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:Oncolytic adenovirus-mediated expression of decorin facilitates CAIX-targeting CAR-T therapy against renal cell carcinoma.
尽管CAR-T 细胞疗法在血液系统恶性肿瘤中取得了成功,但在实体瘤中效果较差。
尽管CAR-T 细胞疗法在血液系统恶性肿瘤中已取得成功,但对实体瘤效果较差。主要原因在于免疫微环境限制了CAR-T细胞在肿瘤中的浸润和增殖。溶瘤病毒疗法已成为一种新型免疫原性疗法,可增强抗肿瘤免疫应答。在此,我们将携带decorin的溶瘤腺病毒与靶向碳酸酐酶IX(CAIX)的CAR-T联合,对肾癌细胞发挥抗肿瘤活性。我们发现,OAV-Decorin联合CAIX-CAR-T可显著降低肿瘤负荷,通过抑制胶原纤维分布改变细胞外基质(ECM)的组成,降低肿瘤细胞中TGF-的表达,增强IFN-分泌,并获得更高数量的CAR-T细胞。该联合治疗方案显示可延长小鼠生存期。将OAV-Decorin瘤内注射到荷瘤免疫健全小鼠中,可激活炎症免疫状态并导致肿瘤消退。这些数据支持进一步研究OAV-Decorin与CAIX-CAR-T细胞联合用于实体瘤。
Although chimeric antigen receptor T cell (CAR-T) therapy has been successful for hematological malignancies, it is less effective for solid tumors. The primary reason is that the immune microenvironment restricts CAR-T cells from infiltrating and proliferating in tumors. Oncolytic virotherapy has emerged as a novel immunogenic therapy to augment antitumor immune response. Here we combined an oncolytic adenovirus carrying decorin with a CAR-T targeting carbonic anhydrase IX (CAIX) to perform the antitumor activity for renal cancer cells. We found that OAV-Decorin combined with CAIX-CAR-T exhibited significantly reduced tumor burden, altered the composition of extracellular matrix (ECM) by inhibiting the distribution of collagen fibers, decreased the expression of TGF- in tumor cells, enhanced IFN- secretion, and obtained higher numbers of CAR-T cells. The combination treatment modality showed prolonged mice survival. The intratumoral injection of OAV-Decorin into tumor-bearing immunocompetent mice activated the inflammatory immune status and resulted in tumor regression. These data supported further investigation of the combination of OAV-Decorin and CAIX-CAR-T cells in solid tumors.
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