Clinical Laboratory, The Second Hospital of Dalian Medical University, Dalian, Liaoning Province, 116023, China.
Research Institute for Microbial Diseases and World Premier International Immunology Frontier Research Center, Osaka University, 3-1 Yamadaoka Suita, Osaka, 565-0871, Japan.
Genes Immun. 2024 Jun;25(3):201-208. doi: 10.1038/s41435-024-00275-6. Epub 2024 May 3.
Glioblastoma (GBM) is the most common and aggressive malignant primary brain tumor in adults. Current treatment options for GBM include surgical resection, radiation, and chemotherapy, which predominantly slow cancer growth and reduce symptoms, resulting in a 5-year survival rate of no more than 10%. Chimeric antigen receptor (CAR) T-cell therapy is a new class of cellular immunotherapy that has made great progress in treating malignant tumors. Human epidermal growth factor receptor 2 (HER2) is overexpressed in GBM and may provide a potential therapeutic target for GBM treatment. In this study, we constructed third-generation CAR-T cells targeting the HER2 antigen in GBM. HER2-CAR-T cells showed effective anti-tumor activity both in vitro and in vivo. Furthermore, HER2-specific CAR-T cells exhibited strong cytotoxicity and cytokine-secreting abilities against GBM cells in vitro. Anti-HER2 CAR-T cells also exhibited increased cytotoxicity with increasing effector-to-target ratios. Anti-HER2 CAR-T cells delivered via peritumoral injection successfully stunted tumor progression in vivo. Moreover, peritumoral intravenous administration of anti-HER2 CAR-T cells resulted in therapeutic improvement against GBM cells compared with intravenous administration. In conclusion, our study shows that HER2 CAR-T cells represent an emerging immunotherapy for treating GBM.
胶质母细胞瘤(GBM)是成人中最常见且侵袭性最强的恶性原发性脑肿瘤。目前 GBM 的治疗选择包括手术切除、放疗和化疗,这些方法主要能减缓癌症生长并减轻症状,导致 5 年生存率不超过 10%。嵌合抗原受体 (CAR) T 细胞疗法是一种新型细胞免疫疗法,在治疗恶性肿瘤方面取得了重大进展。人类表皮生长因子受体 2 (HER2) 在 GBM 中过表达,可能为 GBM 治疗提供潜在的治疗靶点。在这项研究中,我们构建了针对 GBM 中 HER2 抗原的第三代 CAR-T 细胞。HER2-CAR-T 细胞在体外和体内均表现出有效的抗肿瘤活性。此外,HER2 特异性 CAR-T 细胞在体外对 GBM 细胞表现出强大的细胞毒性和细胞因子分泌能力。随着效应细胞与靶细胞比率的增加,抗 HER2 CAR-T 细胞的细胞毒性也增加。通过肿瘤周围注射递送的抗 HER2 CAR-T 细胞成功地抑制了体内肿瘤的进展。此外,与静脉内给药相比,肿瘤周围静脉内给予抗 HER2 CAR-T 细胞可改善对 GBM 细胞的治疗效果。总之,我们的研究表明,HER2 CAR-T 细胞代表了一种治疗 GBM 的新兴免疫疗法。