Ludwig Institute for Cancer Research, Lausanne Branch, University of Lausanne; and Department of Oncology, Lausanne University Hospital, Epalinges, Switzerland.
AGORA Cancer Research Center, Lausanne, Switzerland.
Nat Immunol. 2023 May;24(5):869-883. doi: 10.1038/s41590-023-01477-2. Epub 2023 Apr 20.
To date, no immunotherapy approaches have managed to fully overcome T-cell exhaustion, which remains a mandatory fate for chronically activated effector cells and a major therapeutic challenge. Understanding how to reprogram CD8 tumor-infiltrating lymphocytes away from exhausted effector states remains an elusive goal. Our work provides evidence that orthogonal gene engineering of T cells to secrete an interleukin (IL)-2 variant binding the IL-2Rβγ receptor and the alarmin IL-33 reprogrammed adoptively transferred T cells to acquire a novel, synthetic effector state, which deviated from canonical exhaustion and displayed superior effector functions. These cells successfully overcame homeostatic barriers in the host and led-in the absence of lymphodepletion or exogenous cytokine support-to high levels of engraftment and tumor regression. Our work unlocks a new opportunity of rationally engineering synthetic CD8 T-cell states endowed with the ability to avoid exhaustion and control advanced solid tumors.
迄今为止,还没有任何免疫疗法能够完全克服 T 细胞耗竭,这仍然是慢性激活效应细胞的必然命运,也是一个主要的治疗挑战。了解如何使 CD8 肿瘤浸润淋巴细胞脱离耗竭的效应状态仍然是一个难以实现的目标。我们的工作提供了证据,表明通过正交基因工程技术使 T 细胞分泌一种白细胞介素(IL)-2 变体,该变体结合 IL-2Rβγ 受体和警报素 IL-33,可重新编程过继转移的 T 细胞获得一种新的、合成的效应状态,这种状态偏离了经典的耗竭状态,并表现出优异的效应功能。这些细胞成功地克服了宿主中的体内平衡障碍,并在没有淋巴耗竭或外源细胞因子支持的情况下,导致高水平的植入和肿瘤消退。我们的工作为合理设计具有避免耗竭和控制晚期实体瘤能力的合成 CD8 T 细胞状态提供了一个新的机会。
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