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Milestones in tumor vascularization and its therapeutic targeting 肿瘤血管化及其靶向治疗的里程碑。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-25 DOI: 10.1038/s43018-024-00780-7
Michele De Palma, Douglas Hanahan
Research into the mechanisms and manifestations of solid tumor vascularization was launched more than 50 years ago with the proposition and experimental demonstrations that angiogenesis is instrumental for tumor growth and was, therefore, a promising therapeutic target. The biological knowledge and therapeutic insights forthcoming have been remarkable, punctuated by new concepts, many of which were not foreseen in the early decades. This article presents a perspective on tumor vascularization and its therapeutic targeting but does not portray a historical timeline. Rather, we highlight eight conceptual milestones, integrating initial discoveries and recent progress and posing open questions for the future. De Palma and Hanahan outline advances in understanding tumor angiogenesis and discuss the therapeutic opportunities of targeting tumor vascularization.
早在 50 多年前,人们就提出了血管生成有助于肿瘤生长,因此是一个很有前景的治疗目标这一观点,并通过实验证明了这一观点,从而启动了对实体瘤血管生成机制和表现形式的研究。随着生物知识和治疗见解的不断涌现,新概念层出不穷,其中许多都是早期几十年未曾预见的。本文从一个视角阐述了肿瘤血管化及其治疗靶点,但并不描绘历史年表。相反,我们强调了八个里程碑式的概念,整合了最初的发现和最新进展,并提出了未来的开放性问题。
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引用次数: 0
Multidimensional analysis reveals predictive markers for CAR-T efficacy 多维分析揭示了 CAR-T 疗效的预测指标。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-20 DOI: 10.1038/s43018-024-00785-2
Kevin P. Letscher, Sai T. Reddy
At present, six CAR-T therapies are FDA approved to treat hematological cancers, but not all patients respond. A new study has developed a multidimensional functional profiling method to screen CAR-T cells from patients with large B cell lymphomas in clinical trials and identified a T cell subset associated with successful clinical response.
目前,美国食品和药物管理局批准了六种 CAR-T 疗法来治疗血液癌症,但并非所有患者都有反应。一项新研究开发了一种多维功能谱分析方法,用于筛选临床试验中大B细胞淋巴瘤患者的CAR-T细胞,并确定了一种与成功临床应答相关的T细胞亚群。
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引用次数: 0
Author Correction: Direct and selective pharmacological disruption of the YAP–TEAD interface by IAG933 inhibits Hippo-dependent and RAS–MAPK-altered cancers 作者更正:IAG933 对 YAP-TEAD 界面的直接和选择性药理学破坏可抑制 Hippo 依赖性和 RAS-MAPK 改变的癌症。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-17 DOI: 10.1038/s43018-024-00797-y
Emilie A. Chapeau, Laurent Sansregret, Giorgio G. Galli, Patrick Chène, Markus Wartmann, Thanos P. Mourikis, Patricia Jaaks, Sabrina Baltschukat, Ines A. M. Barbosa, Daniel Bauer, Saskia M. Brachmann, Clara Delaunay, Claire Estadieu, Jason E. Faris, Pascal Furet, Stefanie Harlfinger, Andreas Hueber, Eloísa Jiménez Núñez, David P. Kodack, Emeline Mandon, Typhaine Martin, Yannick Mesrouze, Vincent Romanet, Clemens Scheufler, Holger Sellner, Christelle Stamm, Dario Sterker, Luca Tordella, Francesco Hofmann, Nicolas Soldermann, Tobias Schmelzle
