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:Allogeneic CAR Invariant Natural Killer T Cells Exert Potent Antitumor Effects through Host CD8 T-Cell Cross-Priming.
除已知的直接细胞毒作用外,同种异体 CAR iNKT 细胞还可诱导宿主 CD8 T 细胞抗肿瘤应答,从而产生强效抗肿瘤效应,其持续时间长于同种异体细胞本身的存留时间。
目的:用于现货型治疗的异基因嵌合抗原受体(CAR)T细胞疗法,其开发面临两项主要免疫学挑战:转入细胞可能诱发移植物抗宿主病(GvHD),宿主免疫系统也可能排斥这些细胞并限制其持续存在。本研究评估异基因CAR工程化不变型自然杀伤T(iNKT)细胞的直接和间接抗肿瘤作用;这类细胞不会诱发GvHD,并具有免疫调节特性。实验设计:先评估小鼠CAR iNKT细胞在体外和体内的直接抗肿瘤作用,再采用具有免疫功能的小鼠B细胞淋巴瘤模型,评估异基因CAR iNKT细胞与内源性免疫细胞之间的相互作用。结果:我们发现,即使跨越主要组织相容性复合体(MHC)屏障给药,异基因CAR iNKT细胞仍具有强大的直接和间接抗肿瘤活性,可通过宿主CD8 T细胞交叉启动诱导肿瘤特异性抗肿瘤免疫。结论:除其已知的直接细胞毒作用外,异基因CAR iNKT细胞还能诱导宿主CD8 T细胞抗肿瘤反应,产生强效抗肿瘤效果,且效果持续时间超过异基因细胞本身的存留时间。现货型异基因CAR iNKT细胞有望满足临床上大量尚未解决的需求。
PURPOSE: The development of allogeneic chimeric antigen receptor (CAR) T-cell therapies for off-the-shelf use is a major goal that faces two main immunologic challenges, namely the risk of graft-versus-host disease (GvHD) induction by the transferred cells and the rejection by the host immune system limiting their persistence. In this work we assessed the direct and indirect antitumor effect of allogeneic CAR-engineered invariant natural killer T (iNKT) cells, a cell population without GvHD-induction potential that displays immunomodulatory properties. EXPERIMENTAL DESIGN: After assessing murine CAR iNKT cells direct antitumor effects in vitro and in vivo , we employed an immunocompetent mouse model of B-cell lymphoma to assess the interaction between allogeneic CAR iNKT cells and endogenous immune cells. RESULTS: We demonstrate that allogeneic CAR iNKT cells exerted potent direct and indirect antitumor activity when administered across major MHC barriers by inducing tumor-specific antitumor immunity through host CD8 T-cell cross-priming. CONCLUSIONS: In addition to their known direct cytotoxic effect, allogeneic CAR iNKT cells induce host CD8 T-cell antitumor responses, resulting in a potent antitumor effect lasting longer than the physical persistence of the allogeneic cells. The utilization of off-the-shelf allogeneic CAR iNKT cells could meet significant unmet needs in the clinic.
MEMBER ACCOUNT
登录成功会直接打开下一页。