
科学家可能找到了一种方法,帮助人体免疫细胞更持久地对抗癌症,有望让某些治疗更加有效。
Scientists may have found a way to help the body's immune cells fight cancer for longer, potentially making some treatments more effective.
加州大学洛杉矶分校(UCLA)健康系琼森综合癌症中心的研究人员发现,暂时提升一种名为 p53 的蛋白质水平,有助于特制免疫细胞在实验室实验中保持更强的活性,并杀灭更多黑色素瘤细胞。
Researchers at the UCLA Health Jonsson Comprehensive Cancer Center found that temporarily boosting a protein called p53 helped specially prepared immune cells stay stronger and kill more melanoma cells in laboratory experiments.
该研究发表于《免疫学前沿》(Frontiers in Immunology),聚焦于 T 细胞——一种帮助人体对抗疾病的免疫细胞。
The study, published in Frontiers in Immunology, focused on T cells, which are immune cells that help the body fight disease.
某些癌症治疗会取出患者的 T 细胞,在实验室对其进行改造以使其能识别癌细胞,再输回体内攻击肿瘤。
Some cancer treatments take a patient's T cells, modify them in a lab so they can recognize cancer, and then return them to the body to attack tumors.
UCLA 研究人员表示,一个挑战在于这些细胞最终可能变得“耗竭”,导致其对抗癌症的效果减弱。
One challenge is that these cells can eventually become "exhausted," making them less effective at fighting cancer, the UCLA researchers said.
为解决这一问题,研究人员用一种名为 navtemadlin 的实验性药物处理人类 T 细胞,该药物可暂时增加 p53 的活性;p53 是一种以帮助预防癌症而闻名的蛋白质。
To address that problem, researchers treated human T cells with an experimental drug called navtemadlin, which temporarily increases the activity of p53, a protein known for helping to prevent cancer.
根据研究,经处理的 T 细胞表现出较少的耗竭迹象、拥有更多能量,并发展出有助于其存活更久的特性。在实验室与黑色素瘤细胞的对抗测试中,它们杀灭癌细胞的效果也显著优于未经处理的 T 细胞。
The treated T cells showed fewer signs of exhaustion, had more energy and developed characteristics that could help them last longer. When tested against melanoma cells in the lab, they were also significantly more effective at killing the cancer cells than untreated T cells, according to the research.

洛杉矶三重专科认证医师、UCLA 前助理临床教授 Kien Vuu 证实,T 细胞耗竭是此类治疗面临的最大挑战之一。
Kien Vuu, a Los Angeles-based triple board-certified physician and former UCLA assistant clinical professor, confirmed that T-cell exhaustion is one of the biggest challenges encountered with these treatments.
Vuu 告诉《福克斯新闻数字版》(Fox News Digital):“在反复遭遇癌细胞后,它们会变得‘耗竭’,失去增殖和攻击的能力。”Vu u 未参与该研究。
"After repeated encounters with cancer, they become 'exhausted' and lose their ability to multiply and attack," Vuu, who was not involved in the research, told Fox News Digital.
Vuu 表示,这种方法可能为强化现有治疗提供一种相对简单的途径。
Vuu said the approach could offer a relatively simple way to strengthen existing treatments.

“实用的吸引力在于简单,”他说。“与其再增加一种基因改造,不如在制造步骤中加入一种药物,当时患者的T细胞正在实验室中准备。”Vuu表示,如果该方法在进一步研究中证明有效,可能有助于T细胞保持更长时间的有效性,尤其是在治疗实体瘤时。然而,这些发现仍属初步。
"The practical appeal is simplicity," he said. "Rather than adding another genetic modification, this approach adds a drug during the manufacturing step, when a patient's T cells are being prepared in the lab." If the approach works in further research, Vuu said it could potentially help T cells remain effective for longer, particularly when treating solid tumors. The findings are still preliminary, however.
“这是早期的实验室阶段研究,”Vuu承认。“实验是在培养皿中用人类细胞对抗黑色素瘤细胞进行的,而不是在动物或人体上。”根据Vuu的说法,研究人员在进入临床试验之前,需要先在动物和其他类型的癌症上测试该方法。
"This is early, laboratory-stage research," Vuu acknowledged. "The experiments were done with human cells in a dish against melanoma cells, not in animals or people." Researchers will need to test the approach in animals and other types of cancer before moving into clinical trials, according to Vuu.
药物剂量也需要仔细研究。加州大学洛杉矶分校的研究人员发现,较高剂量会导致更多T细胞死亡,而较低剂量则能产生预期效果,且不会显著减少健康细胞的数量。
The amount of the drug will also need to be carefully studied. The UCLA researchers found that higher doses caused more T cells to die, while lower doses produced the desired effects without substantially reducing the number of healthy cells.
“剂量尤其重要,”Vuu说。“研究人员发现,过度激活p53实际上会杀死更多的T细胞,因此掌握好平衡至关重要。”
"Dosing is especially important," Vuu said. "The researchers found that too much p53 activation actually killed more of the T cells, so getting the balance right will be critical."
“患者不应期待这项技术很快进入临床,但这是一个值得关注的有前景的新方向。”Fox News Digital已联系研究人员征求评论。
"Patients shouldn't expect this in the clinic soon, but it's a promising new direction worth following." Fox News Digital reached out to the researchers for comment.