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引用次数: 0
Nucleotide metabolism in cancer cells fuels a UDP-driven macrophage cross-talk, promoting immunosuppression and immunotherapy resistance 癌细胞中的核苷酸代谢助长了 UDP 驱动的巨噬细胞交叉对话,促进了免疫抑制和免疫疗法的抗药性。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-06 DOI: 10.1038/s43018-024-00771-8
Tommaso Scolaro, Marta Manco, Mathieu Pecqueux, Ricardo Amorim, Rosa Trotta, Heleen H. Van Acker, Matthias Van Haele, Niranjan Shirgaonkar, Stefan Naulaerts, Jan Daniluk, Fran Prenen, Chiara Varamo, Donatella Ponti, Ginevra Doglioni, Ana Margarida Ferreira Campos, Juan Fernandez Garcia, Silvia Radenkovic, Pegah Rouhi, Aleksandar Beatovic, Liwei Wang, Yu Wang, Amalia Tzoumpa, Asier Antoranz, Ara Sargsian, Mario Di Matteo, Emanuele Berardi, Jermaine Goveia, Bart Ghesquière, Tania Roskams, Stefaan Soenen, Thomas Voets, Bella Manshian, Sarah-Maria Fendt, Peter Carmeliet, Abhishek D. Garg, Ramanuj DasGupta, Baki Topal, Massimiliano Mazzone
Many individuals with cancer are resistant to immunotherapies. Here, we identify the gene encoding the pyrimidine salvage pathway enzyme cytidine deaminase (CDA) among the top upregulated metabolic genes in several immunotherapy-resistant tumors. We show that CDA in cancer cells contributes to the uridine diphosphate (UDP) pool. Extracellular UDP hijacks immunosuppressive tumor-associated macrophages (TAMs) through its receptor P2Y6. Pharmacologic or genetic inhibition of CDA in cancer cells (or P2Y6 in TAMs) disrupts TAM-mediated immunosuppression, promoting cytotoxic T cell entry and susceptibility to anti-programmed cell death protein 1 (anti-PD-1) treatment in resistant pancreatic ductal adenocarcinoma (PDAC) and melanoma models. Conversely, CDA overexpression in CDA-depleted PDACs or anti-PD-1-responsive colorectal tumors or systemic UDP administration (re)establishes resistance. In individuals with PDAC, high CDA levels in cancer cells correlate with increased TAMs, lower cytotoxic T cells and possibly anti-PD-1 resistance. In a pan-cancer single-cell atlas, CDAhigh cancer cells match with T cell cytotoxicity dysfunction and P2RY6high TAMs. Overall, we suggest CDA and P2Y6 as potential targets for cancer immunotherapy. Scolaro et al. identify the enzyme cytidine deaminase (CDA) as upregulated in immunotherapy-resistant tumors and find it contributes to the UDP pool, which in turn modulates tumor-associated macrophages to instruct an immune-evasive TME.
许多癌症患者对免疫疗法产生抗药性。在这里,我们发现编码嘧啶挽救途径酶胞苷脱氨酶(CDA)的基因是几种免疫疗法耐药肿瘤中最高调的代谢基因之一。我们发现,癌细胞中的 CDA 对二磷酸尿苷(UDP)池有贡献。细胞外 UDP 通过其受体 P2Y6 劫持具有免疫抑制作用的肿瘤相关巨噬细胞(TAMs)。在抗药性胰腺导管腺癌(PDAC)和黑色素瘤模型中,对癌细胞中的 CDA(或 TAMs 中的 P2Y6)进行药物或基因抑制会破坏 TAM 介导的免疫抑制,促进细胞毒性 T 细胞进入,并使其易受抗程序性细胞死亡蛋白 1(anti-PD-1)治疗的影响。相反,在 CDA 贫乏的 PDAC 或抗 PD-1 反应性结直肠肿瘤中 CDA 过表达或全身 UDP 给药会(重新)建立抗药性。在 PDAC 患者中,癌细胞中 CDA 水平高与 TAMs 增加、细胞毒性 T 细胞减少以及可能的抗 PD-1 抗性相关。在泛癌症单细胞图谱中,CDA水平高的癌细胞与T细胞细胞毒性功能障碍和P2RY6水平高的TAMs相匹配。总之,我们建议将 CDA 和 P2Y6 作为癌症免疫疗法的潜在靶点。
