Ogawa Hisataka, Ekawa Tomoya, Mizote Yu, Akazawa Takashi, Tahara Hideaki
Nitto Joint Research Department for Nucleic Acid Medicine, Research Center, Osaka International Cancer Institute, Osaka, Japan.
Department of Cancer Drug Discovery and Development, Research Center, Osaka International Cancer Institute, Osaka, Japan.
Front Immunol. 2025 Jul 1;16:1506204. doi: 10.3389/fimmu.2025.1506204. eCollection 2025.
INTRODUCTION: Chimeric antigen receptor (CAR)-T cell therapy has demonstrated notable efficacy in treating hematological malignancies. Although it has shown promise in the clinical management of solid tumors, poor outcomes in clinical trials highlight the challenges in developing therapies suitable for the distinct tumor microenvironment, which features a dense stroma composed of fibroblasts and extracellular matrix proteins, such as collagen, hyaluronan, proteoglycans, laminin, and elastin. These predominantly fibroblast-produced components create a barrier that can impede CAR-T cell infiltration into tumors, limiting their efficacy. CAR-T cells that migrate from tumor vessels into the stroma may become trapped before reaching tumor cells. METHODS: We engineered CAR-T cells to secrete relaxin-2 (RLN2), an antifibrotic peptide hormone. Known for its role in pregnancy, RLN2 facilitates the softening and remodeling of collagen in the cervix and pelvic ligaments, and also promotes collagen degradation in the tumor microenvironment by upregulating matrix metalloproteinase levels by binding to the receptor LGR7/RXFP1. RESULTS: studies revealed that cancer cells exposed to CAR-T cell-secreted RLN2 exhibited an increased expression and secretion of specific matrix metalloproteinases. In mouse xenograft models with abundant stromal content, RLN2-secreting CAR-T cells demonstrated significantly improved antitumor efficacy and infiltration into the tumor microenvironment compared to conventional CAR-T cells. DISCUSSION: RLN2 may enhance the antitumor activity of CAR-T cells against solid tumors by promoting their infiltration into the tumor microenvironment.
引言:嵌合抗原受体(CAR)-T细胞疗法在治疗血液系统恶性肿瘤方面已显示出显著疗效。尽管它在实体瘤的临床管理中展现出了前景,但临床试验中的不良结果凸显了开发适用于独特肿瘤微环境疗法的挑战,该微环境的特征是由成纤维细胞和细胞外基质蛋白(如胶原蛋白、透明质酸、蛋白聚糖、层粘连蛋白和弹性蛋白)组成的致密基质。这些主要由成纤维细胞产生的成分形成了一道屏障,可能会阻碍CAR-T细胞浸润到肿瘤中,从而限制其疗效。从肿瘤血管迁移到基质中的CAR-T细胞在到达肿瘤细胞之前可能会被困住。 方法:我们对CAR-T细胞进行基因改造,使其分泌松弛素-2(RLN2),一种抗纤维化肽激素。RLN2以其在妊娠中的作用而闻名,它有助于子宫颈和盆腔韧带中胶原蛋白的软化和重塑,还通过与受体LGR7/RXFP1结合上调基质金属蛋白酶水平,促进肿瘤微环境中的胶原蛋白降解。 结果:研究表明,暴露于CAR-T细胞分泌的RLN2的癌细胞表现出特定基质金属蛋白酶的表达和分泌增加。在具有丰富基质成分的小鼠异种移植模型中,与传统CAR-T细胞相比,分泌RLN2的CAR-T细胞表现出显著提高的抗肿瘤疗效和对肿瘤微环境的浸润。 讨论:RLN2可能通过促进CAR-T细胞浸润到肿瘤微环境中,增强其对实体瘤的抗肿瘤活性。
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