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CAR-T and CAR-NK as cellular cancer immunotherapy for solid tumors CAR-T 和 CAR-NK 作为细胞癌症免疫疗法治疗实体瘤
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1038/s41423-024-01207-0
Lei Peng, Giacomo Sferruzza, Luojia Yang, Liqun Zhou, Sidi Chen
In the past decade, chimeric antigen receptor (CAR)-T cell therapy has emerged as a promising immunotherapeutic approach for combating cancers, demonstrating remarkable efficacy in relapsed/refractory hematological malignancies in both pediatric and adult patients. CAR-natural killer (CAR-NK) cell complements CAR-T cell therapy by offering several distinct advantages. CAR-NK cells do not require HLA compatibility and exhibit low safety concerns. Moreover, CAR-NK cells are conducive to “off-the-shelf” therapeutics, providing significant logistic advantages over CAR-T cells. Both CAR-T and CAR-NK cells have shown consistent and promising results in hematological malignancies. However, their efficacy against solid tumors remains limited due to various obstacles including limited tumor trafficking and infiltration, as well as an immuno-suppressive tumor microenvironment. In this review, we discuss the recent advances and current challenges of CAR-T and CAR-NK cell immunotherapies, with a specific focus on the obstacles to their application in solid tumors. We also analyze in depth the advantages and drawbacks of CAR-NK cells compared to CAR-T cells and highlight CAR-NK CAR optimization. Finally, we explore future perspectives of these adoptive immunotherapies, highlighting the increasing contribution of cutting-edge biotechnological tools in shaping the next generation of cellular immunotherapy.
在过去的十年中,嵌合抗原受体(CAR)-T 细胞疗法已成为一种很有前途的抗癌免疫治疗方法,在儿童和成人复发/难治性血液恶性肿瘤中均显示出显著疗效。CAR-自然杀伤(CAR-NK)细胞与CAR-T细胞疗法相辅相成,具有几个明显的优势。CAR-NK 细胞不需要 HLA 相容性,安全性低。此外,CAR-NK 细胞有利于 "现成的 "疗法,与 CAR-T 细胞相比具有显著的物流优势。CAR-T 细胞和 CAR-NK 细胞在血液恶性肿瘤方面都取得了一致且令人鼓舞的结果。然而,由于各种障碍,包括有限的肿瘤贩运和浸润以及免疫抑制性肿瘤微环境,它们对实体瘤的疗效仍然有限。在这篇综述中,我们将讨论 CAR-T 和 CAR-NK 细胞免疫疗法的最新进展和当前面临的挑战,特别关注它们在实体瘤中应用的障碍。我们还深入分析了 CAR-NK 细胞与 CAR-T 细胞相比的优缺点,并重点介绍了 CAR-NK CAR 的优化。最后,我们探讨了这些采纳性免疫疗法的未来前景,强调了前沿生物技术工具在塑造下一代细胞免疫疗法方面越来越大的贡献。
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引用次数: 0
The influence of metabolic disorders on adaptive immunity 代谢紊乱对适应性免疫的影响
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1038/s41423-024-01206-1
Thomas J. C. Collins, Pooranee K. Morgan, Kevin Man, Graeme I. Lancaster, Andrew J. Murphy
The immune system plays a crucial role in protecting the body from invading pathogens and maintaining tissue homoeostasis. Maintaining homoeostatic lipid metabolism is an important aspect of efficient immune cell function and when disrupted immune cell function is impaired. There are numerous metabolic diseases whereby systemic lipid metabolism and cellular function is impaired. In the context of metabolic disorders, chronic inflammation is suggested to be a major contributor to disease progression. A major contributor to tissue dysfunction in metabolic disease is ectopic lipid deposition, which is generally caused by diet and genetic factors. Thus, we propose the idea, that similar to tissue and organ damage in metabolic disorders, excessive accumulation of lipid in immune cells promotes a dysfunctional immune system (beyond the classical foam cell) and contributes to disease pathology. Herein, we review the evidence that lipid accumulation through diet can modulate the production and function of immune cells by altering cellular lipid content. This can impact immune cell signalling, activation, migration, and death, ultimately affecting key aspects of the immune system such as neutralising pathogens, antigen presentation, effector cell activation and resolving inflammation.
