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神经酰胺合酶 6 通过调节 N-RAS/ERK 通路影响 T 细胞同种异体反应和移植物抗宿主病。

Ceramide synthase 6 impacts T-cell allogeneic response and graft-versus-host disease through regulating N-RAS/ERK pathway.

机构信息

Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.

Department of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

Leukemia. 2022 Jul;36(7):1907-1915. doi: 10.1038/s41375-022-01581-6. Epub 2022 May 5.

Abstract

Allogeneic hematopoietic cell transplantation (allo-HCT) is an effective immunotherapy for various hematologic malignancies, predominantly through potent graft-versus-leukemia (GVL) effect. However, the mortality after allo-HCT is because of relapse of primary malignancy and followed by graft-vs-host-disease (GVHD) as a major cause of transplant-related mortality. Hence, strategies to limit GVHD while preserving the GVL effect are highly desirable. Ceramide, which serves a central role in sphingolipid metabolism, is generated by ceramide synthases (CerS1-6). In this study, we found that genetic or pharmacologic targeting of CerS6 prevented and reversed chronic GVHD (cGVHD). Furthermore, specific inhibition of CerS6 with ST1072 significantly ameliorated acute GVHD (aGVHD) while preserving the GVL effect, which differed from FTY720 that attenuated aGVHD but impaired GVL activity. At the cellular level, blockade of CerS6 restrained donor T cells from migrating into GVHD target organs and preferentially reduced activation of donor CD4 T cells. At the molecular level, CerS6 was required for optimal TCR signaling, CD3/PKCθ co-localization, and subsequent N-RAS activation and ERK signaling, especially on CD4 T cells. The current study provides rationale and means for targeting CerS6 to control GVHD and leukemia relapse, which would enhance the efficacy of allo-HCT as an immunotherapy for hematologic malignancies in the clinic.

摘要

同种异体造血细胞移植(allo-HCT)是治疗各种血液系统恶性肿瘤的有效免疫疗法,主要通过强大的移植物抗白血病(GVL)效应实现。然而,allo-HCT 后的死亡率是由于原发性恶性肿瘤的复发和随后的移植物抗宿主病(GVHD)引起的,GVHD 是移植相关死亡的主要原因。因此,寻找限制 GVHD 同时保留 GVL 效应的策略是非常需要的。神经酰胺在鞘脂代谢中起核心作用,它由神经酰胺合酶(CerS1-6)产生。在这项研究中,我们发现靶向 CerS6 的遗传或药理学方法可以预防和逆转慢性移植物抗宿主病(cGVHD)。此外,特异性抑制 CerS6 的 ST1072 显著改善了急性移植物抗宿主病(aGVHD),同时保留了 GVL 效应,这与 FTY720 不同,FTY720 减轻了 aGVHD,但损害了 GVL 活性。在细胞水平上,阻断 CerS6 阻止供体细胞迁移到 GVHD 靶器官,并优先减少供体 CD4 T 细胞的激活。在分子水平上,CerS6 是最佳 TCR 信号、CD3/PKCθ 共定位以及随后 N-RAS 激活和 ERK 信号所必需的,特别是在 CD4 T 细胞上。本研究为靶向 CerS6 控制 GVHD 和白血病复发提供了依据和方法,这将提高 allo-HCT 作为血液系统恶性肿瘤免疫疗法的临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b7/9256768/8215a2018587/nihms-1800384-f0001.jpg

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