文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

共刺激结构域指导 CAR 驱动的 T 细胞功能障碍的不同命运。

Costimulatory domains direct distinct fates of CAR-driven T-cell dysfunction.

机构信息

Division of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St. Louis, MO.

Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO.

出版信息

Blood. 2023 Jun 29;141(26):3153-3165. doi: 10.1182/blood.2023020100.


DOI:10.1182/blood.2023020100
PMID:37130030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10356580/
Abstract

T cells engineered to express chimeric antigen receptors (CARs) targeting CD19 have demonstrated impressive activity against relapsed or refractory B-cell cancers yet fail to induce durable remissions for nearly half of all patients treated. Enhancing the efficacy of this therapy requires detailed understanding of the molecular circuitry that restrains CAR-driven antitumor T-cell function. We developed and validated an in vitro model that drives T-cell dysfunction through chronic CAR activation and interrogated how CAR costimulatory domains, central components of CAR structure and function, contribute to T-cell failure. We found that chronic activation of CD28-based CARs results in activation of classical T-cell exhaustion programs and development of dysfunctional cells that bear the hallmarks of exhaustion. In contrast, 41BB-based CARs activate a divergent molecular program and direct differentiation of T cells into a novel cell state. Interrogation using CAR T cells from a patient with progressive lymphoma confirmed the activation of this novel program in a failing clinical product. Furthermore, we demonstrate that 41BB-dependent activation of the transcription factor FOXO3 is directly responsible for impairing CAR T-cell function. These findings identify that costimulatory domains are critical regulators of CAR-driven T-cell failure and that targeted interventions are required to overcome costimulation-dependent dysfunctional programs.

摘要

经嵌合抗原受体(CAR)修饰表达靶向 CD19 的 T 细胞在治疗复发或难治性 B 细胞癌症方面表现出了令人瞩目的疗效,但仍有近一半的接受治疗的患者无法获得持久缓解。为了提高这种治疗方法的疗效,需要详细了解限制 CAR 驱动的抗肿瘤 T 细胞功能的分子机制。我们开发并验证了一种体外模型,该模型通过慢性 CAR 激活导致 T 细胞功能障碍,并研究了 CAR 共刺激结构域(CAR 结构和功能的核心组成部分)如何导致 T 细胞衰竭。我们发现,基于 CD28 的 CAR 的慢性激活导致经典 T 细胞耗竭程序的激活和功能失调细胞的发展,这些细胞具有耗竭的特征。相比之下,41BB 基于的 CAR 会激活不同的分子程序,并将 T 细胞定向分化为一种新型细胞状态。使用来自进展性淋巴瘤患者的 CAR T 细胞进行的检测证实了该新型程序在失效的临床产品中的激活。此外,我们证明 FOXO3 转录因子的 41BB 依赖性激活直接导致 CAR T 细胞功能受损。这些发现表明,共刺激结构域是 CAR 驱动的 T 细胞衰竭的关键调节因子,需要进行靶向干预以克服共刺激依赖性的功能失调程序。

相似文献

[1]
Costimulatory domains direct distinct fates of CAR-driven T-cell dysfunction.

Blood. 2023-6-29

[2]
Costimulatory domains direct distinct fates of CAR-driven T cell dysfunction.

bioRxiv. 2023-1-27

[3]
Treatment of patients with relapsed or refractory CD19+ lymphoid disease with T lymphocytes transduced by RV-SFG.CD19.CD28.4-1BBzeta retroviral vector: a unicentre phase I/II clinical trial protocol.

BMJ Open. 2019-5-19

[4]
In Vivo Fate and Activity of Second- versus Third-Generation CD19-Specific CAR-T Cells in B Cell Non-Hodgkin's Lymphomas.

Mol Ther. 2018-9-13

[5]
Chimeric Antigen Receptor T-Cell Therapies for Aggressive B-Cell Lymphomas: Current and Future State of the Art.

