决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Distinct functions of CAR-T cells possessing a dectin-1 intracellular signaling domain.
Distinct functions of CAR-T cells possessing a dectin-1 intracellular signaling domain.
我们的数据显示,通过引入该 dectin-1 信号结构域,HER2 或 CD19 特异性 CAR-T 细胞的体外细胞因子分泌显著增加。
CAR-T(CAR-T)细胞疗法治疗造血系统恶性肿瘤疗效显著,但在实体瘤中的效果有限。加入 ICOS 或 4-1BB 等共刺激信号结构域可正向影响 CAR-T 细胞功能及免疫反应。这些 CAR 工程化 T 细胞持久性和效应功能增强、抗肿瘤活性改善,为实体瘤治疗提供了新思路。本研究设计了含新型共刺激信号分子 dectin-1 的第二代 CAR,并在体外和体内评估 dectin-1 信号结构域对 CAR-T 细胞的影响。结果显示,在 HER2 或 CD19 特异性 CAR-T 细胞中加入该结构域,可显著增加体外细胞因子分泌。该结构域还影响这些新型 CAR-T 细胞的其他特性。与常用参照(抗 HER2、含 4-1BB 的 CAR-T)相比,dectin-1 工程化 CAR-T 的体外 T 细胞功能和体内抗肿瘤活性相近;二者均不同于模拟处理 T 细胞。此外,dectin-1 CAR-T 细胞呈现不同的表型和耗竭标志物表达。综合结果提示,将这一新型信号结构域 dectin-1 纳入 CAR,可能使 CAR-T 细胞具备治疗实体瘤的临床潜力。
Chimeric antigen receptor T (CAR-T) cell therapy has demonstrated remarkable efficacies in treating hematopoietic malignancies, but not in the solid tumors. Incorporating costimulatory signaling domains, such as ICOS or 4-1BB, can positively influence CAR-T cell functions and then the immune responses. These CAR-engineered T cells have showed their enhanced persistence and effector functions with improved antitumor activities, and provided a new approach for the treatment of solid tumors. Here, we designed novel 2nd generation CARs with a costimulatory signaling molecule, dectin-1. The impacts of dectin-1 signaling domain on CAR-T cells were evaluated in vitro and in vivo. Our data show that in vitro cytokine secretions by HER2 or CD19 specific CAR-T cells increase significantly via incorporating this dectin-1 signaling domain. Additional properties of these novel CAR-T cells are affected by this costimulatory domain. Compared with a popular reference (i.e., anti-HER2 CAR-T cells with 4-1BB), in vitro T cell functions and in vivo antitumor activity of the dectin-1 engineered CAR-T cells are similar to the 4-1BB based, and both are discrete to the mock T cells. Furthermore, we found that the CAR-T cells with dectin-1 show distinct phenotype and exhaustion marker expression. These collective results suggest that the incorporation of this new signaling domain, dectin-1, into the CARs may provide the clinical potential of the CAR-T cells through this signaling domain in treating solid tumors.
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