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:Novel TCR-like CAR-T cells targeting an HLA∗0201-restricted SSX2 epitope display strong activity against acute myeloid leukemia.
Fab/3的序列被用于构建一种CAR,该CAR包含CD3 zeta胞内结构域以及CD28或4-1BB共刺激内结构域。
滑膜肉瘤X断点2(SSX2)属于癌-睾丸抗原多基因家族,在多种恶性肿瘤中可发现其过表达。其在免疫豁免正常组织中的限制性表达提示SSX2可能是嵌合抗原受体(CAR)治疗的相关靶抗原。我们开发了一种T细胞受体(TCR)样抗体(Fab/3),可结合HLA-A -0201背景下的SSX2肽41-49(KASEKIFYV)。利用Fab/3的序列构建了一种CAR,其包含CD3 zeta胞内结构域以及CD28或4-1BB共刺激内结构域。将来自HLA-A2 +供者的人T细胞转导以介导针对急性髓系白血病(AML)肿瘤细胞的抗肿瘤活性。在HLA-A2 + /SSX2 + AML肿瘤细胞攻击后,表达CAR的T细胞释放干扰素-并在长期共培养试验中消除肿瘤细胞。使用HLA-A2 + T2细胞系,我们证明了单链可变片段(scFv)对SSX2 p41-49及密切相关的SSX3 p41-49具有强特异性,对其他SSX同源肽或无关同源肽无反应。由于在肿瘤细胞中未观察到SSX3且药物干预不能诱导其表达,SSX2 41-49代表了一个有吸引力的靶点,可用于基于CAR的细胞治疗以治疗多种类型的癌症。
The synovial sarcoma X breakpoint 2 (SSX2) belongs to a multigene family of cancer-testis antigens and can be found overexpressed in multiple malignancies. Its restricted expression in immune-privileged normal tissues suggest that SSX2 may be a relevant target antigen for chimeric antigen receptor (CAR) therapy. We have developed a T cell receptor (TCR)-like antibody (Fab/3) that binds SSX2 peptide 41-49 (KASEKIFYV) in the context of HLA-A -0201. The sequence of Fab/3 was utilized to engineer a CAR with the CD3 zeta intra-cellular domain along with either a CD28 or 4-1BB costimulatory endodomain. Human T cells from HLA-A2 + donors were transduced to mediate anti-tumor activity against acute myeloid leukemia (AML) tumor cells. Upon challenge with HLA-A2 + /SSX2 + AML tumor cells, CAR-expressing T cells released interferon- and eliminated the tumor cells in a long-term co-culture assay. Using the HLA-A2 + T2 cell line, we demonstrated a strong specificity of the single-chain variable fragment (scFv) for SSX2 p41-49 and the closely related SSX3 p41-49, with no response against the others SSX-homologous peptides or unrelated homologous peptides. Since SSX3 has not been observed in tumor cells and expression cannot be induced by pharmacological intervention, SSX2 41-49 represents an attractive target for CAR-based cellular therapy to treat multiple types of cancer.
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