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PD-1 检查点阻断背后的生物学原理。

THE BIOLOGY BEHIND PD-1 CHECKPOINT BLOCKADE.

作者信息

Sharpe Arlene H

机构信息

Boston, MA.

出版信息

Trans Am Clin Climatol Assoc. 2025;135:169-183.

Abstract

Programmed death 1 (PD-1) pathway inhibitors have transformed cancer therapy, leading to durable responses in some patients. However, many patients do not benefit from PD-1 blockade therapy, which highlights the critical need to identify new therapeutic targets to complement PD-1 pathway inhibitors. To address this need, we have developed an clustered regularly interspaced short palindromic repeats (CRISPR)-based screening platform to discover novel regulators of anti-tumor immunity. In this article, I will first discuss the biology of the PD-1 pathway and its role in regulating anti-tumor immunity. Next, I will introduce our innovative CRISPR-based platforms designed for conducting gene screens in mature immune cell lineages and for enabling gene perturbation without stimulating or manipulating immune cells, two approaches that can affect immune cell development and function. In addition, I will illustrate how these platforms facilitate discovery of new targets that can promote anti-tumor immunity and their potential to lead to more effective cancer therapies.

摘要

程序性死亡1(PD-1)通路抑制剂已经改变了癌症治疗方式,使一些患者产生持久反应。然而,许多患者无法从PD-1阻断治疗中获益,这凸显了识别新治疗靶点以补充PD-1通路抑制剂的迫切需求。为满足这一需求,我们开发了一种基于成簇规律间隔短回文重复序列(CRISPR)的筛选平台,以发现抗肿瘤免疫的新型调节因子。在本文中,我将首先讨论PD-1通路的生物学特性及其在调节抗肿瘤免疫中的作用。接下来,我将介绍我们基于CRISPR的创新平台,该平台旨在在成熟免疫细胞谱系中进行基因筛选,并在不刺激或操纵免疫细胞的情况下实现基因扰动,这两种方法均可影响免疫细胞的发育和功能。此外,我将说明这些平台如何促进发现可增强抗肿瘤免疫的新靶点及其带来更有效癌症治疗方法的潜力。

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