Long Cheng, Li Gaowei, Zhang Chengyun, Jiang Tao, Li Yanjun, Duan Xin, Zhong Gang
Orthopedics Department, West China Hospital, Sichuan University, Chengdu, China.
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Front Oncol. 2021 Nov 15;11:659662. doi: 10.3389/fonc.2021.659662. eCollection 2021.
chordomas are rare bone tumors with few therapeutic options. Skull base and sacrum are the two most common origin sites. Immunotherapies are emerging as the most promising approaches to fight various cancers. This study tends to identify new cell surface targets for immunotherapeutic options of skull base chordomas.
we profiled 45 skull base chordoma clinical samples by immunohistochemistry for the expression of six CAR-Targets (PD-L1, B7-H3, B7-H4, VISTA, HER2 and HER3). In addition, we generated B7-H3 targeted CAR-T-cells and evaluated their antitumor activities .
We found that B7-H3 was positively stained in 7 out of 45 (16%) chordoma samples and established an expression hierarchy for these antigens (B7-H3 > HER3 > PD-L1 > HER2 = VISTA = B7-H4). We then generated a B7-H3 targeted CAR vector and demonstrated that B7-H3-CAR-T-cells recognized antigen positive cells and exhibited significant antitumor effects, including suppression of tumor spheroid formation, CAR-T-cell activation and cytokine secretion.
Our results support B7-H3 might serve as a promising target for CAR-T-cell therapies against chordomas.
脊索瘤是罕见的骨肿瘤,治疗选择有限。颅底和骶骨是两个最常见的起源部位。免疫疗法正成为对抗各种癌症最有前景的方法。本研究旨在为颅底脊索瘤的免疫治疗选择确定新的细胞表面靶点。
我们通过免疫组织化学分析了45例颅底脊索瘤临床样本中六种嵌合抗原受体(CAR)靶点(程序性死亡受体配体1(PD-L1)、B7同源蛋白3(B7-H3)、B7同源蛋白4(B7-H4)、V型免疫球蛋白结构域包含的T细胞激活抑制分子(VISTA)、人表皮生长因子受体2(HER2)和人表皮生长因子受体3(HER3))的表达情况。此外,我们构建了靶向B7-H3的CAR-T细胞并评估了它们的抗肿瘤活性。
我们发现45例脊索瘤样本中有7例(16%)B7-H3呈阳性染色,并建立了这些抗原的表达层次结构(B7-H3>HER3>PD-L1>HER2 = VISTA = B7-H4)。然后我们构建了靶向B7-H3的CAR载体,并证明B7-H3-CAR-T细胞能够识别抗原阳性细胞,并表现出显著的抗肿瘤作用,包括抑制肿瘤球体形成、CAR-T细胞激活和细胞因子分泌。
我们的结果支持B7-H3可能成为CAR-T细胞治疗脊索瘤的一个有前景的靶点。