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引用次数: 0
Tumor-associated macrophages restrict CD8+ T cell function through collagen deposition and metabolic reprogramming of the breast cancer microenvironment 肿瘤相关巨噬细胞通过胶原沉积和乳腺癌微环境的代谢重编程限制 CD8+ T 细胞的功能。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-03 DOI: 10.1038/s43018-024-00775-4
Kevin M. Tharp, Kelly Kersten, Ori Maller, Greg A. Timblin, Connor Stashko, Fernando P. Canale, Rosa E. Menjivar, Mary-Kate Hayward, Ilona Berestjuk, Johanna ten Hoeve, Bushra Samad, Alastrair J. Ironside, Marina Pasca di Magliano, Alexander Muir, Roger Geiger, Alexis J. Combes, Valerie M. Weaver
Tumor progression is accompanied by fibrosis, a condition of excessive extracellular matrix accumulation, which is associated with diminished antitumor immune infiltration. Here we demonstrate that tumor-associated macrophages (TAMs) respond to the stiffened fibrotic tumor microenvironment (TME) by initiating a collagen biosynthesis program directed by transforming growth factor-β. A collateral effect of this programming is an untenable metabolic milieu for productive CD8+ T cell antitumor responses, as collagen-synthesizing macrophages consume environmental arginine, synthesize proline and secrete ornithine that compromises CD8+ T cell function in female breast cancer. Thus, a stiff and fibrotic TME may impede antitumor immunity not only by direct physical exclusion of CD8+ T cells but also through secondary effects of a mechano-metabolic programming of TAMs, which creates an inhospitable metabolic milieu for CD8+ T cells to respond to anticancer immunotherapies. Weaver and colleagues show that TGFβ-induced collagen deposition and metabolic reprogramming of the breast cancer microenvironment by tumor-associated macrophages restrict the antitumor activity of CD8+ T cells in female breast cancer.
肿瘤进展伴随着纤维化,这是一种细胞外基质过度积累的情况,与抗肿瘤免疫浸润减少有关。在这里,我们证明了肿瘤相关巨噬细胞(TAMs)通过启动由转化生长因子-β引导的胶原蛋白生物合成程序来应对僵化的纤维化肿瘤微环境(TME)。由于胶原合成巨噬细胞会消耗环境中的精氨酸、合成脯氨酸并分泌鸟氨酸,从而损害了 CD8+ T 细胞在女性乳腺癌中的功能。因此,僵硬和纤维化的 TME 可能不仅通过直接物理排斥 CD8+ T 细胞,而且还通过 TAMs 机械代谢程序的继发效应阻碍抗肿瘤免疫,这为 CD8+ T 细胞对抗癌免疫疗法做出反应创造了一个不适宜的代谢环境。
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引用次数: 0
Fibrotic tumors tune metabolism for immune evasion 纤维化肿瘤通过调整新陈代谢来逃避免疫。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-03 DOI: 10.1038/s43018-024-00758-5
Matthew D. Perricone, Costas A. Lyssiotis
Tumor fibrosis is known to suppress anti-tumor immunity. A new study now highlights the role of tumor-associated macrophages in coordinating fibrosis-mediated metabolic changes in tumors, restricting cytotoxic T cell responses and contributing to tumor growth.
