Combined tumor-directed recruitment and protection from immune suppression enable CAR T cell efficacy in solid tumors.

Combined tumor-directed recruitment and protection from immune suppression enable CAR T cell efficacy in solid tumors.
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DOI:
10.1126/sciadv.abi5781
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发表时间:
2021-06
期刊:
影响因子:
13.6
通讯作者:
Kobold S
Kobold S
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Cadilha BL;Benmebarek MR;Dorman K;Oner A;Lorenzini T;Obeck H;Vänttinen M;Di Pilato M;Pruessmann JN;Stoiber S;Huynh D;Märkl F;Seifert M;Manske K;Suarez-Gosalvez J;Zeng Y;Lesch S;Karches CH;Heise C;Gottschlich A;Thomas M;Marr C;Zhang J;Pandey D;Feuchtinger T;Subklewe M;Mempel TR;Endres S;Kobold S

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The combination of directed migration and immunosuppressive shielding enables effective T cell therapy in solid tumors. CAR T cell therapy remains ineffective in solid tumors, due largely to poor infiltration and T cell suppression at the tumor site. T regulatory (Treg) cells suppress the immune response via inhibitory factors such as transforming growth factor–β (TGF-β). Treg cells expressing the C-C chemokine receptor 8 (CCR8) have been associated with poor prognosis in solid tumors. We postulated that CCR8 could be exploited to redirect effector T cells to the tumor site while a dominant-negative TGF-β receptor 2 (DNR) can simultaneously shield them from TGF-β. We identified that CCL1 from activated T cells potentiates a feedback loop for CCR8+ T cell recruitment to the tumor site. This sustained and improved infiltration of engineered T cells synergized with TGF-β shielding for improved therapeutic efficacy. Our results demonstrate that addition of CCR8 and DNR into CAR T cells can render them effective in solid tumors.
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带有嵌合抗原受体的T细胞具有有效的抗肿瘤作用,可以在晚期白血病患者中建立记忆。
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