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:Targeting the DNA damage response enhances CD70 CAR-T cell therapy for renal carcinoma by activating the cGAS-STING pathway.
我们的数据表明,PARPi通过激活cGAS-STING通路来调节TME,从而改变免疫刺激信号的平衡,并使低剂量CAR-T细胞治疗能够诱导有效的肿瘤消退。
CAR-T 细胞疗法在清除血液系统恶性肿瘤方面已取得巨大成功。然而,由于CAR-T细胞在肿瘤微环境(TME)中浸润和持久性有限,这一成功尚未推广至实体瘤。在本研究中,我们筛选了一种新型抗CD70 scFv,并构建了CD70 CAR-T细胞,其在体外和体内均显示出对CD70+肾癌细胞(RCCs)有效的抗肿瘤功能。我们进一步通过将PARP抑制剂(PARPi)给予人RCC细胞来源的小鼠异种移植模型,评估了PARPi在CAR-T细胞免疫治疗中的作用并探索了其分子机制。PARPi治疗通过刺激趋化因子环境促进了CAR-T细胞浸润,该环境促进了CAR-T细胞募集并调节了TME中的免疫抑制。此外,我们的数据表明,PARPi通过激活cGAS-STING通路调节TME,从而改变免疫刺激性信号的平衡,使低剂量CAR-T细胞治疗能够诱导有效的肿瘤消退。这些数据证明了CD70 CAR-T细胞治疗策略在RCC中的应用以及靶向DNA损伤反应与抗肿瘤CAR-T细胞治疗之间的交互作用。这些发现为PARPi在RCC CAR-T细胞治疗中的机制提供了见解,并提示了一种有前景的实体瘤CAR-T细胞治疗辅助策略。
Chimeric antigen receptor T-cell (CAR-T) therapy has shown tremendous success in eradicating hematologic malignancies. However, this success has not yet been extrapolated to solid tumors due to the limited infiltration and persistence of CAR-T cells in the tumor microenvironment (TME). In this study, we screened a novel anti-CD70 scFv and generated CD70 CAR-T cells that showed effective antitumor functions against CD70 + renal carcinoma cells (RCCs) both in vitro and in vivo. We further evaluated the effect and explored the molecular mechanism of a PARP inhibitor (PARPi) in CAR-T cell immunotherapy by administering the PARPi to mouse xenografts model derived from human RCC cells. Treatment with the PARPi promoted CAR-T cell infiltration by stimulating a chemokine milieu that promoted CAR-T cell recruitment and the modulation of immunosuppression in the TME. Moreover, our data demonstrate that PARPi modulates the TME by activating the cGAS-STING pathway, thereby altering the balance of immunostimulatory signaling and enabling low-dose CAR-T cell treatment to induce effective tumor regression. These data demonstrate the application of CD70 CAR-T cell therapeutic strategies for RCC and the cross-talk between targeting DNA damage responses and antitumor CAR-T cell therapy. These findings provide insight into the mechanisms of PARPis in CAR-T cell therapy for RCC and suggest a promising adjuvant therapeutic strategy for CAR-T cell therapy in solid tumors.
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