免疫系统在保护机体免受病原体入侵和维持组织平衡方面发挥着至关重要的作用。维持脂质代谢平衡是免疫细胞有效发挥功能的一个重要方面,如果免疫细胞功能受到破坏,免疫细胞的功能就会受损。许多代谢性疾病都会导致全身脂质代谢和细胞功能受损。在代谢性疾病中,慢性炎症被认为是导致疾病进展的主要因素。代谢性疾病中导致组织功能障碍的一个主要因素是异位脂质沉积,而异位脂质沉积通常是由饮食和遗传因素造成的。因此,我们提出了一个观点,即与代谢性疾病中的组织和器官损伤类似,免疫细胞中脂质的过度积累也会导致免疫系统功能失调(超越了传统的泡沫细胞),并导致疾病的病理变化。在此,我们回顾了通过饮食进行脂质积累可通过改变细胞脂质含量来调节免疫细胞的生成和功能的证据。这会影响免疫细胞的信号、活化、迁移和死亡,最终影响免疫系统的关键环节,如中和病原体、抗原递呈、效应细胞活化和消除炎症。
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引用次数: 0
IL-33 released during challenge phase regulates allergic asthma in an age-dependent way 挑战阶段释放的 IL-33 对过敏性哮喘的调节与年龄有关
IF 24.1 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1038/s41423-024-01205-2
Hangyu Liu, Min Wu, Qiangqiang Wang, Liuchuang Gao, Han Jiang, Ketai Shi, Yawen Lin, Junyi Zhou, Ju Huang, Shen Qu, Yuwei Zhang, Fang Zheng, Yafei Huang, Junyan Han

Epithelial-derived cytokines, especially type 2 alarmins (TSLP, IL-25, and IL-33), have emerged as critical mediators of type 2 inflammation. IL-33 attracts more interest for its strong association with allergic asthma, especially in childhood asthma. However, the age-dependent role of IL-33 to the development of allergic asthma remains elusive. Here, using OVA-induced allergic asthma model in neonatal and adult mice, we report that IL-33 is the most important alarmin in neonatal lung both at steady state or inflammation. The deficiency of IL-33/ST2 abrogated the development of allergic asthma only in neonates, whereas in adults the effect was limited. Interestingly, the deficiency of IL-33/ST2 equally dampened the ILC2 responses in both neonatal and adult models. However, the effect of IL-33/ST2 deficiency on Th2 responses is age-dependent, which is only blocked in neonates. Furthermore, IL-33/ST2 signaling is dispensable for OVA sensitization. Following OVA challenge in adults, the deficiency of IL-33/ST2 results in compensational more TSLP, which in turn recruits and activates lung DCs and boosts Th2 responses. The enriched γδ T17 cells in IL-33/ST2 deficient neonatal lung suppress the expression of type 2 alarmins, CCL20 and GM-CSF via IL-17A, thus might confer the inhibition of allergic asthma. Finally, on the basis of IL-33 deficiency, the additive protective effects of TSLP blocking is much more pronounced than IL-25 blocking in adults. Our studies demonstrate that the role of IL-33 for ILC2 and Th2 responses varies among ages in OVA models and indicate that the factor of age should be considered for intervention of asthma.

上皮源性细胞因子,尤其是 2 型抗炎蛋白(TSLP、IL-25 和 IL-33),已成为 2 型炎症的关键介质。IL-33 因其与过敏性哮喘,尤其是儿童哮喘的密切关系而更受关注。然而,IL-33 在过敏性哮喘发病过程中的作用与年龄有关,这一点仍然难以捉摸。在此,我们利用 OVA 诱导的新生小鼠和成年小鼠过敏性哮喘模型,报告了 IL-33 是新生小鼠肺部稳态或炎症时最重要的警报蛋白。IL-33/ST2 的缺乏仅在新生小鼠中抑制过敏性哮喘的发生,而对成年小鼠的影响有限。有趣的是,在新生儿和成人模型中,IL-33/ST2 的缺乏同样抑制了 ILC2 的反应。然而,IL-33/ST2 缺乏对 Th2 反应的影响是年龄依赖性的,只有在新生儿中才会被阻断。此外,IL-33/ST2 信号传导对于 OVA 致敏是不可或缺的。成人受到 OVA 挑战后,IL-33/ST2 的缺乏会导致 TSLP 的代偿性增加,进而招募和激活肺直流细胞并增强 Th2 反应。IL-33/ST2 缺乏的新生儿肺中富集的 γδ T17 细胞通过 IL-17A 抑制了 2 型 Alarmins、CCL20 和 GM-CSF 的表达,因此可能会抑制过敏性哮喘的发生。最后,在 IL-33 缺乏的基础上,成人 TSLP 阻断的附加保护作用比 IL-25 阻断更为明显。我们的研究表明,在 OVA 模型中,IL-33 对 ILC2 和 Th2 反应的作用因年龄而异,这表明在干预哮喘时应考虑年龄因素。
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引用次数: 0
Immune surveillance of cytomegalovirus in tissues 对组织中巨细胞病毒的免疫监视
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1038/s41423-024-01186-2
Andrea Mihalić, Jelena Železnjak, Berislav Lisnić, Stipan Jonjić, Vanda Juranić Lisnić, Ilija Brizić
Cytomegalovirus (CMV), a representative member of the Betaherpesvirinae subfamily of herpesviruses, is common in the human population, but immunocompetent individuals are generally asymptomatic when infected with this virus. However, in immunocompromised individuals and immunologically immature fetuses and newborns, CMV can cause a wide range of often long-lasting morbidities and even death. CMV is not only widespread throughout the population but it is also widespread in its hosts, infecting and establishing latency in nearly all tissues and organs. Thus, understanding the pathogenesis of and immune responses to this virus is a prerequisite for developing effective prevention and treatment strategies. Multiple arms of the immune system are engaged to contain the infection, and general concepts of immune control of CMV are now reasonably well understood. Nonetheless, in recent years, tissue-specific immune responses have emerged as an essential factor for resolving CMV infection. As tissues differ in biology and function, so do immune responses to CMV and pathological processes during infection. This review discusses state-of-the-art knowledge of the immune response to CMV infection in tissues, with particular emphasis on several well-studied and most commonly affected organs.
