体内巨噬细胞工程重塑肿瘤微环境,从而消除肝转移。
In vivo macrophage engineering reshapes the tumor microenvironment leading to eradication of liver metastases.
机构信息
Targeted Cancer Gene Therapy Unit, San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy; Vita Salute San Raffaele University, 20132 Milan, Italy.
Targeted Cancer Gene Therapy Unit, San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy; Bioinformatics Core, San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
出版信息
Cancer Cell. 2023 Nov 13;41(11):1892-1910.e10. doi: 10.1016/j.ccell.2023.09.014. Epub 2023 Oct 19.
Liver metastases are associated with poor response to current pharmacological treatments, including immunotherapy. We describe a lentiviral vector (LV) platform to selectively engineer liver macrophages, including Kupffer cells and tumor-associated macrophages (TAMs), to deliver type I interferon (IFNα) to liver metastases. Gene-based IFNα delivery delays the growth of colorectal and pancreatic ductal adenocarcinoma liver metastases in mice. Response to IFNα is associated with TAM immune activation, enhanced MHC-II-restricted antigen presentation and reduced exhaustion of CD8 T cells. Conversely, increased IL-10 signaling, expansion of Eomes CD4 T cells, a cell type displaying features of type I regulatory T (Tr1) cells, and CTLA-4 expression are associated with resistance to therapy. Targeting regulatory T cell functions by combinatorial CTLA-4 immune checkpoint blockade and IFNα LV delivery expands tumor-reactive T cells, attaining complete response in most mice. These findings support a promising therapeutic strategy with feasible translation to patients with unmet medical need.
肝转移与当前包括免疫疗法在内的药物治疗反应不佳相关。我们描述了一种慢病毒载体 (LV) 平台,用于选择性地对肝脏巨噬细胞(包括枯否细胞和肿瘤相关巨噬细胞[TAMs])进行工程改造,以将 I 型干扰素 (IFNα) 递送至肝转移部位。基于基因的 IFNα 递送可延缓结直肠癌和胰腺导管腺癌肝转移在小鼠中的生长。对 IFNα 的反应与 TAM 免疫激活、增强 MHC-II 限制的抗原呈递以及减少 CD8 T 细胞耗竭有关。相反,增加的 IL-10 信号传导、Eomes CD4 T 细胞的扩增(一种具有 I 型调节性 T(Tr1)细胞特征的细胞类型)和 CTLA-4 表达与治疗抵抗相关。通过组合使用 CTLA-4 免疫检查点阻断和 IFNα LV 递送来靶向调节性 T 细胞功能,可扩展肿瘤反应性 T 细胞,使大多数小鼠获得完全缓解。这些发现支持了一种有前途的治疗策略,具有转化为满足未满足医疗需求的患者的可行性。