Shanghai Key Laboratory of Regulatory Biology, School of Life Sciences, East China Normal University, Shanghai 200241, China.
Shanghai Key Laboratory of Regulatory Biology, School of Life Sciences, East China Normal University, Shanghai 200241, China; Biotherapy Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.
Mol Ther. 2024 Oct 2;32(10):3539-3557. doi: 10.1016/j.ymthe.2024.08.028. Epub 2024 Sep 2.
Chimeric antigen receptor (CAR)-T cell therapy has shown limited success in patients with solid tumors. Recent in vitro and in vivo data have shown that adrenoceptor beta-2 (ADRB2) is a novel checkpoint receptor that inhibits T cell-mediated anti-tumor responses. To inhibit ADRB2-mediated inhibitory signaling, we downregulated ADRB2 in CAR-T (shβ-CAR-T) cells via RNA interference, assessed different parameters, and compared them with conventional second-generation CAR-T cells. ADRB2 knockdown CAR-T cells exhibited enhanced cytotoxicity against prostate cancer cell lines in vitro, by increasing CD69, CD107a, GzmB, IFN-γ, T-bet, and GLUT-1. In addition, ADRB2 deficiency led to improved proliferation, increased CD8/CD4 T cell ratio, and decreased apoptosis in CAR-T cells. shβ-CAR-T cells expressed more Bcl-2 and led to the generation of more significant proportions of T central memory cells. Finally, the ZAP-70/NF-κB signaling axis was shown to be responsible for the improved functions of novel CAR-T cells. In tumor-bearing mice, shβ-CAR-T cells performed better than conventional CAR-T cells in eradicating prostate tumors. The study provides the basis for future clinical and translational CAR-T cell research to focus on adrenergic stress-mediated challenges in the tumor microenvironment of stressed tumors.
嵌合抗原受体 (CAR)-T 细胞疗法在实体瘤患者中的疗效有限。最近的体外和体内数据表明,肾上腺素能受体β-2 (ADRB2) 是一种新型检查点受体,可抑制 T 细胞介导的抗肿瘤反应。为了抑制 ADRB2 介导的抑制信号,我们通过 RNA 干扰下调了 CAR-T(shβ-CAR-T)细胞中的 ADRB2,评估了不同的参数,并将其与传统的第二代 CAR-T 细胞进行了比较。ADRB2 敲低 CAR-T 细胞通过增加 CD69、CD107a、GzmB、IFN-γ、T-bet 和 GLUT-1,在体外对前列腺癌细胞系表现出增强的细胞毒性。此外,ADRB2 缺乏导致 CAR-T 细胞增殖增加、CD8/CD4 T 细胞比例增加和凋亡减少。shβ-CAR-T 细胞表达更多的 Bcl-2,并导致产生更多比例的 T 中央记忆细胞。最后,表明 ZAP-70/NF-κB 信号轴负责新型 CAR-T 细胞功能的改善。在荷瘤小鼠中,shβ-CAR-T 细胞在消除前列腺肿瘤方面优于传统 CAR-T 细胞。该研究为未来的临床和转化 CAR-T 细胞研究提供了基础,以关注应激肿瘤肿瘤微环境中肾上腺素能应激介导的挑战。
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