巨细胞病毒(CMV)是疱疹病毒 Betaherpesvirinae 亚科的代表成员,在人类中很常见,但免疫功能正常的人感染这种病毒后一般不会出现症状。然而,对于免疫力低下的人以及免疫功能不成熟的胎儿和新生儿,CMV 可导致多种病症,通常是长期病症,甚至死亡。CMV 不仅在人群中广泛传播,而且在宿主中也很普遍,几乎可感染所有组织和器官并在其中建立潜伏期。因此,了解这种病毒的发病机制和免疫反应是制定有效预防和治疗策略的先决条件。免疫系统的多个臂膀都参与了遏制感染的工作,目前人们对 CMV 免疫控制的一般概念已经有了相当深入的了解。然而,近年来,组织特异性免疫反应已成为解决 CMV 感染的一个重要因素。由于各组织的生物学特性和功能不同,对 CMV 的免疫反应和感染期间的病理过程也不尽相同。本综述讨论了组织对 CMV 感染的免疫反应的最新知识,特别强调了几个研究较多和最常受影响的器官。
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引用次数: 0
The immunology of sickness metabolism 疾病代谢免疫学。
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-06 DOI: 10.1038/s41423-024-01192-4
Felix M. Wensveen, Marko Šestan, Bojan Polić
Everyone knows that an infection can make you feel sick. Although we perceive infection-induced changes in metabolism as a pathology, they are a part of a carefully regulated process that depends on tissue-specific interactions between the immune system and organs involved in the regulation of systemic homeostasis. Immune-mediated changes in homeostatic parameters lead to altered production and uptake of nutrients in circulation, which modifies the metabolic rate of key organs. This is what we experience as being sick. The purpose of sickness metabolism is to generate a metabolic environment in which the body is optimally able to fight infection while denying vital nutrients for the replication of pathogens. Sickness metabolism depends on tissue-specific immune cells, which mediate responses tailored to the nature and magnitude of the threat. As an infection increases in severity, so do the number and type of immune cells involved and the level to which organs are affected, which dictates the degree to which we feel sick. Interestingly, many alterations associated with metabolic disease appear to overlap with immune-mediated changes observed following infection. Targeting processes involving tissue-specific interactions between activated immune cells and metabolic organs therefore holds great potential for treating both people with severe infection and those with metabolic disease. In this review, we will discuss how the immune system communicates in situ with organs involved in the regulation of homeostasis and how this communication is impacted by infection.
