Sek Kevin, Chen Amanda X Y, Cole Thomas, Armitage Jesse D, Tong Junming, Yap Kah Min, Munoz Isabelle, Dunbar Phoebe A, Wu Shiyi, van Elsas Marit J, Hidajat Olivia, Scheffler Christina, Giuffrida Lauren, Henderson Melissa A, Meyran Deborah, Souza-Fonseca-Guimaraes Fernando, Nguyen Dat, Huang Yu-Kuan, de Menezes Maria N, Derrick Emily B, Chan Cheok Weng, Todd Kirsten L, Chan Jack D, Li Jasmine, Lai Junyun, Petley Emma V, Mardiana Sherly, Bosco Anthony, Waithman Jason, Parish Ian A, Mølck Christina, Stewart Gregory D, Kats Lev, House Imran G, Darcy Phillip K, Beavis Paul A
Cancer Immunology Program, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, VIC, Australia.
Nat Commun. 2025 Jul 3;16(1):6123. doi: 10.1038/s41467-025-59021-9.
The efficacy of Chimeric Antigen Receptor T cells against solid tumors is limited by immunosuppressive factors in the tumor microenvironment including adenosine, which suppresses Chimeric Antigen Receptor T cells through activation of the A receptor. To overcome this, Chimeric Antigen Receptor T cells are engineered to express A receptor, a receptor that signals inversely to A receptor. Using murine and human Chimeric Antigen Receptor T cells, constitutive A receptor overexpression significantly enhances Chimeric Antigen Receptor T cell effector function albeit at the expense of Chimeric Antigen Receptor T cell persistence. Through a CRISPR/Cas9 homology directed repair "knock-in" approach we demonstrate that Chimeric Antigen Receptor T cells engineered to express A receptor in a tumor-localized manner, enhances anti-tumor therapeutic efficacy. This is dependent on the transcription factor IRF8 and is transcriptionally unique when compared to A receptor deletion. This data provides a novel approach for enhancing Chimeric Antigen Receptor T cell efficacy in solid tumors and provides proof of principle for site-directed expression of factors that promote effector T cell differentiation.
嵌合抗原受体T细胞对实体瘤的疗效受到肿瘤微环境中免疫抑制因子的限制,其中包括腺苷,腺苷通过激活A受体来抑制嵌合抗原受体T细胞。为了克服这一问题,人们对嵌合抗原受体T细胞进行改造,使其表达A受体,该受体与A受体的信号传导相反。使用小鼠和人类嵌合抗原受体T细胞,组成型A受体过表达显著增强了嵌合抗原受体T细胞的效应功能,尽管这是以嵌合抗原受体T细胞的持久性为代价的。通过CRISPR/Cas9同源定向修复“敲入”方法,我们证明了经改造以肿瘤定位方式表达A受体的嵌合抗原受体T细胞增强了抗肿瘤治疗效果。这依赖于转录因子IRF8,并且与A受体缺失相比在转录上具有独特性。该数据为增强嵌合抗原受体T细胞在实体瘤中的疗效提供了一种新方法,并为促进效应T细胞分化的因子的定点表达提供了原理证明。