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CREM是自然杀伤细胞中CAR和IL-15信号传导的一个调节检查点。

CREM is a regulatory checkpoint of CAR and IL-15 signalling in NK cells.

作者信息

Rafei Hind, Basar Rafet, Acharya Sunil, Hsu Yu-Sung, Liu Pinghua, Zhang Deqiang, Bohn Toszka, Liang Qingnan, Mohanty Vakul, Upadhyay Ranjan, Li Ping, Phadatare Pravin, Dede Merve, Xiong Donghai, Fan Huihui, Jones Corry Mathew, Kunz Sebastian, Daher May, Nunez Cortes Ana Karen, Shanley Mayra, Liu Bin, Moseley Sadie Mae, Zhang Chenyu, Fang Dexing, Banerjee Pinaki, Uprety Nadima, Li Ye, Shrestha Rejeena, Wan Xinhai, Shen Hong, Woods Vernikka, Gilbert April Lamour, Rawal Seema, Dou Jinzhuang, Tan Yukun, Park Jeong-Min, Reyes Silva Francia, Biederstädt Alexander, Kaplan Mecit, Jiang Xin Ru, Biederstädt Inci, Kumar Bijender, Tiberti Silvia, Moore Madison, Jin Jingling, Yang Ryan Z, Muniz-Feliciano Luis, Rosemore Samuel, Lin Paul, Deyter Gary M, Fowlkes Natalie Wall, Jain Abhinav K, Marin David, Maitra Anirban, Chen Ken, Bopp Tobias, Shpall Elizabeth J, Rezvani Katayoun

机构信息

Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Institute for Cell Therapy Discovery and Innovation, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Nature. 2025 Jun 4. doi: 10.1038/s41586-025-09087-8.


DOI:10.1038/s41586-025-09087-8
PMID:40468083
Abstract

Chimeric antigen receptor (CAR) natural killer (NK) cell immunotherapy offers a promising approach against cancer. However, the molecular mechanisms that regulate CAR-NK cell activity remain unclear. Here we identify the transcription factor cyclic AMP response element modulator (CREM) as a crucial regulator of NK cell function. Transcriptomic analysis revealed a significant induction of CREM in CAR-NK cells during the peak of effector function after adoptive transfer in a tumour mouse model, and this peak coincided with signatures of both activation and dysfunction. We demonstrate that both CAR activation and interleukin-15 signalling rapidly induce CREM upregulation in NK cells. Functionally, CREM deletion enhances CAR-NK cell effector function both in vitro and in vivo and increases resistance to tumour-induced immunosuppression after rechallenge. Mechanistically, we establish that induction of CREM is mediated by the PKA-CREB signalling pathway, which can be activated by immunoreceptor tyrosine-based activation motif signalling downstream of CAR activation or by interleukin-15. Finally, our findings reveal that CREM exerts its regulatory functions through epigenetic reprogramming of CAR-NK cells. Our results provide support for CREM as a therapeutic target to enhance the antitumour efficacy of CAR-NK cells.

摘要

嵌合抗原受体(CAR)自然杀伤(NK)细胞免疫疗法为抗癌提供了一种很有前景的方法。然而,调节CAR-NK细胞活性的分子机制仍不清楚。在这里,我们确定转录因子环磷酸腺苷反应元件调节因子(CREM)是NK细胞功能的关键调节因子。转录组分析显示,在肿瘤小鼠模型中过继转移后效应功能达到峰值时,CAR-NK细胞中的CREM显著诱导,且该峰值与激活和功能障碍的特征一致。我们证明,CAR激活和白细胞介素-15信号传导均可迅速诱导NK细胞中CREM上调。在功能上,CREM缺失增强了CAR-NK细胞在体外和体内的效应功能,并增加了再次攻击后对肿瘤诱导的免疫抑制的抗性。在机制上,我们确定CREM的诱导是由PKA-CREB信号通路介导的,该信号通路可通过CAR激活下游的基于免疫受体酪氨酸的激活基序信号或白细胞介素-15激活。最后,我们的研究结果表明,CREM通过对CAR-NK细胞进行表观遗传重编程来发挥其调节功能。我们的结果为将CREM作为增强CAR-NK细胞抗肿瘤疗效的治疗靶点提供了支持。

相似文献

[1]
CREM is a regulatory checkpoint of CAR and IL-15 signalling in NK cells.

