卡尔-T细胞的代谢重编程:癌症免疫治疗的新前沿
1Institute of Biophysics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Frontiers in immunology
|December 5, 2025
概括
在制造过程中重编程化学抗原受体 (CAR) T 细胞代谢,提高了它们对固体瘤的持久性和有效性. 这涉及优化免疫代谢和表观遗传调节,以创造更有弹性的CAR T细胞用于癌症治疗.
科学领域:
- 免疫学 免疫学 免疫学
- 癌症生物学 癌症生物学
- 代谢工程是代谢工程.
背景情况:
- 化学抗原受体 (CAR) T细胞疗法在血液癌症中表现有前途,但由于瘤微环境,在固体瘤中面临挑战.
- 卡特-T细胞功能障碍,疲劳和有限的持续性与瘤微环境中的代谢适应性不佳有关.
研究的目的:
- 审查免疫代谢和表观遗传学在调节T细胞功能和命运中的作用.
- 强调在制造过程中重新编程CAR T细胞代谢的策略,以提高对固体瘤的疗效.
主要方法:
- 分析T细胞分化,代谢状态和表观遗传修饰之间的相互作用.
- 在ex vivo制造过程中对代谢干预措施的审查,包括糖解抑制剂和PI3K/Akt/mTOR途径,营养优化和细胞因子工程等.
主要成果:
- 调节CAR T细胞代谢的ex vivo可以促进分化成具有增强抗瘤活性的记忆表型 (Tscm,Tcm).
- 代谢干预措施,如向糖解或使用PI3K/Akt/mTOR抑制剂,有利于氧化酸化 (OXPHOS),促进记忆表型.
- 在制造过程中优化营养素和细胞因子选择可以改善CAR T细胞的持久性和耐耗性.
结论:
- 代谢工程,加上在CAR T细胞制造过程中的表观遗传调节,对于开发强效和持久的CAR T细胞产品至关重要.
- 这种方法具有显著的潜力,可以扩大CAR T细胞治疗以治疗固体瘤和其他具有挑战性的恶性瘤.
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