Francis Crick Institute, London, UK.
Peter Gorer Department of Immunobiology, King's College London, London, UK.
Science. 2024 Oct 4;386(6717):eabq7248. doi: 10.1126/science.abq7248.
The premise of cancer immunotherapy is that cancers are specifically visible to an immune system tolerized to healthy self. The promise of cancer immunotherapy is that immune effector mechanisms and immunological memory can jointly eradicate cancers and inoperable metastases and de facto vaccinate against recurrence. For some patients with hitherto incurable diseases, including metastatic melanoma, this promise is being realized by game-changing immunotherapies based on αβ T cells. Today's challenges are to bring benefit to greater numbers of patients of diverse ethnicities, target more cancer types, and achieve a cure while incurring fewer adverse events. In meeting those challenges, specific benefits may be offered by γδ T cells, which compose a second T cell lineage with distinct recognition capabilities and functional traits that bridge innate and adaptive immunity. γδ T cell-based clinical trials, including off-the-shelf adoptive cell therapy and agonist antibodies, are yielding promising results, although identifiable problems remain. In addressing those problems, we advocate that immunotherapies be guided by the distinctive biology of γδ T cells, as elucidated by ongoing research.
癌症免疫疗法的前提是,免疫系统对健康自身具有耐受性,而癌症是可以被免疫系统特异性识别的。癌症免疫疗法的承诺是,免疫效应机制和免疫记忆可以共同消灭癌症和无法手术的转移灶,并实际上对复发起到预防作用。对于一些患有迄今无法治愈的疾病的患者,包括转移性黑色素瘤,基于αβ T 细胞的变革性免疫疗法正在实现这一承诺。如今的挑战是为更多不同种族的患者带来益处,针对更多类型的癌症,并在减少不良事件的同时实现治愈。在应对这些挑战时,γδ T 细胞可能会带来特定的益处,γδ T 细胞构成了具有独特识别能力和功能特征的第二 T 细胞谱系,它连接了先天免疫和适应性免疫。基于γδ T 细胞的临床试验,包括现成的过继细胞疗法和激动型抗体,正在产生有希望的结果,尽管仍然存在可识别的问题。在解决这些问题时,我们主张免疫疗法由正在进行的研究阐明的γδ T 细胞的独特生物学来指导。
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