Gottschlich Adrian, Grünmeier Ruth, Hoffmann Gordon Victor, Nandi Sayantan, Kavaka Vladyslav, Müller Philipp Jie, Jobst Jakob, Oner Arman, Kaiser Rainer, Gärtig Jan, Piseddu Ignazio, Frenz-Wiessner Stephanie, Fairley Savannah D, Schulz Heiko, Igl Veronika, Janert Thomas Alexander, Di Fina Lea, Mulkers Maité, Thomas Moritz, Briukhovetska Daria, Simnica Donjetë, Carlini Emanuele, Tsiverioti Christina Angeliki, Trefny Marcel P, Lorenzini Theo, Märkl Florian, Mesquita Pedro, Brabenec Ruben, Strzalkowski Thaddäus, Stock Sophia, Michaelides Stefanos, Hellmuth Johannes, Thelen Martin, Reinke Sarah, Klapper Wolfram, Gelebart Pascal Francois, Nicolai Leo, Marr Carsten, Beltrán Eduardo, Megens Remco T A, Klein Christoph, Baran-Marszak Fanny, Rosenwald Andreas, von Bergwelt-Baildon Michael, Bröckelmann Paul J, Endres Stefan, Kobold Sebastian
Department of Medicine III, Ludwig Maximilian University Hospital, Ludwig Maximilian University Munich, Munich, Germany.
Division of Clinical Pharmacology, Ludwig Maximilian University Hospital, Ludwig Maximilian University Munich, Member of the German Center for Lung Research, Munich, Germany.
Blood. 2025 Apr 3;145(14):1536-1552. doi: 10.1182/blood.2023022197.
The success of targeted therapies for hematological malignancies has heralded their potential as both salvage treatment and early treatment lines, reducing the need for high-dose, intensive, and often toxic chemotherapeutic regimens. For young patients with classic Hodgkin lymphoma (cHL), immunotherapies provide the possibility to lessen long-term, treatment-related toxicities. However, suitable therapeutic targets are lacking. By integrating single-cell dissection of the tumor landscape and an in-depth, single-cell-based off-tumor antigen prediction, we identify CD86 as a promising therapeutic target in cHL. CD86 is highly expressed on Hodgkin and Reed-Sternberg cancer cells and cHL-specific tumor-associated macrophages. We reveal CD86-CTLA-4 as a key suppressive pathway in cHL, driving T-cell exhaustion. Cellular therapies targeting CD86 had extraordinary efficacy in vitro and in vivo and were safe in immunocompetent mouse models without compromising bacterial host defense in sepsis models. Our results prove the potential value of anti-CD86 immunotherapies for treating cHL.
血液系统恶性肿瘤靶向治疗的成功预示了其作为挽救治疗和早期治疗方案的潜力,减少了对高剂量、强化且通常具有毒性的化疗方案的需求。对于年轻的经典型霍奇金淋巴瘤(cHL)患者,免疫疗法提供了减轻长期治疗相关毒性的可能性。然而,目前缺乏合适的治疗靶点。通过整合肿瘤微环境的单细胞剖析和基于单细胞的深入肿瘤外抗原预测,我们确定CD86是cHL中有前景的治疗靶点。CD86在霍奇金和里德-斯腾伯格癌细胞以及cHL特异性肿瘤相关巨噬细胞上高表达。我们揭示CD86-CTLA-4是cHL中的关键抑制途径,可导致T细胞耗竭。靶向CD86的细胞疗法在体外和体内均具有非凡疗效,并且在免疫健全的小鼠模型中是安全的,不会损害脓毒症模型中的细菌宿主防御。我们的结果证明了抗CD86免疫疗法治疗cHL的潜在价值。
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