奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a9f/7185221/2010fd9487c9/koni-09-01-1747688-g001.jpg

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