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:CXCR4 and anti-BCMA CAR co-modified natural killer cells suppress multiple myeloma progression in a xenograft mouse model.
本研究提供了实验证据,表明NK细胞上CXCR4与抗BCMA CAR的共表达可能是控制MM进展的一种有效途径。
B细胞成熟抗原(BCMA)在浆细胞上的高度限制性表达,使其成为针对多发性骨髓瘤(MM)这种骨髓癌症的嵌合抗原受体(CAR)免疫细胞治疗的理想靶点。为了提高体外扩增的人自然杀伤(NK)细胞向骨髓的浸润,我们用编码趋化因子受体CXCR4的mRNA电转染这些细胞。CXCR4修饰的NK细胞在体外对骨髓微环境表达的趋化因子CXCL12/SDF-1α表现出增强的迁移能力,并增加了在小鼠骨髓腔室中的浸润。我们进一步通过电转染编码靶向BCMA的CAR的mRNA来修饰CXCR4-NK细胞。将双重修饰的NK细胞静脉注射到MM异种移植小鼠模型后,我们观察到活体小鼠股骨区域的肿瘤负荷显著降低,并且荷瘤小鼠的生存期延长。总之,本研究提供了实验证据,表明NK细胞上CXCR4和抗BCMA CAR的共表达是控制MM进展的一种可能有效的方法。
The highly restricted expression of B-cell maturation antigen (BCMA) on plasma cells makes it an ideal target for chimeric antigen receptor (CAR) immune cell therapy against multiple myeloma (MM), a bone marrow cancer. To improve the infiltration of ex vivo expanded human natural killer (NK) cells into the bone marrow, we electroporated these cells with mRNA encoding the chemokine receptor CXCR4. The CXCR4-modified NK cells displayed increased in vitro migration toward the bone marrow niche-expressing chemokine CXCL12/SDF-1α and augmented infiltration into the bone marrow compartments in mice. We further modified the CXCR4-NK cells by electroporation of mRNA encoding a CAR targeting BCMA. After the intravenous injection of the double-modified NK cells into a xenograft mouse model of MM, we observed significantly reduced tumor burden in the femur region of the living mice and the extended survival of the tumor-bearing mice. Collectively, this study provides the experimental evidence that the co-expression of CXCR4 and anti-BCMA CAR on NK cells is a possible effective way to control MM progression.
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