Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Instituto de Medicina Molecular João Lobo Antunes, Faculade de Medicina, Universidade de Lisboa, Lisbon, Portugal
J Immunother Cancer. 2023 Nov 24;11(11):e007955. doi: 10.1136/jitc-2023-007955.
γδ T cells are regarded as promising effector lymphocytes for next-generation cancer immunotherapies. In spite of being relatively rare in human peripheral blood, γδ T cells are more abundant in epithelial tissues where many tumors develop, and have been shown to actively participate in anticancer immunity as cytotoxic cells or as "type 1" immune orchestrators. A major asset of γδ T cells for tackling advanced cancers is their independence from antigen presentation via the major histocompatibility complex, which clearly sets them apart from conventional αβ T cells. Here we discuss the main therapeutic strategies based on human γδ T cells. These include antibody-based bispecific engagers and adoptive cell therapies, either focused on the Vδ1 or Vδ2 γδ T-cell subsets, which can be expanded selectively and differentiated or engineered to maximize their antitumor functions. We review the preclinical data that supports each of the therapeutic strategies under development; and summarize the clinical trials being pursued towards establishing γδ T cell-based treatments for solid and hematological malignancies.
γδ T 细胞被认为是下一代癌症免疫疗法有前途的效应淋巴细胞。尽管在人类外周血中相对较少,但 γδ T 细胞在许多肿瘤发生的上皮组织中更为丰富,并且已被证明作为细胞毒性细胞或作为“1 型”免疫协调因子积极参与抗癌免疫。γδ T 细胞用于治疗晚期癌症的一个主要优势是它们不依赖于主要组织相容性复合体的抗原呈递,这显然使它们与传统的 αβ T 细胞区分开来。在这里,我们讨论了基于人 γδ T 细胞的主要治疗策略。这些策略包括基于抗体的双特异性结合物和过继细胞疗法,要么针对 Vδ1 或 Vδ2 γδ T 细胞亚群,这些亚群可以选择性地扩增、分化或工程化,以最大限度地提高其抗肿瘤功能。我们回顾了支持每种治疗策略的临床前数据;并总结了正在进行的临床试验,旨在为实体瘤和血液恶性肿瘤建立基于 γδ T 细胞的治疗方法。