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:CXCR5 guides migration and tumor eradication of anti-EGFR chimeric antigen receptor T cells.
嵌合抗原受体(CAR)T在实体瘤中的疗效仍不理想,部分原因是T细胞无法充分浸润至肿瘤部位。
嵌合抗原受体(CAR)T对实体瘤的疗效仍不理想,部分原因是T细胞缺乏向肿瘤部位的浸润。一种有前景的策略是通过肿瘤特异性趋化因子引导T细胞,前提是T细胞上表达匹配的趋化因子受体。既往报道显示,对于非小细胞肺癌(NSCLC)患者,肿瘤部位高表达趋化因子CXCL13,而CXCR5作为CXCL13的唯一受体,主要表达于B细胞和滤泡辅助性T细胞。因此,我们工程化改造了表达表皮生长因子受体(EGFR)的CAR-T细胞,使其表达第二受体CXCR5,以促进CAR-T细胞向表达CXCL13的NSCLC肿瘤迁移,并尽量减少EGFR-CAR-T可能的脱靶、在靶毒性。我们首先证实了NSCLC患者血液和癌组织中CXCL13的表达,以及正常CD3 T细胞中不表达CXCR5。接下来,我们通过体外细胞毒性实验证明,EGFR-CXCR5-CAR-T细胞具有与EGFR-CAR-T相似的杀伤活性。此外,采用体外Transwell实验和体内异种移植肿瘤小鼠模型证实,EGFR-CXCR5-CAR-T向表达CXCL13的肿瘤的T细胞浸润显著增加,并能更有效地清除表达CXCL13的肿瘤。
The efficacy of chimeric antigen receptor (CAR) T is still not optimal for solid tumors, partly due to the lack of T cell infiltration to the tumor site. One promising strategy is to guide T cells through tumor-specific chemokines, provided that the matching chemokine receptors are expressed on T cells. Previous reports showed that, for non-small cell lung cancer (NSCLC) patients, the tumor sites express high levels of chemokine CXCL13, whereas CXCR5, the only receptor for CXCL13, is mainly expressed on B cells and follicle helper T cells. Therefore, we engineered an epidermal growth factor receptor (EGFR) CAR-T cell to express a second receptor CXCR5, to facilitate migration of CAR-T cells to the CXCL13-expressing NSCLC tumors, and to minimize EGFR-CAR-T possible off-tumor, on-target toxicity. We first confirmed CXCL13 expression in NSCLC patient blood and cancer tissues and the absence of CXCR5 expression in normal CD3 T cells. Next, we demonstrated that EGFR-CXCR5-CAR-T cells have similar killing activity as EGFR-CAR-T with a cytotoxicity assay in vitro . Furthermore, the in vitro Transwell assay and in vivo xenograft tumor mouse model were used to confirm that EGFR-CXCR5-CAR-T exhibits a significant increase in T cell infiltration to CXCL13-expressing tumors and eradicates the CXCL13-expressing tumors more efficiently.
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