众所周知,肿瘤纤维化会抑制抗肿瘤免疫。现在,一项新研究强调了肿瘤相关巨噬细胞在协调肿瘤纤维化介导的代谢变化、限制细胞毒性T细胞反应和促进肿瘤生长方面的作用。
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引用次数: 0
LORIS robustly predicts patient outcomes with immune checkpoint blockade therapy using common clinical, pathologic and genomic features LORIS 利用常见的临床、病理和基因组特征,对患者接受免疫检查点阻断疗法后的疗效进行了可靠的预测。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-06-03 DOI: 10.1038/s43018-024-00772-7
Tian-Gen Chang, Yingying Cao, Hannah J. Sfreddo, Saugato Rahman Dhruba, Se-Hoon Lee, Cristina Valero, Seong-Keun Yoo, Diego Chowell, Luc G. T. Morris, Eytan Ruppin
Despite the revolutionary impact of immune checkpoint blockade (ICB) in cancer treatment, accurately predicting patient responses remains challenging. Here, we analyzed a large dataset of 2,881 ICB-treated and 841 non-ICB-treated patients across 18 solid tumor types, encompassing a wide range of clinical, pathologic and genomic features. We developed a clinical score called LORIS (logistic regression-based immunotherapy-response score) using a six-feature logistic regression model. LORIS outperforms previous signatures in predicting ICB response and identifying responsive patients even with low tumor mutational burden or programmed cell death 1 ligand 1 expression. LORIS consistently predicts patient objective response and short-term and long-term survival across most cancer types. Moreover, LORIS showcases a near-monotonic relationship with ICB response probability and patient survival, enabling precise patient stratification. As an accurate, interpretable method using a few readily measurable features, LORIS may help improve clinical decision-making in precision medicine to maximize patient benefit. LORIS is available as an online tool at https://loris.ccr.cancer.gov/ . Chang et al. performed a pan-cancer multimodal data integration analysis and devised a model, LORIS, that can predict objective responses to immunotherapy and patient survival across many cancer types and allow for patient stratification.
尽管免疫检查点阻断疗法(ICB)在癌症治疗中产生了革命性的影响,但准确预测患者的反应仍然具有挑战性。在这里,我们分析了一个大型数据集,其中包括2,881名接受过ICB治疗的患者和841名未接受过ICB治疗的患者,涉及18种实体瘤类型,涵盖了广泛的临床、病理和基因组特征。我们利用六特征逻辑回归模型开发了一种名为 LORIS(基于逻辑回归的免疫治疗反应评分)的临床评分。即使肿瘤突变负荷或程序性细胞死亡 1 配体 1 表达较低,LORIS 在预测 ICB 反应和识别有反应的患者方面也优于之前的特征。在大多数癌症类型中,LORIS都能预测患者的客观反应以及短期和长期生存期。此外,LORIS 与 ICB 反应概率和患者生存期之间呈现出近乎单调的关系,可对患者进行精确分层。LORIS 是一种准确、可解释的方法,只需使用几个易于测量的特征,它有助于改善精准医疗的临床决策,使患者获益最大化。LORIS 可作为在线工具在 https://loris.ccr.cancer.gov/ 上获取。
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引用次数: 0
Selective targeting of malignant T cells 选择性靶向恶性 T 细胞。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-30 DOI: 10.1038/s43018-024-00778-1
Charles E. de Bock, Jan Cools
Targeted therapies that use small-molecule inhibitors for the treatment of T cell blood cancer exist only for certain subtypes, and the development of immunologically based CAR T cell therapies has been challenging. A study now exploits the fact that malignant T cells express one of two T cell receptor-β variants and investigates strategies for targeting these malignant cells while sparing half of the non-malignant T cells.
使用小分子抑制剂治疗T细胞血癌的靶向疗法只适用于某些亚型,而基于免疫学的CAR T细胞疗法的开发一直充满挑战。现在的一项研究利用了恶性T细胞表达两种T细胞受体-β变体中的一种这一事实,研究了靶向这些恶性细胞的策略,同时放过了一半的非恶性T细胞。
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引用次数: 0
Constructing co-stimulation to boost TCR therapy 构建协同刺激,促进 TCR 治疗。
IF 22.7 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-30 DOI: 10.1038/s43018-024-00746-9
Julia Höbart, Jürgen Ruland
T cell receptor (TCR)-engineered T cells offer great promise for targeting tumor antigens in cancer therapy. A synthetic fusion protein termed 80BB, which can simultaneously activate the CD28 and 4-1BB co-stimulatory pathways, is now shown to enhance overall functionality of therapeutic TCR/CD3-dependent T cells in an antigen-agnostic manner.
