Cellular Immunotherapy Program, Cancer Center, Massachusetts General Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
Nature. 2022 Apr;604(7906):563-570. doi: 10.1038/s41586-022-04585-5. Epub 2022 Apr 13.
Chimeric antigen receptor (CAR) therapy has had a transformative effect on the treatment of haematologic malignancies, but it has shown limited efficacy against solid tumours. Solid tumours may have cell-intrinsic resistance mechanisms to CAR T cell cytotoxicity. Here, to systematically identify potential resistance pathways in an unbiased manner, we conducted a genome-wide CRISPR knockout screen in glioblastoma, a disease in which CAR T cells have had limited efficacy. We found that the loss of genes in the interferon-γ receptor (IFNγR) signalling pathway (IFNGR1, JAK1 or JAK2) rendered glioblastoma and other solid tumours more resistant to killing by CAR T cells both in vitro and in vivo. However, loss of this pathway did not render leukaemia or lymphoma cell lines insensitive to CAR T cells. Using transcriptional profiling, we determined that glioblastoma cells lacking IFNγR1 had lower upregulation of cell-adhesion pathways after exposure to CAR T cells. We found that loss of IFNγR1 in glioblastoma cells reduced overall CAR T cell binding duration and avidity. The critical role of IFNγR signalling in susceptibility of solid tumours to CAR T cells is surprising, given that CAR T cells do not require traditional antigen-presentation pathways. Instead, in glioblastoma tumours, IFNγR signalling was required for sufficient adhesion of CAR T cells to mediate productive cytotoxicity. Our work demonstrates that liquid and solid tumours differ in their interactions with CAR T cells and suggests that enhancing binding interactions between T cells and tumour cells may yield improved responses in solid tumours.
嵌合抗原受体 (CAR) 疗法对血液恶性肿瘤的治疗产生了变革性的影响,但对实体瘤的疗效有限。实体瘤可能具有内在的细胞抵抗 CAR T 细胞细胞毒性的机制。在这里,为了以无偏倚的方式系统地识别潜在的耐药途径,我们在胶质母细胞瘤中进行了全基因组 CRISPR 敲除筛选,在该疾病中,CAR T 细胞的疗效有限。我们发现干扰素-γ 受体 (IFNγR) 信号通路(IFNGR1、JAK1 或 JAK2)中的基因缺失使胶质母细胞瘤和其他实体瘤对 CAR T 细胞的杀伤在体外和体内都更具抵抗力。然而,这条通路的缺失并没有使白血病或淋巴瘤细胞系对 CAR T 细胞不敏感。通过转录谱分析,我们确定缺乏 IFNγR1 的胶质母细胞瘤细胞在暴露于 CAR T 细胞后细胞黏附途径的上调较低。我们发现,胶质母细胞瘤细胞中 IFNγR1 的缺失会降低 CAR T 细胞结合的总持续时间和亲和力。IFNγR 信号在 CAR T 细胞对实体瘤的易感性中的关键作用令人惊讶,因为 CAR T 细胞不需要传统的抗原呈递途径。相反,在胶质母细胞瘤肿瘤中,IFNγR 信号对于 CAR T 细胞的充分黏附介导有效的细胞毒性是必需的。我们的工作表明,液体和实体肿瘤在与 CAR T 细胞的相互作用上存在差异,并表明增强 T 细胞与肿瘤细胞之间的结合相互作用可能会提高实体瘤的反应率。
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