每个人都知道,感染会让人感到不适。虽然我们认为感染引起的新陈代谢变化是一种病理现象,但它们是一个经过精心调节的过程的一部分,这一过程取决于免疫系统与参与调节全身平衡的器官之间的组织特异性相互作用。免疫介导的体内平衡参数变化会导致循环中营养物质的产生和吸收发生改变,从而改变主要器官的新陈代谢率。这就是我们生病的感受。病态新陈代谢的目的是创造一种新陈代谢环境,使机体能够以最佳状态抵抗感染,同时剥夺病原体复制所需的重要营养物质。疾病新陈代谢依赖于组织特异性免疫细胞,它们根据威胁的性质和严重程度调控反应。随着感染的严重程度增加,参与其中的免疫细胞的数量和类型以及器官受影响的程度也会增加,这就决定了我们生病的程度。有趣的是,许多与新陈代谢疾病相关的变化似乎与感染后观察到的免疫介导的变化重叠。因此,针对涉及活化免疫细胞和代谢器官之间组织特异性相互作用的过程,对于治疗严重感染者和代谢疾病患者都具有巨大的潜力。在本综述中,我们将讨论免疫系统如何与参与调节体内平衡的器官进行原位交流,以及这种交流如何受到感染的影响。
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引用次数: 0
Author Correction: Genetic and epigenetic influences on the loss of tolerance in autoimmunity 作者更正:遗传和表观遗传对自身免疫丧失耐受性的影响。
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-07-29 DOI: 10.1038/s41423-024-01201-6
Peng Zhang, Qianjin Lu
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引用次数: 0
Targeting the glucocorticoid receptor-CCR8 axis mediated bone marrow T cell sequestration enhances infiltration of anti-tumor T cells in intracranial cancers 靶向糖皮质激素受体-CCR8轴介导的骨髓T细胞螯合可增强颅内癌中抗肿瘤T细胞的浸润。
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-07-23 DOI: 10.1038/s41423-024-01202-5
Jia Zhang, Yuzhu Shi, Xiaotong Xue, Wenqing Bu, Yanan Li, Tingting Yang, Lijuan Cao, Jiankai Fang, Peishan Li, Yongjing Chen, Zhen Li, Changshun Shao, Yufang Shi
Brain tumors such as glioblastomas are resistant to immune checkpoint blockade therapy, largely due to limited T cell infiltration in the tumors. Here, we show that mice bearing intracranial tumors exhibit systemic immunosuppression and T cell sequestration in bone marrow, leading to reduced T cell infiltration in brain tumors. Elevated plasma corticosterone drives the T cell sequestration via glucocorticoid receptors in tumor-bearing mice. Immunosuppression mediated by glucocorticoid-induced T cell dynamics and the subsequent tumor growth promotion can be abrogated by adrenalectomy, the administration of glucocorticoid activation inhibitors or glucocorticoid receptor antagonists, and in mice with T cell-specific deletion of glucocorticoid receptor. CCR8 expression in T cells is increased in tumor-bearing mice in a glucocorticoid receptor-dependent manner. Additionally, chemokines CCL1 and CCL8, the ligands for CCR8, are highly expressed in bone marrow immune cells in tumor-bearing mice to recruit T cells. These findings suggested that brain tumor-induced glucocorticoid surge and CCR8 upregulation in T cells lead to T cell sequestration in bone marrow, impairing the anti-tumor immune response. Targeting the glucocorticoid receptor-CCR8 axis may offer a promising immunotherapeutic approach for the treatment of intracranial tumors.
胶质母细胞瘤等脑肿瘤对免疫检查点阻断疗法具有抗药性,这主要是由于肿瘤中的 T 细胞浸润有限。在这里,我们发现颅内肿瘤小鼠表现出全身免疫抑制和骨髓中的T细胞封存,导致脑肿瘤中的T细胞浸润减少。血浆中皮质酮的升高通过糖皮质激素受体驱动肿瘤小鼠的T细胞封存。肾上腺切除术、糖皮质激素活化抑制剂或糖皮质激素受体拮抗剂以及T细胞特异性糖皮质激素受体缺失的小鼠均可减轻糖皮质激素诱导的T细胞动力学介导的免疫抑制以及随后的肿瘤生长促进作用。肿瘤小鼠 T 细胞中 CCR8 的表达以糖皮质激素受体依赖的方式增加。此外,CCR8 的配体趋化因子 CCL1 和 CCL8 在肿瘤小鼠骨髓免疫细胞中高表达,以招募 T 细胞。这些研究结果表明,脑肿瘤诱导的糖皮质激素激增和T细胞中CCR8的上调会导致T细胞在骨髓中固着,从而损害抗肿瘤免疫反应。以糖皮质激素受体-CCR8轴为靶点可能为治疗颅内肿瘤提供一种前景广阔的免疫治疗方法。
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引用次数: 0
GPR34 senses demyelination to promote neuroinflammation and pathologies GPR34 可感知脱髓鞘,从而促进神经炎症和病变。
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-07-19 DOI: 10.1038/s41423-024-01204-3
Bolong Lin, Yubo Zhou, Zonghui Huang, Ming Ma, Minghui Qi, Zhongjun Jiang, Guoyang Li, Yueli Xu, Jiaxian Yan, Di Wang, Xiaqiong Wang, Wei Jiang, Rongbin Zhou
Sterile neuroinflammation is a major driver of multiple neurological diseases. Myelin debris can act as an inflammatory stimulus to promote inflammation and pathologies, but the mechanism is poorly understood. Here, we showed that lysophosphatidylserine (LysoPS)-GPR34 axis played a critical role in microglia-mediated myelin debris sensing and the subsequent neuroinflammation. Myelin debris-induced microglia activation and proinflammatory cytokine expression relied on its lipid component LysoPS. Both myelin debris and LysoPS promoted microglia activation and the production of proinflammatory cytokines via GPR34 and its downstream PI3K-AKT and ERK signaling. In vivo, reducing the content of LysoPS in myelin or inhibition of GPR34 with genetic or pharmacological approaches reduced neuroinflammation and pathologies in the mouse models of multiple sclerosis and stroke. Thus, our results identify GPR34 as a key receptor to sense demyelination and CNS damage and promote neuroinflammation, and suggest it as a potential therapeutic target for demyelination-associated diseases.
