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EPHB4嵌合抗原受体T细胞瘤内给药治疗口腔鳞状细胞癌的可行性

Feasibility of Intratumoral Administration With EPHB4-CAR-T Cells for the Treatment of Oral Squamous Cell Carcinoma.

作者信息

Ito Yusuke, Suzuki Toshihiro, Shimomura Manami, Takenouchi Kazumasa, Ohnuki Kazunobu, Shoda Kayoko, Kenmochi Yuka, Yagyu Shigeki, Matsuura Kazuto, Hayashi Ryuichi, Nakatsura Tetsuya

机构信息

Division of Cancer Immunotherapy, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, Japan.

Department of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan.

出版信息

Cancer Sci. 2025 May;116(5):1227-1238. doi: 10.1111/cas.70023. Epub 2025 Mar 3.


DOI:10.1111/cas.70023
PMID:40029791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12044661/
Abstract

Oral squamous cell carcinoma (OSCC) represents the most common type of oral cancer, and its prognosis remains poor. In this study, we found that almost OSCC cases showed high Ephrin type-B receptor 4 (EPHB4) expression that was mainly localized on the membrane of tumor cells. Therefore, EPHB4 represents a potential target of chimeric antigen receptor (CAR) T cell therapy for OSCC treatment. Because the oral cavity can be directly accessed, local administration of CAR-T cells is feasible for treating OSCC. In this study, we investigated the efficacy of intratumoral injection of EPHB4-specific CAR-T cells in OSCC using xenograft models. To evaluate the anti-tumor effect, the SAS OSCC cell line or an OSCC patient-derived xenograft (PDX) tumor was subcutaneously implanted into NOD SCID gamma mice, and EPHB4-CAR-T cells were intratumorally injected twice. As expected, administration of CAR-T cells suppressed tumor growth of both SAS cells and PDX tumor. EPHB4 expression in tumor tissues was attenuated by CAR-T cell treatment, which was accompanied by a reduction in tumor area and accumulation of CAR-T cells. Our findings suggest that intratumoral injection of EPHB4-CAR-T cells represents a potential therapeutic strategy for OSCC.

摘要

口腔鳞状细胞癌(OSCC)是最常见的口腔癌类型,其预后仍然很差。在本研究中,我们发现几乎所有OSCC病例均显示Ephrin B型受体4(EPHB4)高表达,且主要定位于肿瘤细胞膜上。因此,EPHB4是嵌合抗原受体(CAR)T细胞疗法治疗OSCC的潜在靶点。由于口腔可直接进入,局部给予CAR-T细胞治疗OSCC是可行的。在本研究中,我们使用异种移植模型研究了瘤内注射EPHB4特异性CAR-T细胞治疗OSCC的疗效。为评估抗肿瘤效果,将SAS OSCC细胞系或OSCC患者来源的异种移植(PDX)肿瘤皮下植入NOD SCIDγ小鼠体内,并瘤内注射EPHB4-CAR-T细胞两次。正如预期的那样,给予CAR-T细胞可抑制SAS细胞和PDX肿瘤的生长。CAR-T细胞治疗使肿瘤组织中的EPHB4表达减弱,同时伴有肿瘤面积减小和CAR-T细胞聚集。我们的研究结果表明,瘤内注射EPHB4-CAR-T细胞是治疗OSCC的一种潜在治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/e5b33226950e/CAS-116-1227-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/8cb9890a012c/CAS-116-1227-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/30149e38441a/CAS-116-1227-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/ab4bd56784c6/CAS-116-1227-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/1b543850078a/CAS-116-1227-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/3f3c81a7d75e/CAS-116-1227-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/e5b33226950e/CAS-116-1227-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/8cb9890a012c/CAS-116-1227-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/30149e38441a/CAS-116-1227-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/ab4bd56784c6/CAS-116-1227-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/1b543850078a/CAS-116-1227-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/3f3c81a7d75e/CAS-116-1227-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba1/12044661/e5b33226950e/CAS-116-1227-g005.jpg

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引用本文的文献

[1]
CAR-Based Cell Therapy in Head and Neck Cancer: A Comprehensive Review on Clinical Applicability.

Cancers (Basel). 2025-7-1

本文引用的文献

[1]
A guide to cell death pathways.

Nat Rev Mol Cell Biol. 2024-5

[2]
Intratumoral pan-ErbB targeted CAR-T for head and neck squamous cell carcinoma: interim analysis of the T4 immunotherapy study.

J Immunother Cancer. 2023-6

[3]
Tumor-intrinsic sensitivity to the pro-apoptotic effects of IFN-γ is a major determinant of CD4 CAR T-cell antitumor activity.

Nat Cancer. 2023-7

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Immunohistochemical Analysis of Common Cancer Antigens in Head and Neck Squamous Cell Carcinoma.

Anticancer Res. 2022-12

[5]
Decade-long leukaemia remissions with persistence of CD4 CAR T cells.

Nature. 2022-2

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Int J Pept Res Ther. 2022

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Lancet. 2021-12-18

[8]
EPHB4 Regulates the Proliferation and Metastasis of Oral Squamous Cell Carcinoma through the HMGB1/NF-κB Signalling Pathway.

J Cancer. 2021-8-20

[9]
Development of non-viral, ligand-dependent, EPHB4-specific chimeric antigen receptor T cells for treatment of rhabdomyosarcoma.

Mol Ther Oncolytics. 2021-3-5

[10]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

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