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靶向细胞因子检查点增强了装甲脐血 CAR-NK 细胞的适应性。

Targeting a cytokine checkpoint enhances the fitness of armored cord blood CAR-NK cells.

机构信息

Department of Stem Cell Transplantation and Cellular Therapy and.

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX.

出版信息

Blood. 2021 Feb 4;137(5):624-636. doi: 10.1182/blood.2020007748.


DOI:10.1182/blood.2020007748
PMID:32902645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7869185/
Abstract

Immune checkpoint therapy has resulted in remarkable improvements in the outcome for certain cancers. To broaden the clinical impact of checkpoint targeting, we devised a strategy that couples targeting of the cytokine-inducible Src homology 2-containing (CIS) protein, a key negative regulator of interleukin 15 (IL-15) signaling, with fourth-generation "armored" chimeric antigen receptor (CAR) engineering of cord blood-derived natural killer (NK) cells. This combined strategy boosted NK cell effector function through enhancing the Akt/mTORC1 axis and c-MYC signaling, resulting in increased aerobic glycolysis. When tested in a lymphoma mouse model, this combined approach improved NK cell antitumor activity more than either alteration alone, eradicating lymphoma xenografts without signs of any measurable toxicity. We conclude that targeting a cytokine checkpoint further enhances the antitumor activity of IL-15-secreting armored CAR-NK cells by promoting their metabolic fitness and antitumor activity. This combined approach represents a promising milestone in the development of the next generation of NK cells for cancer immunotherapy.

摘要

免疫检查点疗法显著改善了某些癌症的预后。为了扩大检查点靶向治疗的临床影响,我们设计了一种策略,将细胞因子诱导的Src 同源 2 结构域(CIS)蛋白的靶向与第四代“装甲”嵌合抗原受体(CAR)工程相结合,该蛋白是白细胞介素 15(IL-15)信号的关键负调节剂,来源于脐带血的自然杀伤(NK)细胞。通过增强 Akt/mTORC1 轴和 c-MYC 信号传导,这种联合策略增强了 NK 细胞的效应功能,导致有氧糖酵解增加。在淋巴瘤小鼠模型中进行测试时,这种联合方法比单独改变任何一种方法都能更有效地提高 NK 细胞的抗肿瘤活性,消除淋巴瘤异种移植物,没有任何可测量毒性的迹象。我们得出结论,靶向细胞因子检查点通过促进其代谢适应性和抗肿瘤活性,进一步增强了分泌白细胞介素 15 的装甲 CAR-NK 细胞的抗肿瘤活性。这种联合方法代表了癌症免疫治疗中下一代 NK 细胞发展的一个有前途的里程碑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3d6/7869185/0dc36f65b539/bloodBLD2020007748absf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3d6/7869185/0dc36f65b539/bloodBLD2020007748absf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3d6/7869185/0dc36f65b539/bloodBLD2020007748absf1.jpg

相似文献

[1]
Targeting a cytokine checkpoint enhances the fitness of armored cord blood CAR-NK cells.

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[2]
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[3]
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[4]
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引用本文的文献

[1]
Genome-wide CRISPR screens identify critical targets to enhance CAR-NK cell antitumor potency.

Cancer Cell. 2025-8-18

[2]
Beyond the Limit: MYC Mediates Tumor Immune Escape.

Pharmaceuticals (Basel). 2025-6-29

[3]
Overcoming Immune Barriers in Allogeneic CAR-NK Therapy: From Multiplex Gene Editing to AI-Driven Precision Design.

Biomolecules. 2025-6-26

[4]
Optimization of lentiviral delivery of barcoded anti-CD20 chimeric antigen receptors into rhesus macaque and human natural killer cells.

Mol Ther Methods Clin Dev. 2025-4-18

[5]
Nanobody-Based CAR NK Cells for Possible Immunotherapy of Mesothelin Tumors.

Immune Netw. 2025-6-13

[6]
Novel strategies to overcome tumor immunotherapy resistance using CAR NK cells.

Front Immunol. 2025-5-29

[7]
Targeting lactylation reinforces NK cell cytotoxicity within the tumor microenvironment.

Nat Immunol. 2025-6-10

[8]
HSC "aging" of cord blood during cryopreservation and new strategy for prevention.

Blood Sci. 2025-6-5

[9]
Application and prospects of genetic engineering in CAR-NK cell therapy.

Front Immunol. 2025-5-23

[10]
Transitioning from native to synthetic receptors: broadening T-cell engineering and beyond.

Cell Mol Immunol. 2025-6-6

本文引用的文献

[1]
Metabolic Reprograming via Deletion of CISH in Human iPSC-Derived NK Cells Promotes In Vivo Persistence and Enhances Anti-tumor Activity.

Cell Stem Cell. 2020-8-6

[2]
You Have Got a Fast CAR: Chimeric Antigen Receptor NK Cells in Cancer Therapy.

Cancers (Basel). 2020-3-17

[3]
Use of CAR-Transduced Natural Killer Cells in CD19-Positive Lymphoid Tumors.

N Engl J Med. 2020-2-6

[4]
A novel immature natural killer cell subpopulation predicts relapse after cord blood transplantation.

Blood Adv. 2019-12-10

[5]
A high-fidelity Cas9 mutant delivered as a ribonucleoprotein complex enables efficient gene editing in human hematopoietic stem and progenitor cells.

Nat Med. 2018-8-6

[6]
CAR T cell-induced cytokine release syndrome is mediated by macrophages and abated by IL-1 blockade.

Nat Med. 2018-5-28

[7]
Next generation natural killer cells for cancer immunotherapy: the promise of genetic engineering.

Curr Opin Immunol. 2018-3-30

[8]
Continuous treatment with IL-15 exhausts human NK cells via a metabolic defect.

JCI Insight. 2018-2-8

[9]
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

[10]
Quantitative Imaging Approaches to Study the CAR Immunological Synapse.

Mol Ther. 2017-8-2

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