无菌性神经炎症是多种神经系统疾病的主要驱动因素。髓鞘碎片可作为炎症刺激物促进炎症和病变,但其机制尚不清楚。在这里,我们发现溶血磷脂酰丝氨酸(LysoPS)-GPR34 轴在小胶质细胞介导的髓鞘碎片感应和随后的神经炎症中发挥了关键作用。髓鞘碎片诱导的小胶质细胞活化和促炎细胞因子表达依赖于其脂质成分LysoPS。髓鞘碎屑和LysoPS都能通过GPR34及其下游的PI3K-AKT和ERK信号促进小胶质细胞的活化和促炎细胞因子的产生。在体内,通过基因或药物方法减少髓鞘中溶血磷脂的含量或抑制 GPR34 可减轻多发性硬化和中风小鼠模型的神经炎症和病理变化。因此,我们的研究结果确定 GPR34 是感知脱髓鞘和中枢神经系统损伤并促进神经炎症的关键受体,并建议将其作为脱髓鞘相关疾病的潜在治疗靶点。
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引用次数: 0
Orchestration of antiviral responses within the infected central nervous system 在受感染的中枢神经系统内协调抗病毒反应。
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-07-12 DOI: 10.1038/s41423-024-01181-7
Andreas Pavlou, Felix Mulenge, Olivia Luise Gern, Lena Mareike Busker, Elisabeth Greimel, Inken Waltl, Ulrich Kalinke
Many newly emerging and re-emerging viruses have neuroinvasive potential, underscoring viral encephalitis as a global research priority. Upon entry of the virus into the CNS, severe neurological life-threatening conditions may manifest that are associated with high morbidity and mortality. The currently available therapeutic arsenal against viral encephalitis is rather limited, emphasizing the need to better understand the conditions of local antiviral immunity within the infected CNS. In this review, we discuss new insights into the pathophysiology of viral encephalitis, with a focus on myeloid cells and CD8+ T cells, which critically contribute to protection against viral CNS infection. By illuminating the prerequisites of myeloid and T cell activation, discussing new discoveries regarding their transcriptional signatures, and dissecting the mechanisms of their recruitment to sites of viral replication within the CNS, we aim to further delineate the complexity of antiviral responses within the infected CNS. Moreover, we summarize the current knowledge in the field of virus infection and neurodegeneration and discuss the potential links of some neurotropic viruses with certain pathological hallmarks observed in neurodegeneration.
许多新出现和再次出现的病毒都有可能侵入神经系统,因此病毒性脑炎成为全球研究的重点。病毒进入中枢神经系统后,可能会出现严重的神经系统症状,危及生命,发病率和死亡率都很高。目前针对病毒性脑炎的治疗手段非常有限,因此需要更好地了解受感染的中枢神经系统内局部抗病毒免疫的条件。在这篇综述中,我们讨论了对病毒性脑炎病理生理学的新认识,重点是骨髓细胞和 CD8+ T 细胞,它们对保护中枢神经系统免受病毒感染起着至关重要的作用。通过阐明髓系细胞和 T 细胞活化的先决条件、讨论有关其转录特征的新发现以及剖析它们被招募到中枢神经系统内病毒复制位点的机制,我们旨在进一步阐明受感染的中枢神经系统内抗病毒反应的复杂性。此外,我们还总结了病毒感染和神经变性领域的现有知识,并讨论了一些神经滋养病毒与神经变性中观察到的某些病理特征之间的潜在联系。
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引用次数: 0
Extramedullary neutrophil progenitors: Quo Vadis? 髓外中性粒细胞祖细胞:何去何从?
IF 21.8 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-07-08 DOI: 10.1038/s41423-024-01191-5
Leo Koenderman, Nienke Vrisekoop
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引用次数: 0
期刊
Cellular &Molecular Immunology
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