Zhang Ai-Xian, Chen Jia-Rui, Yang Ai-Rong, Yang Bo, Lin Zhao-Yi, Liu Bo-Yuan, Zeng Tao, Wang Pei-Ying, Wu Xue-Ying, Zhou Yang, Zhang Heng-Hui, Zhang Xiu-Ping, Hu Ming-Gen
Faculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Medical School of Chinese PLA, Beijing, 100853, China.
Engineering Research Center of Immunocellular, Beijing, 102609, China.
Hepatol Int. 2025 Apr 7. doi: 10.1007/s12072-025-10818-2.
Despite advancements in adoptive cell therapy (ACT) for hematologic tumors, its role in solid tumors still lacks satisfactory performance, especially in Primary Liver Cancer (PLC). Therefore, further studies are needed on potential ACT sources for PLC.
Primary liver cancer patients who had not previously received treatment were prospectively enrolled in this research. Tumor tissues combined with lymph node and blood samples were acquired during surgery. Two different antigen-specific T-cell induction approaches were used to form cytotoxic T-cell groups from PBMCs, and antitumor T cells from tumor tissues combined with TDLNs were derived. A single-cell RNA sequence coupled with a T-cell receptor sequence was used to identify the cell subsets based on the molecular and functional properties of diverse antitumor T-cell induction approaches and sources.
Three primary liver cancer patients were included in the present study. A total of 79,300 cell transcriptomes in 19 clusters were isolated from the clinical samples. After two different induction approaches, substantial amplification of immune cells occurred in both the CTL and CTL2 groups, with highly consistent T-cell subtypes, and selective amplification of antitumor T-cell clones in the two groups was also detected. The three-aspect comparison, which was based on the proliferation score, effect score and cytokine expression, indicated that the immunological effect of the mRNA approach was comparable to that of the multiantigen peptide approach. Finally, the antigen-specific expanded T-cell clones found in CTL, CTL2 and TAL-T cells indicated the potential of tumors combined with lymph nodes as sources for ACT.
Diverse antitumor T-cell induction approaches and sources were compared, revealing multiple effective options for antitumor T-cell derivation as a source of ACT for liver cancer.
尽管过继性细胞疗法(ACT)在血液系统肿瘤治疗方面取得了进展,但其在实体瘤,尤其是原发性肝癌(PLC)中的作用仍不尽人意。因此,需要对PLC潜在的ACT来源进行进一步研究。
前瞻性纳入此前未接受过治疗的原发性肝癌患者参与本研究。手术期间获取肿瘤组织以及淋巴结和血液样本。采用两种不同的抗原特异性T细胞诱导方法从外周血单核细胞(PBMC)形成细胞毒性T细胞组,并从肿瘤组织联合肿瘤引流淋巴结(TDLN)中获得抗肿瘤T细胞。利用单细胞RNA测序结合T细胞受体测序,根据不同抗肿瘤T细胞诱导方法和来源的分子及功能特性鉴定细胞亚群。
本研究纳入了3例原发性肝癌患者。从临床样本中分离出19个簇中的79300个细胞转录组。经过两种不同的诱导方法后,CTL组和CTL2组免疫细胞均大量扩增,T细胞亚型高度一致,且两组中均检测到抗肿瘤T细胞克隆的选择性扩增。基于增殖评分、效应评分和细胞因子表达的三方面比较表明,mRNA方法的免疫效果与多抗原肽方法相当。最后,在CTL、CTL2和TAL-T细胞中发现的抗原特异性扩增T细胞克隆表明,肿瘤联合淋巴结作为ACT来源具有潜力。
比较了多种抗肿瘤T细胞诱导方法和来源,揭示了多种有效的抗肿瘤T细胞衍生选项,可作为肝癌ACT的来源。