Nature. 2025-6-4

[2]
Constitutive IL-7 signaling promotes CAR-NK cell survival in the solid tumor microenvironment but impairs tumor control.

J Immunother Cancer. 2025-7-23

[3]
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[4]
SYK negatively regulates ITAM-mediated human NK cell signaling and CD19-CAR NK cell efficacy.

J Immunol. 2025-3-9

[5]
NK Cells Expressing a Chimeric Activating Receptor Eliminate MDSCs and Rescue Impaired CAR-T Cell Activity against Solid Tumors.

Cancer Immunol Res. 2019-1-16

[6]
In vitro machine learning-based CAR T immunological synapse quality measurements correlate with patient clinical outcomes.

PLoS Comput Biol. 2022-3

[7]
Metabolic reprogramming via an engineered PGC-1α improves human chimeric antigen receptor T-cell therapy against solid tumors.

J Immunother Cancer. 2023-3

[8]
Precision targeting of rhabdomyosarcoma by combining primary CAR NK cells and radiotherapy.

J Immunother Cancer. 2025-7-7

[9]
Co-expression of IL-15/IL-15Ra complex enhances NKG2D-CAR T cell-mediated anti-pancreatic cancer immunity by activating the JAK/STAT5 signaling pathway.

Front Immunol. 2025-6-23

[10]
Effects of Mesenchymal Stem Cells on Functions of Chimeric Antigen Receptor-Expressing T Lymphocytes and Natural Killer Cells.

Cells. 2025-6-25

引用本文的文献

[1]
IL-15 Promotes the Survival of Anti-Inflammatory (M2), Immunoinhibitory (IL-10+) Dermal Macrophages in Human Eyelid Skin Under IFNγ-Dominated Inflammatory Conditions.

Int J Mol Sci. 2025-8-13

[2]
Disarming a molecular brake: cAMP-responsive element modulator deletion supercharges CAR-NK cells.

Signal Transduct Target Ther. 2025-8-28

[3]
Genome-wide CRISPR screens identify critical targets to enhance CAR-NK cell antitumor potency.

Cancer Cell. 2025-8-18

[4]
Phosphorylation deficient inducible cAMP early repressor (ICER) modulates tumorigenesis and survival in a transgenic zebrafish (Danio rerio) model of melanoma.

Biol Open. 2025-8-15

本文引用的文献

[1]
Interleukin-21 engineering enhances NK cell activity against glioblastoma via CEBPD.

Cancer Cell. 2024-8-12

[2]
Pan-cancer profiling of tumor-infiltrating natural killer cells through transcriptional reference mapping.

Nat Immunol. 2024-8

[3]
High-dimensional single-cell analysis of human natural killer cell heterogeneity.

Nat Immunol. 2024-8

[4]
CD28 Costimulation Augments CAR Signaling in NK Cells via the LCK/CD3ζ/ZAP70 Signaling Axis.

Cancer Discov. 2024-10-4

[5]
PGE inhibits TIL expansion by disrupting IL-2 signalling and mitochondrial function.

Nature. 2024-5

[6]
Rapid functional impairment of natural killer cells following tumor entry limits anti-tumor immunity.

Nat Commun. 2024-1-24

[7]
Safety, efficacy and determinants of response of allogeneic CD19-specific CAR-NK cells in CD19 B cell tumors: a phase 1/2 trial.

Nat Med. 2024-3

[8]
Transcriptional and epigenetic regulators of human CD8 T cell function identified through orthogonal CRISPR screens.

Nat Genet. 2023-12

[9]
AP-1 transcription factors in cytotoxic lymphocyte development and antitumor immunity.

Curr Opin Immunol. 2023-12

[10]
Reprogramming T cell differentiation and exhaustion in CAR-T cell therapy.

J Hematol Oncol. 2023-10-25

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