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合成生物学驱动的成熟三级淋巴结构形成诱导增强结直肠癌的抗肿瘤免疫。

Synthetic biology-driven induction of mature TLS formation enhances antitumor immunity in colorectal cancer.

作者信息

Mi Ze, Chen Juan, Zhang Zhewen, Liu Jiahao, Lei Yiyi, Tan Hongpei, Li Wei, Chen Xiaoyuan, Rong Pengfei

机构信息

Department of Radiology, Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, China.

Department of Diagnostic Radiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119074, Singapore.

出版信息

Sci Transl Med. 2025 Jun 18;17(803):eado8395. doi: 10.1126/scitranslmed.ado8395.

Abstract

The efficacy of immunotherapy in colorectal cancer (CRC) hinges upon a comprehensive understanding of how the immune system interacts with tumor cells within the colorectal microenvironment. Mature tertiary lymphoid structures (mTLSs) are associated with an increased objective response rate, progression-free survival, and overall survival in patients with CRC. Thus, it has been suggested that increasing mTLSs in the context of CRC could improve patient outcomes. However, no established method to specifically induce TLS maturation within and around tumor sites is available. To address this gap in technology, we engineered a strain, SLC, to express tumor necrosis factor (TNF) superfamily member 14 (TNFSF14, also called LIGHT). This strain colonized tumors and released LIGHT, which then formed a ligand-receptor pair with herpes virus entry mediator (HVEM) to induce a powerful cellular immune response. Furthermore, this engineered microbe modulated the proportions of intestinal innate lymphoid cells (ILCs), which serve an anti-infection role in innate immunity. Mice that were deficient in HVEM or ILC3 exhibited fewer mTLSs, a greater bacterial burden, and increased mortality in two different models of CRC. Thus, this engineered microbe with enhanced immunogenic properties demonstrated the potential to stimulate mTLS-associated antitumor immune responses in the colon and was well tolerated in vivo. Our results indicate that LIGHT-HVEM signaling on group 3 ILCs (ILC3s) is crucial for mTLS formation and T cell-mediated antitumor immunity in CRC and additionally suggest a synbiotic-based therapeutic approach for the management of CRC.

摘要

免疫疗法在结直肠癌(CRC)中的疗效取决于对免疫系统如何在结直肠微环境中与肿瘤细胞相互作用的全面理解。成熟的三级淋巴结构(mTLSs)与CRC患者更高的客观缓解率、无进展生存期和总生存期相关。因此,有人提出在CRC背景下增加mTLSs可以改善患者预后。然而,目前尚无在肿瘤部位及其周围特异性诱导TLS成熟的既定方法。为了填补这一技术空白,我们构建了一种菌株SLC,使其表达肿瘤坏死因子(TNF)超家族成员14(TNFSF14,也称为LIGHT)。该菌株定殖于肿瘤并释放LIGHT,然后LIGHT与疱疹病毒进入介质(HVEM)形成配体-受体对,从而诱导强大的细胞免疫反应。此外,这种工程微生物调节了肠道固有淋巴细胞(ILCs)的比例,ILCs在固有免疫中发挥抗感染作用。在两种不同的CRC模型中,缺乏HVEM或ILC3的小鼠表现出较少的mTLSs、更大的细菌负荷和更高的死亡率。因此,这种具有增强免疫原性的工程微生物显示出刺激结肠中与mTLS相关的抗肿瘤免疫反应的潜力,并且在体内具有良好的耐受性。我们的结果表明,3型ILCs(ILC3s)上的LIGHT-HVEM信号对于CRC中mTLS的形成和T细胞介导的抗肿瘤免疫至关重要,此外还提出了一种基于合生元的CRC治疗方法。

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