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:Enhancement of CD70-specific CAR T treatment by IFN-γ released from oHSV-1-infected glioblastoma.
我们揭示了oHSV-1通过瘤内T细胞浸润和IFN-释放增强CD70特异性CAR T细胞的治疗效果,支持在GBM治疗策略中使用CAR T疗法。
即使采用进展性联合治疗,胶质母细胞瘤(GBM)患者的预后仍然极差。OV是治疗人GBM的一种新的有前景的治疗策略之一。OV在溶瘤过程中刺激免疫细胞释放IFN-等细胞因子,进一步改善肿瘤微环境(TME)并增强治疗效果。IFN-在肿瘤细胞凋亡和肿瘤浸润性T细胞募集过程中发挥重要作用。我们假设溶瘤单纯疱疹病毒-1(oHSV-1)通过T细胞浸润和IFN-释放增强新型CD70特异性嵌合抗原受体(CAR)T细胞的抗肿瘤疗效。在本研究中,oHSV-1具有刺激肿瘤细胞而非T细胞分泌IFN-的潜力,并导致T细胞活性增加,同时CD70特异性CAR T细胞能够在体外特异性识别并杀伤肿瘤细胞。具体而言,CD70特异性CAR T与oHSV-1的联合治疗通过在体外增强促炎环境并减少抗炎因子来促进肿瘤消退。更重要的是,联合治疗在原位异种移植GBM动物模型中产生了强效的抗肿瘤疗效,增加了TME中T细胞和NK 细胞的比例,并减少了调节性T细胞和转化生长因子-1的表达。总之,我们揭示了oHSV-1通过瘤内T细胞浸润和IFN-释放增强CD70特异性CAR T细胞的治疗效果,支持在GBM治疗策略中使用CAR T疗法。
Even with progressive combination treatments, the prognosis of patients with glioblastoma (GBM) remains extremely poor. OV is one of the new promising therapeutic strategies to treat human GBM. OVs stimulate immune cells to release cytokines such as IFN- during oncolysis, further improve tumor microenvironment (TME) and enhance therapeutic efficacy. IFN- plays vital role in the apoptosis of tumor cells and recruitment of tumor-infiltrating T cells. We hypothesized that oncolytic herpes simplex virus-1 (oHSV-1) enhanced the antitumor efficacy of novel CD70-specific chimeric antigen receptor (CAR) T cells by T cell infiltration and IFN- release. In this study, oHSV-1 has the potential to stimulate IFN- secretion of tumor cells rather than T cell secretion and lead to an increase of T cell activity, as well as CD70-specific CAR T cells can specifically recognize and kill tumor cells in vitro. Specifically, combinational therapy with CD70-specific CAR T and oHSV-1 promotes tumor degradation by enhancing pro-inflammatory circumstances and reducing anti-inflammatory factors in vitro. More importantly, combined therapy generated potent antitumor efficacy, increased the proportion of T cells and natural killer cells in TME, and reduced regulatory T cells and transformed growth factor- 1 expression in orthotopic xenotransplanted animal model of GBM. In summary, we reveal that oHSV-1 enhance the therapeutic efficacy of CD70-spefific CAR T cells by intratumoral T cell infiltration and IFN- release, supporting the use of CAR T therapy in GBM therapeutic strategies.
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