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肿瘤内过继转移 IL-12 mRNA 瞬时修饰抗肿瘤 CD8 T 细胞。

Intratumor Adoptive Transfer of IL-12 mRNA Transiently Engineered Antitumor CD8 T Cells.

机构信息

Program of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Avenida de Pio XII, 55, 31008 Pamplona, Spain; Navarra Institute for Health Research (IDISNA), Pamplona, Spain; Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.

Program of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Avenida de Pio XII, 55, 31008 Pamplona, Spain; Navarra Institute for Health Research (IDISNA), Pamplona, Spain; Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain; Department of Immunology and Immunotherapy, Clínica Universidad de Navarra, Pamplona, Spain.

出版信息

Cancer Cell. 2019 Dec 9;36(6):613-629.e7. doi: 10.1016/j.ccell.2019.10.006. Epub 2019 Nov 21.

Abstract

Retroviral gene transfer of interleukin-12 (IL-12) into T cells markedly enhances antitumor efficacy upon adoptive transfer but has clinically shown unacceptable severe side effects. To overcome the toxicity, we engineered tumor-specific CD8 T cells to transiently express IL-12. Engineered T cells injected intratumorally, but not intravenously, led to complete rejections not only of the injected lesion but also of distant concomitant tumors. Efficacy was further enhanced by co-injection with agonist anti-CD137 mAb or by transient co-expression of CD137 ligand. This treatment induced epitope spreading of the endogenous CD8 T cell immune response in a manner dependent on cDC1 dendritic cells. Mouse and human tumor-infiltrating T lymphocyte cultures can be transiently IL-12 engineered to attain marked immunotherapeutic effects.

摘要

逆转录病毒基因转导白细胞介素-12(IL-12)到 T 细胞中,在过继转移时明显增强了抗肿瘤疗效,但临床上表现出不可接受的严重副作用。为了克服这种毒性,我们将肿瘤特异性 CD8 T 细胞工程化为瞬时表达 IL-12。工程化 T 细胞瘤内注射,而不是静脉注射,不仅导致注射部位病变的完全排斥,还导致远处伴随肿瘤的完全排斥。与激动性抗 CD137 mAb 共注射或瞬时共表达 CD137 配体可进一步增强疗效。这种治疗以依赖 cDC1 树突状细胞的方式诱导内源性 CD8 T 细胞免疫反应的表位扩展。可以瞬时工程化小鼠和人肿瘤浸润性 T 淋巴细胞,以获得显著的免疫治疗效果。

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