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:Development of a TCR-like antibody and chimeric antigen receptor against NY-ESO-1/HLA-A2 for cancer immunotherapy.
本研究展示了从人scFv噬菌体库中鉴定出的抗体的特异性,并在体外和体内证明了TCR样CAR-T细胞的潜在抗肿瘤活性,值得对TCR样抗体进行进一步的临床前和临床评估。TCR样抗体及其CAR-T细胞的生成提供了最先进的平台和概念验证,拓宽了靶抗原识别的范围,并为癌症免疫治疗新疗法的开发提供了启示。
目前的治疗性抗体和嵌合抗原受体(CAR)T细胞能够识别表面抗原,但无法识别细胞内蛋白,从而限制了药物开发的靶点覆盖范围。为模拟T细胞受体(TCR)识别细胞表面主要组织相容性I类分子与来源于经加工的细胞内抗原的肽复合物的特性,我们利用癌-睾丸抗原NY-ESO-1,开发了一种TCR样全人源IgG1抗体及其衍生物CAR-T细胞,用于癌症免疫治疗。
人单链可变区抗体片段(scFv)噬菌体库(约10 11)针对HLA-A2/NY-ESO-1(肽157-165)复合物进行筛选,以获得靶特异性抗体。通过流式细胞术、ELISA、生物层干涉测量和共聚焦成像对这些抗体的特异性和亲和力进行了表征。在体外针对靶肿瘤细胞评估了CAR-T细胞的生物学功能。在免疫缺陷小鼠的三阴性乳腺癌(TNBC)模型和原发性黑色素瘤肿瘤模型中研究了体内抗肿瘤活性。
从噬菌体展示库中鉴定出的单克隆抗体2D2,在人白细胞抗原HLA-A*02:01背景下特异性结合NY-ESO-1 157-165,但不结合非A2或NY-ESO-1阴性细胞。由2D2改造的第二代CAR-T细胞在体外特异性识别并清除A2+/NY-ESO-1+肿瘤细胞,在体内TNBC和原发性黑色素瘤肿瘤模型中抑制肿瘤生长并延长小鼠的总生存期。
BACKGROUND: The current therapeutic antibodies and chimeric antigen receptor (CAR) T cells are capable of recognizing surface antigens, but not of intracellular proteins, thus limiting the target coverage for drug development. To mimic the feature of T-cell receptor (TCR) that recognizes the complex of major histocompatibility class I and peptide on the cell surface derived from the processed intracellular antigen, we used NY-ESO-1, a cancer-testis antigen, to develop a TCR-like fully human IgG1 antibody and its derivative, CAR-T cells, for cancer immunotherapy. METHODS: Human single-chain variable antibody fragment (scFv) phage library (~10 11 ) was screened against HLA-A2/NY-ESO-1 (peptide 157-165) complex to obtain target-specific antibodies. The specificity and affinity of those antibodies were characterized by flow cytometry, ELISA, biolayer interferometry, and confocal imaging. The biological functions of CAR-T cells were evaluated against target tumor cells in vitro. In vivo antitumor activity was investigated in a triple-negative breast cancer (TNBC) model and primary melanoma tumor model in immunocompromised mice. RESULTS: Monoclonal antibody 2D2 identified from phage-displayed library specifically bound to NY-ESO-1 157-165 in the context of human leukocyte antigen HLA-A*02:01 but not to non-A2 or NY-ESO-1 negative cells. The second-generation CAR-T cells engineered from 2D2 specifically recognized and eliminated A2+/NY-ESO-1+tumor cells in vitro, inhibited tumor growth, and prolonged the overall survival of mice in TNBC and primary melanoma tumor model in vivo. CONCLUSIONS: This study showed the specificity of the antibody identified from human scFv phage library and demonstrated the potential antitumor activity by TCR-like CAR-T cells both in vitro and in vivo, warranting further preclinical and clinical evaluation of the TCR-like antibody in patients. The generation of TCR-like antibody and its CAR-T cells provides the state-of-the-art platform and proof-of-concept validation to broaden the scope of target antigen recognition and sheds light on the development of novel therapeutics for cancer immunotherapy.
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