高CD38表达定义了适应线粒体功能的CD8+T细胞子集,对肺癌免疫治疗有影响
Lei-Lei Lv1, Jia-Wei Zhai1,2, Jia-Juan Wu3
1Department of Respiratory and Critical Medicine, the First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Cancer immunology, immunotherapy : CII
|January 3, 2025
概括
CD38hiCD8+ 肺癌中的T细胞通过线粒体功能障碍与免疫疗法抵抗有关. 通过EGCG和PD-1阻断向CD38,可以恢复T细胞功能并改善治疗反应.
科学领域:
- 免疫学 免疫学 免疫学
- 癌症生物学 癌症生物学
- 分子医学是分子医学.
背景情况:
- 特定的CD8+T细胞子集有助于免疫疗法耐药性,但潜在的分子机制尚不清楚.
- CD38在CD8+ T细胞功能中的作用表明它参与调节肺癌中T细胞反应.
研究的目的:
- 为了研究CD38+CD8+ T细胞在肺癌中的积累和功能.
- 探索CD38+CD8+ T细胞在抵抗免疫检查点阻塞 (ICB) 治疗中的作用.
- 评估针对CD38的治疗策略,以克服ICB耐药性.
主要方法:
- 来自肺癌患者和临床前模型的瘤CD8+ T细胞的表型分析.
- 评估疲劳标记,线粒体生物能学和细胞因子生产 (IFN-γ).
- 在ICB耐药小鼠肺癌模型中对组合疗法 (PD-L1 mAbs和EGCG) 的评估.
主要成果:
- CD38+CD8+ T细胞包括CD38hi和CD38int子集,其疲劳标记和线粒体功能受损.
- 瘤微环境中CD38hi和CD8+ T细胞的增加与非小细胞肺癌中抗PD-1治疗的良好反应相关.
- 用PD-L1 mAbs和EGCG进行组合治疗可选择性地减少CD38hiCD8+T细胞,增强IFN-γ,并改善耐药模型的生存率.
结论:
- 与CD38相关的线粒体功能障碍驱动CD8+ T细胞耗尽和对ICB治疗的内在抵抗.
- 向CD38提供了一个潜在的策略,以提高PD-1阻断在肺癌中的有效性.
- 恢复CD38hiCD8+T细胞中的线粒体功能对于恢复免疫治疗敏感性至关重要.
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