在癌症治疗中,T细胞受体(TCR)工程T细胞为靶向肿瘤抗原提供了巨大前景。一种名为 80BB 的合成融合蛋白能同时激活 CD28 和 4-1BB 协同刺激途径,现已证明它能以抗原识别的方式增强治疗性 TCR/CD3 依赖性 T 细胞的整体功能。
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引用次数: 0
Targeting a lineage-specific PI3Kɣ–Akt signaling module in acute myeloid leukemia using a heterobifunctional degrader molecule 利用异功能降解分子靶向急性髓性白血病中的特异性 PI3Kɣ-Akt 信号模块。
IF 23.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-30 DOI: 10.1038/s43018-024-00782-5
Lois M. Kelly, Justine C. Rutter, Kevin H. Lin, Frank Ling, Matthieu Duchmann, Emmanuelle Latour, Nadia Arang, Hélène Pasquer, Duong Ho Nhat, Juliette Charles, Shane T. Killarney, Hazel X. Ang, Federica Namor, Cécile Culeux, Bérangère Lombard, Damarys Loew, Danielle L. Swaney, Nevan J. Krogan, Luc Brunel, Élodie Carretero, Pascal Verdié, Muriel Amblard, Sofiane Fodil, Tony Huynh, Marie Sebert, Lionel Adès, Emmanuel Raffoux, Nina Fenouille, Raphaël Itzykson, Camille Lobry, Lina Benajiba, Antoine Forget, Anthony R. Martin, Kris C. Wood, Alexandre Puissant
Dose-limiting toxicity poses a major limitation to the clinical utility of targeted cancer therapies, often arising from target engagement in nonmalignant tissues. This obstacle can be minimized by targeting cancer dependencies driven by proteins with tissue-restricted and/or tumor-restricted expression. In line with another recent report, we show here that, in acute myeloid leukemia (AML), suppression of the myeloid-restricted PIK3CG/p110γ–PIK3R5/p101 axis inhibits protein kinase B/Akt signaling and compromises AML cell fitness. Furthermore, silencing the genes encoding PIK3CG/p110γ or PIK3R5/p101 sensitizes AML cells to established AML therapies. Importantly, we find that existing small-molecule inhibitors against PIK3CG are insufficient to achieve a sustained long-term antileukemic effect. To address this concern, we developed a proteolysis-targeting chimera (PROTAC) heterobifunctional molecule that specifically degrades PIK3CG and potently suppresses AML progression alone and in combination with venetoclax in human AML cell lines, primary samples from patients with AML and syngeneic mouse models. Puissant and colleagues identify a myeloid-restricted PIK3CG/p110γ–PIK3R5/p101 axis as a therapeutic vulnerability in acute myeloid leukemia and develop a proteolysis-targeting chimera to potently degrade PIK3CG and suppress AML progression.
剂量限制性毒性是癌症靶向疗法临床应用的一个主要限制因素,通常是由非恶性组织中的靶点参与引起的。通过靶向受组织限制和/或肿瘤限制表达的蛋白质所驱动的癌症依赖性,可以最大限度地减少这一障碍。与最近的另一篇报道一致,我们在此表明,在急性髓性白血病(AML)中,抑制髓限制性 PIK3CG/p110γ-PIK3R5/p101 轴可抑制蛋白激酶 B/Akt 信号转导,并损害 AML 细胞的健康。此外,沉默编码 PIK3CG/p110γ 或 PIK3R5/p101 的基因会使 AML 细胞对现有的 AML 疗法敏感。重要的是,我们发现现有的 PIK3CG 小分子抑制剂不足以实现长期持续的抗白血病效果。为了解决这个问题,我们开发了一种蛋白水解靶向嵌合体(PROTAC)异功能分子,它能特异性降解 PIK3CG,在人类急性髓细胞白血病细胞系、急性髓细胞白血病患者的原始样本和合成小鼠模型中单独或与 Venetoclax 联用都能有效抑制急性髓细胞白血病的进展。
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引用次数: 0
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Nature cancer
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