Am Soc Clin Oncol Educ Book. 2019-1

[6]
Function of Novel Anti-CD19 Chimeric Antigen Receptors with Human Variable Regions Is Affected by Hinge and Transmembrane Domains.

Mol Ther. 2017-7-27

[7]
In Vivo Expansion and Antitumor Activity of Coinfused CD28- and 4-1BB-Engineered CAR-T Cells in Patients with B Cell Leukemia.

Mol Ther. 2018-2-2

[8]
A novel chimeric antigen receptor containing a JAK-STAT signaling domain mediates superior antitumor effects.

Nat Med. 2018-2-5

[9]
Combined CD28 and 4-1BB Costimulation Potentiates Affinity-tuned Chimeric Antigen Receptor-engineered T Cells.

Clin Cancer Res. 2019-7-1

[10]
Chimeric Antigen Receptor T Cell Therapy for Acute Lymphoblastic Leukemia.

Curr Treat Options Oncol. 2020-2-5

引用本文的文献

[1]
Challenges in the preclinical design and assessment of CAR-T cells.

Front Immunol. 2025-8-8

[2]
Enhancing the potency of CAR-T cells against solid tumors through transcription factor engineering.

JCI Insight. 2025-7-22

[3]
CAR-T cell therapy in brain malignancies: obstacles in the face of cellular trafficking and persistence.

Front Immunol. 2025-6-19

[4]
Differential susceptibility and role for senescence in CART cells based on costimulatory domains.

Mol Cancer. 2025-6-10

[5]
From Multi-Omics to Visualization and Beyond: Bridging Micro and Macro Insights in CAR-T Cell Therapy.

Adv Sci (Weinh). 2025-5

[6]
Humanizing a CD28 signaling domain affects CD8 activation, exhaustion and stem-like precursors.

bioRxiv. 2025-3-13

[7]
The costimulatory domain influences CD19 CAR-T cell resistance development in B-cell malignancies.

bioRxiv. 2025-3-4

[8]
Outcome correlates of approved CD19-targeted CAR T cells for large B cell lymphoma.

Nat Rev Clin Oncol. 2025-4

[9]
Novel strategies to manage CAR-T cell toxicity.

Nat Rev Drug Discov. 2025-5

[10]
The impact of CD3ζ ITAM multiplicity and sequence on CAR T-cell survival and function.

Front Immunol. 2025-1-16

本文引用的文献

[1]
Inducing T cell dysfunction by chronic stimulation of CAR-engineered T cells targeting cancer cells in suspension cultures.

STAR Protoc. 2023-3-17

[2]
Divergent clonal differentiation trajectories of T cell exhaustion.

Nat Immunol. 2022-11

[3]
Shared and distinct biological circuits in effector, memory and exhausted CD8 T cells revealed by temporal single-cell transcriptomics and epigenetics.

Nat Immunol. 2022-11

[4]
Post-infusion CAR T cells identify patients resistant to CD19-CAR therapy.

Nat Med. 2022-9

[5]
Distinct cellular dynamics associated with response to CAR-T therapy for refractory B cell lymphoma.

Nat Med. 2022-9

[6]
Common Trajectories of Highly Effective CD19-Specific CAR T Cells Identified by Endogenous T-cell Receptor Lineages.

Cancer Discov. 2022-9-2

[7]
Sequential Single-Cell Transcriptional and Protein Marker Profiling Reveals TIGIT as a Marker of CD19 CAR-T Cell Dysfunction in Patients with Non-Hodgkin Lymphoma.

Cancer Discov. 2022-8-5

[8]
Hematopoietic cell transplantation donor-derived memory-like NK cells functionally persist after transfer into patients with leukemia.

Sci Transl Med. 2022-2-23

[9]
Pan-cancer single-cell landscape of tumor-infiltrating T cells.

Science. 2021-12-17

[10]
An NK-like CAR T cell transition in CAR T cell dysfunction.

Cell. 2021-12-9

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索