文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

阿法替尼通过代谢和命运重编程增强 CAR-T 细胞抗肿瘤治疗效果。

Afatinib boosts CAR-T cell antitumor therapeutic efficacy via metabolism and fate reprogramming.

机构信息

Department of Hematology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, Chongqing, China.

Medical Center of Hematology, Xinqiao Hospital, Army Medical University, Chongqing, Chongqing, China.

出版信息

J Immunother Cancer. 2024 Nov 17;12(11):e009949. doi: 10.1136/jitc-2024-009949.


DOI:10.1136/jitc-2024-009949
PMID:39551605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11574435/
Abstract

BACKGROUND: Chimeric antigen receptor T (CAR-T) cell therapy has been shown remarkable efficacy in the treatment of hematological malignancies in recent years. However, a considerable proportion of patients would experience tumor recurrence and deterioration. Insufficient CAR-T cell persistence is the major reason for relapse. Multiple strategies to enhance the long-term antitumor effects of CAR-T cells have been explored and developed. In this study, we focused on tyrosine kinase inhibitors (TKIs), which have emerged immunomodulatory potential besides direct tumoricidal effects. METHODS: Here, we screened 50 approved TKIs drugs and identified that afatinib (AFA) markedly enhanced the expressing of CD62L and inhibited reactive oxygen species level in T cells. And the underlying mechanisms of AFA medicating T cells were explored by detecting signal transduction, and metabolism pattern. Furthermore, we co-cultured AFA with CAR-T cells during the preparation stage and multianalyses of differentiation characteristics, metabolic profiling, and RNA sequencing revealed that AFA induce comprehensive metabolism remodeling and fate reprogramming. Based on it, we finally identified the antitumor efficacy of AFA-pretreatment CAR-T compared with negative-control CAR-T. RESULTS: We identified that AFA blocked the T-cell receptor (TCR) and phosphoinositide 3-kinase-protein kinase B-mechanistic target of rapamycin signaling pathways, induced metabolic reprogramming and modulated T-cell differentiation. When combined with CAR-T cells, AFA inhibited the exhaustion and enhanced the persistence and cytotoxicity. Our results revealed that the pretreatment of AFA enables to boost CAR-T cells with strong antitumor cytotoxicity in leukemia mouse model. CONCLUSIONS: Our study systematically demonstrated that AFA pretreatment effectively enhanced CAR-T cells antitumor performance, which presents a novel optimization strategy for potent and durable CAR-T cell therapy.

摘要

背景:嵌合抗原受体 T(CAR-T)细胞疗法近年来在治疗血液恶性肿瘤方面显示出显著疗效。然而,相当一部分患者会经历肿瘤复发和恶化。CAR-T 细胞持续存在不足是复发的主要原因。已经探索和开发了多种增强 CAR-T 细胞长期抗肿瘤作用的策略。在这项研究中,我们专注于酪氨酸激酶抑制剂(TKI),除了直接杀肿瘤作用外,它们还具有免疫调节潜力。

方法:在这里,我们筛选了 50 种批准的 TKI 药物,发现阿法替尼(AFA)显着增强了 T 细胞 CD62L 的表达并抑制了活性氧水平。并通过检测信号转导和代谢模式探索了 AFA 介导 T 细胞的潜在机制。此外,我们在制备阶段将 AFA 与 CAR-T 细胞共培养,并通过分化特征、代谢谱和 RNA 测序的综合分析,揭示了 AFA 诱导全面代谢重编程和命运重编程。在此基础上,我们最终确定了与阴性对照 CAR-T 相比,AFA 预处理 CAR-T 的抗肿瘤功效。

结果:我们发现 AFA 阻断了 T 细胞受体(TCR)和磷酸肌醇 3-激酶-蛋白激酶 B-雷帕霉素靶蛋白信号通路,诱导了代谢重编程并调节了 T 细胞分化。当与 CAR-T 细胞结合时,AFA 抑制了衰竭并增强了持久性和细胞毒性。我们的结果表明,AFA 预处理可使 CAR-T 细胞在白血病小鼠模型中具有强大的抗肿瘤细胞毒性。

