Multi-phenotype CRISPR-Cas9 Screen Identifies p38 Kinase as a Target for Adoptive Immunotherapies
CANCER CELL
Authors: Gurusamy, Devikala; Henning, Amanda N.; Yamamoto, Tori N.; Yu, Zhiya; Zacharakis, Nikolaos; Krishna; Kishton, Rigel J.; Vodnala, Suman K.; Eidizadeh, Arash; Jia, Li; Kariya, Christine M.; Black, Mary A.; Eil, Robert; Palmer, Douglas C.; Pan, Jenny H.; Sukumar, Madhusudhanan; Patel, Shashank J.; Restifo, Nicholas P.
Abstract
T cells are central to all currently effective cancer immunotherapies, but the characteristics defining therapeutically effective anti-tumor T cells have not been comprehensively elucidated. Here, we delineate four phenotypic qualities of effective anti-tumor T cells: cell expansion, differentiation, oxidative stress, and genomic stress. Using a CRISPR-Cas9-based genetic screen of primary T cells we measured the multi-phenotypic impact of disrupting 25 T cell receptor-driven kinases. We identified p38 kinase as a central regulator of all four phenotypes and uncovered transcriptional and antioxidant pathways regulated by p38 in T cells. Pharmacological inhibition of p38 improved the efficacy of mouse anti-tumor T cells and enhanced the functionalities of human tumor-reactive and gene-engineered T cells, paving the way for clinically relevant interventions.
Low-dose rituximab lowers serum Exosomal miR-150-5p in AChR-positive refractory myasthenia gravis patients
JOURNAL OF NEUROIMMUNOLOGY
Authors: Zhong, Huahua; Lu, Jun; Jing, Sisi; Xi, Jianying; Yan, Chong; Song, Jie; Luo, Sushan; Zhao, Chongbo
Abstract
Two potentially related microRNAs (miRNAs; miR-150-5p and miR-146a-5p) were examined after low-dose rituximab (RTX) treatment in patients with acetylcholine receptor antibody (AChR)-positive refractory myasthenia gravis (MG). In this prospective, open-label, and self-controlled pilot trial, 12 AChR-positive refractory MG patients were administrated a single, low dose of RTX and followed up at six months. Results showed that RTX decreased the serum exosomal miR-150-5p, scores on three clinical indices (MGFA, MMT, ADL), and patients' prednisolone requirement. Additionally, CD19 + and CD27+ B cells decreased, showing a strong correlation with miR-150-5p. In conclusion, low-dose RTX is effective for AChR-positive refractory MG treatment. Furthermore, our data support the role of miR-150-5p as a potential biomarker for MG.