Radiotherapy enhances the anti-tumor effect of CAR-NK cells for hepatocellular carcinoma.

IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY ACS Applied Nano Materials Pub Date : 2024-10-13 DOI:10.1186/s12967-024-05724-4
Xiaotong Lin, Zishen Liu, Xin Dong, Kunyuan Wang, Yao Sun, Han Zhang, Fei Wang, Ying Chen, Jing Ling, Yuetong Guo, Hongjin Xiang, Qiankun Xie, Yuqin Zhang, Zhaoze Guo, Ryohichi Sugimura, Guozhu Xie
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Abstract

Background: Chimeric antigen receptor (CAR)-NK cell therapy has shown remarkable clinical efficacy and safety in the treatment of hematological malignancies. However, this efficacy was limited in solid tumors owing to hostile tumor microenvironment (TME). Radiotherapy is commonly used for solid tumors and proved to improve the TME. Therefore, the combination with radiotherapy would be a potential strategy to improve therapeutic efficacy of CAR-NK cells for solid tumors.

Methods: Glypican-3 (GPC3) was used as a target antigen of CAR-NK cell for hepatocellular carcinoma (HCC). To promote migration towards HCC, CXCR2-armed CAR-NK92 cells targeting GPC3 were first developed, and their cytotoxic and migration activities towards HCC cells were evaluated. Next, the effects of irradiation on the anti-tumor activity of CAR-NK92 cells were assessed in vitro and in HCC-bearing NCG mice. Lastly, to demonstrate the potential mechanism mediating the sensitized effect of irradiation on CAR-NK cells, the differential gene expression profiles induced by irradiation were analyzed and the expression of some important ligands for the NK-cell activating receptors were further determined by qRT-PCR and flow cytometry.

Results: In this study, we developed CXCR2-armed GPC3-targeting CAR-NK92 cells that exhibited specific and potent killing activity against HCC cells and the enhanced migration towards HCC cells. Pretreating HCC cells with irradiation enhanced in vitro anti-HCC effect and migration activity of CXCR2-armed CAR-NK92 cells. We further found that only high-dose (8 Gy) but not low-dose (2 Gy) irradiation in one fraction could significantly enhanced in vivo anti-HCC activity of CXCR2-armed CAR-NK92 cells. Irradiation with 8 Gy significantly up-regulated the expression of NK cell-activating ligands on HCC cells.

Conclusions: Our results indicate the evidence that irradiation could efficiently enhance the anti-tumor effect of CAR-NK cells in solid tumor model. The combination with radiotherapy would be an attractive strategy to improve therapeutic efficacy of CAR-NK cells for solid tumors.

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放疗增强了 CAR-NK 细胞治疗肝细胞癌的抗肿瘤效果。
背景:嵌合抗原受体(CAR)-NK 细胞疗法在治疗血液恶性肿瘤方面显示出显著的临床疗效和安全性。然而,由于肿瘤微环境(TME)恶劣,这种疗法在实体瘤中的疗效有限。放疗常用于实体瘤,并被证明能改善肿瘤微环境。因此,与放疗相结合将是提高 CAR-NK 细胞治疗实体瘤疗效的潜在策略:方法:Glypican-3(GPC3)被用作 CAR-NK 细胞治疗肝细胞癌(HCC)的靶抗原。为了促进对 HCC 的迁移,首先开发了靶向 GPC3 的 CXCR2-armed CAR-NK92 细胞,并评估了它们对 HCC 细胞的细胞毒性和迁移活性。接着,研究人员在体外和携带HCC的NCG小鼠体内评估了辐照对CAR-NK92细胞抗肿瘤活性的影响。最后,为了证明辐照对 CAR-NK 细胞增敏作用的潜在机制,我们分析了辐照诱导的不同基因表达谱,并通过 qRT-PCR 和流式细胞术进一步确定了 NK 细胞激活受体的一些重要配体的表达:本研究中,我们开发了CXCR2-armed GPC3靶向CAR-NK92细胞,它对HCC细胞具有特异性和强大的杀伤活性,并能增强对HCC细胞的迁移。对HCC细胞进行辐照预处理可增强CXCR2-armed CAR-NK92细胞的体外抗HCC效果和迁移活性。我们进一步发现,只有高剂量(8 Gy)而非低剂量(2 Gy)辐照才能显著增强CXCR2-armed CAR-NK92细胞的体内抗HCC活性。8Gy辐照能明显上调HCC细胞上NK细胞激活配体的表达:我们的研究结果表明,在实体瘤模型中,辐照可有效增强 CAR-NK 细胞的抗肿瘤作用。与放疗相结合将是提高 CAR-NK 细胞治疗实体瘤疗效的一种有吸引力的策略。
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来源期刊
CiteScore
8.30
自引率
3.40%
发文量
1601
期刊介绍: ACS Applied Nano Materials is an interdisciplinary journal publishing original research covering all aspects of engineering, chemistry, physics and biology relevant to applications of nanomaterials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important applications of nanomaterials.
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