结论:我们的研究系统地证明了 AFA 预处理可有效增强 CAR-T 细胞的抗肿瘤性能,为强大而持久的 CAR-T 细胞治疗提供了一种新的优化策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/fc64111e01df/jitc-12-11-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/b7835e2d7daf/jitc-12-11-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/03ec92028be8/jitc-12-11-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/884f9910a574/jitc-12-11-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/82454d400fc7/jitc-12-11-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/fcd04e2c4826/jitc-12-11-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/fc64111e01df/jitc-12-11-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/b7835e2d7daf/jitc-12-11-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/03ec92028be8/jitc-12-11-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/884f9910a574/jitc-12-11-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/82454d400fc7/jitc-12-11-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/fcd04e2c4826/jitc-12-11-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b2/11574435/fc64111e01df/jitc-12-11-g006.jpg

相似文献

[1]
Afatinib boosts CAR-T cell antitumor therapeutic efficacy via metabolism and fate reprogramming.

J Immunother Cancer. 2024-11-17

[2]
A novel chimeric antigen receptor containing a JAK-STAT signaling domain mediates superior antitumor effects.

Nat Med. 2018-2-5

[3]
Lenalidomide Enhances the Function of CS1 Chimeric Antigen Receptor-Redirected T Cells Against Multiple Myeloma.

Clin Cancer Res. 2017-10-23

[4]
Antigen-independent activation is critical for the durable antitumor effect of GUCY2C-targeted CAR-T cells.

J Immunother Cancer. 2024-10-4

[5]
Simultaneous targeting of Tim3 and A2a receptors modulates MSLN-CAR T cell antitumor function in a human cervical tumor xenograft model.

Front Immunol. 2024

[6]
Directing B7-H3 chimeric antigen receptor T cell homing through IL-8 induces potent antitumor activity against pediatric sarcoma.

J Immunother Cancer. 2024-7-23

[7]
Improved survival of chimeric antigen receptor-engineered T (CAR-T) and tumor-specific T cells caused by anti-programmed cell death protein 1 single-chain variable fragment-producing CAR-T cells.

Cancer Sci. 2019-9-17

[8]
PTK7-Targeting CAR T-Cells for the Treatment of Lung Cancer and Other Malignancies.

Front Immunol. 2021

[9]
Effective Targeting of TAG72 Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells.

Front Immunol. 2018-11-19

[10]
Induced CD20 Expression on B-Cell Malignant Cells Heightened the Cytotoxic Activity of Chimeric Antigen Receptor Engineered T Cells.

Hum Gene Ther. 2019-1-23

引用本文的文献

[1]
Recent advances and challenges of cellular immunotherapies in lung cancer treatment.

Exp Hematol Oncol. 2025-7-7

本文引用的文献

[1]
Mitochondrial isocitrate dehydrogenase impedes CAR T cell function by restraining antioxidant metabolism and histone acetylation.

Cell Metab. 2024-1-2

[2]
Reprogramming T cell differentiation and exhaustion in CAR-T cell therapy.

J Hematol Oncol. 2023-10-25

[3]
20 years since the approval of first EGFR-TKI, gefitinib: Insight and foresight.

Biochim Biophys Acta Rev Cancer. 2023-11

[4]
Ginsenoside Rg1 improves anti-tumor efficacy of adoptive cell therapy by enhancing T cell effector functions.

Blood Sci. 2023-6-30

[5]
Metabolic challenges and interventions in CAR T cell therapy.

Sci Immunol. 2023-4-14

[6]
Strategies to enhance CAR-T persistence.

Biomark Res. 2022-11-23

[7]
Toxicities following CAR-T therapy for hematological malignancies.

Cancer Treat Rev. 2022-12

[8]
Novel CD19 chimeric antigen receptor T cells manufactured next-day for acute lymphoblastic leukemia.

Blood Cancer J. 2022-6-24

[9]
CAR T cell manufacturing from naive/stem memory T lymphocytes enhances antitumor responses while curtailing cytokine release syndrome.

J Clin Invest. 2022-6-15

[10]
Chimeric antigen receptors containing the OX40 signalling domain enhance the persistence of T cells even under repeated stimulation with multiple myeloma target cells.

J Hematol Oncol. 2022-4-1

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索