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向PD-L2-RGMb可以克服与微生物相关的免疫疗法耐药性
Joon Seok Park1, Francesca S Gazzaniga1,2,3, Meng Wu1
1Department of Immunology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA.
Nature
|May 3, 2023
概括
肠道微生物组可以通过降低PD-L2和RGMb来增强癌症免疫疗法. 这一发现为改善抗瘤免疫力提供了新的策略.
科学领域:
- 免疫学
- 微生物学
- 癌症学
背景情况:
- 在免疫检查点抑制剂 (ICI) 治疗期间,肠道微生物群影响抗瘤免疫力.
- 虽然受试者的便移植可以提高ICI的疗效,但机制尚不清楚.
- 识别特定的肠道细菌和通路对于优化癌症免疫治疗至关重要.
研究的目的:
- 阐明肠道细菌在ICI治疗中促进抗瘤免疫力的机制.
- 确定参与该过程的特定细菌物种.
- 探索克服PD-1通路抑制剂耐药性的新疗法.
主要方法:
- 研究了肠道微生物在调节PD-L2和排斥指导分子b (RGMb) 表达中的作用.
- 使用小鼠模型,包括无细菌和用抗生素治疗的小鼠,以及便微生物移植.
- 检查了与抗PD-1/PD-L1抗体结合在T细胞中阻断PD-L2-RGMb相互作用和条件RGMb缺失的影响.
主要成果:
- 表明肠道微生物组降低PD-L2和RGMb的表达,促进抗瘤免疫力.
- 显示阻断PD-L2-RGMb相互作用可以克服对PD-1通路抑制剂的耐药性.
- 证实了PD- L2- RGMb与PD- 1/ PD- L1抑制的联合阻断在耐药小鼠模型中增强了抗瘤反应.
结论:
- 肠道微生物群对PD- L2- RGMb通路的下调是促进对PD- 1检查点阻塞反应的关键机制.
- 针对PD- L2- RGMb途径是对目前PD- 1癌症免疫疗法无反应的患者的一个有希望的免疫策略.
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