Institute of Molecular and Cell Biology, Agency for Science, Technology and Research, 138673, Singapore.
Duke-NUS Medical School, 169857, Singapore.
Sci Adv. 2022 Nov 25;8(47):eadd1187. doi: 10.1126/sciadv.add1187. Epub 2022 Nov 23.
In recent decades, chimeric antigen receptor (CAR)-engineered immune effector cells have demonstrated promising antileukemic activity. Nevertheless, their efficacy remains unsatisfactory on solid cancers, plausibly due to the influence of tumor microenvironments (TME). In a novel mouse cancer model with a humanized immune system, tumor-infiltrating immunosuppressive leukocytes and exhausted programmed death protein-1 (PD-1) T cells were found, which better mimic patient TME, allowing the screening and assessment of immune therapeutics. Particularly, membrane-bound programmed death ligand 1 (PD-L1) level was elevated on a tumor cell surface, which serves as an attractive target for natural killer (NK) cell-mediated therapy. Hematopoietic stem cell-derived CAR-NK (CAR pNK) cells targeting the PD-L1 showed enhanced in vitro and in vivo anti-solid tumor function. The CAR pNK cells and nivolumab resulted in a synergistic anti-solid tumor response. Together, our study highlights a robust platform to develop and evaluate the antitumor efficacy and safety of previously unexplored therapeutic regimens.
近几十年来,嵌合抗原受体 (CAR)- 工程免疫效应细胞显示出有前途的抗白血病活性。然而,它们在实体瘤上的疗效仍不尽如人意,这可能是由于肿瘤微环境 (TME) 的影响。在一种具有人类化免疫系统的新型小鼠癌症模型中,发现了浸润肿瘤的免疫抑制性白细胞和耗竭的程序性死亡蛋白-1 (PD-1) T 细胞,这些细胞更好地模拟了患者的 TME,从而可以筛选和评估免疫疗法。特别是,肿瘤细胞表面上调了膜结合程序性死亡配体 1 (PD-L1),这成为自然杀伤 (NK) 细胞介导治疗的一个有吸引力的靶点。针对 PD-L1 的造血干细胞衍生的 CAR-NK (CAR pNK) 细胞显示出增强的体外和体内抗实体瘤功能。CAR pNK 细胞和纳武利尤单抗联合使用可产生协同的抗实体瘤反应。总之,我们的研究强调了一个强大的平台,用于开发和评估以前未探索的治疗方案的抗肿瘤疗效和安全性。
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