Department of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
State Key Laboratory of Medicinal Chemical Biology and College of Life Sciences, Nankai University, Tianjin, China.
Elife. 2023 Feb 13;12:e82934. doi: 10.7554/eLife.82934.
Stem cells play critical roles both in the development of cancer and therapy resistance. Although mesenchymal stem cells (MSCs) can actively migrate to tumor sites, their impact on chimeric antigen receptor modified T cell (CAR-T) immunotherapy has been little addressed. Using an in vitro cell co-culture model including lymphoma cells and macrophages, here we report that CAR-T cell-mediated cytotoxicity was significantly inhibited in the presence of MSCs. MSCs caused an increase of CD4 T cells and Treg cells but a decrease of CD8 T cells. In addition, MSCs stimulated the expression of indoleamine 2,3-dioxygenase and programmed cell death-ligand 1 which contributes to the immune-suppressive function of tumors. Moreover, MSCs suppressed key components of the NLRP3 inflammasome by modulating mitochondrial reactive oxygen species release. Interestingly, all these suppressive events hindering CAR-T efficacy could be abrogated if the stanniocalcin-1 (STC1) gene, which encodes the glycoprotein hormone STC-1, was knockdown in MSC. Using xenograft mice, we confirmed that CAR-T function could also be inhibited by MSC in vivo, and STC1 played a critical role. These data revealed a novel function of MSC and STC-1 in suppressing CAR-T efficacy, which should be considered in cancer therapy and may also have potential applications in controlling the toxicity arising from the excessive immune response.
干细胞在癌症的发展和治疗耐药中起着关键作用。尽管间充质干细胞(MSCs)可以主动迁移到肿瘤部位,但它们对嵌合抗原受体修饰 T 细胞(CAR-T)免疫疗法的影响尚未得到充分解决。在这里,我们使用包括淋巴瘤细胞和巨噬细胞在内的体外细胞共培养模型报告称,在 MSC 存在的情况下,CAR-T 细胞介导的细胞毒性明显受到抑制。MSCs 导致 CD4 T 细胞和 Treg 细胞增加,但 CD8 T 细胞减少。此外,MSCs 刺激吲哚胺 2,3-双加氧酶和程序性细胞死亡配体 1 的表达,这有助于肿瘤的免疫抑制功能。此外,MSCs 通过调节线粒体活性氧的释放来抑制 NLRP3 炎性小体的关键组成部分。有趣的是,如果敲低间充质干细胞中的 Stanniocalcin-1(STC1)基因,编码糖蛋白激素 STC-1,则可以阻断所有这些抑制 CAR-T 疗效的抑制事件。使用异种移植小鼠,我们证实 MSC 也可以在体内抑制 CAR-T 的功能,而 STC1 发挥了关键作用。这些数据揭示了 MSC 和 STC-1 在抑制 CAR-T 疗效方面的新功能,这在癌症治疗中应加以考虑,并且在控制过度免疫反应引起的毒性方面也可能具有潜在的应用。
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