通过CAR-T细胞疗法靶向TROP2消除表皮生长因子受体(EGFR)突变的非小细胞肺癌中的耐药性持久性细胞
Eradicating Drug Tolerant Persister Cells in EGFR-Mutated Non-Small Cell Lung Cancer by Targeting TROP2 with CAR-T cellular therapy.
作者信息
Baldacci Simon, Brea Elliott J, Facchinetti Francesco, Li Zhaorong, Ngo Kenneth, Malhotra Soumya, Booker Matthew A, Tolstorukov Michael Yevgeniy, Chakravarti Sachiv, Hinchey Conor, Mahadevan Navin R, Lococo Filippo, D'Agnelli Simona, Gnetti Letizia, Campanini Nicoletta, Leonetti Alessandro, Feng William W, Tsai Jeanelle A, Hartley Antja-Voy, Locquet Marie-Anais, Fournel Ludovic, Alifano Marco, Mansuet-Lupo Audrey, Saldanha Aisha, Haller William, Zasadil Lauren M, Zielinska Magdalena, Bui Karen, Tuladhar Bishma, Lizotte Patrick Hall, Ivanova Elena V, Sequist Lecia V, Gokhale Prafulla C, Paweletz Cloud P, Smith Eric L, Janne Pasi A, Barbie David A
机构信息
Dana-Farber Cancer Institute, Boston, Massachusetts, United States.
Dana-Farber Cancer Institute, Boston, MA, United States.
出版信息
Cancer Discov. 2025 Aug 6. doi: 10.1158/2159-8290.CD-24-1515.
EGFR tyrosine kinase inhibitors (TKIs) have dramatically improved outcomes for EGFR-mutated non-small cell lung cancer (NSCLC) patients, but relapse frequently occurs due to drug tolerant persister (DTP) cells that can evolve and develop diverse mechanisms of drug resistance. In samples from patients with EGFR-mutated NSCLC treated with EGFR-TKIs in the neoadjuvant setting, we observed enriched expression of the cell surface protein TROP2, a target of clinically active antibody drug conjugates (ADCs). We confirmed these findings across multiple EGFR-mutated NSCLC cell line and patient-derived xenograft models treated with osimertinib in vivo. Treatment with the TROP2 ADC sacituzumab govitecan at the time of osimertinib-induced minimal residual disease only modestly delayed tumor recurrence in vivo, whereas a single infusion of sacituzumab-based TROP2-directed CAR-T cells significantly prolonged relapse-free survival, with evidence of cure. These data highlight the potential of engineering TROP2 CAR-T cell therapy to eliminate EGFR DTPs in patients.
表皮生长因子受体酪氨酸激酶抑制剂(TKIs)显著改善了表皮生长因子受体(EGFR)突变的非小细胞肺癌(NSCLC)患者的治疗效果,但由于可进化并产生多种耐药机制的药物耐受持久性(DTP)细胞,复发仍频繁发生。在新辅助治疗中接受EGFR-TKIs治疗的EGFR突变NSCLC患者的样本中,我们观察到细胞表面蛋白TROP2的表达增加,TROP2是临床活性抗体药物偶联物(ADCs)的一个靶点。我们在多个接受奥希替尼治疗的EGFR突变NSCLC细胞系和体内患者来源的异种移植模型中证实了这些发现。在奥希替尼诱导的微小残留病阶段,用TROP2 ADC戈沙妥珠单抗治疗仅适度延迟了体内肿瘤复发,而单次输注基于戈沙妥珠单抗的靶向TROP2的嵌合抗原受体(CAR)T细胞显著延长了无复发生存期,并有治愈的迹象。这些数据凸显了构建TROP2 CAR-T细胞疗法以清除患者体内EGFR DTPs的潜力。
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