CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CXCL9-modified CAR T cells improve immune cell infiltration and antitumor efficacy.
CXCL9-modified CAR T cells improve immune cell infiltration and antitumor efficacy.
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嵌合抗原受体(CAR)T细胞治疗实体瘤的效果仍不理想。肿瘤浸润T细胞频率与患者良好预后密切相关,增加T细胞在肿瘤微环境中的积累对清除肿瘤至关重要。为克服免疫细胞浸润不足,亟须开发创新CAR设计。CXCL9在调节T细胞迁移和抑制肿瘤血管生成中发挥关键作用。因此,研究者工程化改造了表达CXCL9的CAR-T 细胞(CART-CXCL9)。加入CXCL9可增强CAR-T 细胞细胞因子分泌和细胞毒性,并赋予其募集活化T细胞和抑制血管生成的能力。在荷瘤小鼠中,与传统CAR-T 细胞相比,CART-CXCL9吸引更多T细胞迁移至肿瘤部位,并更有效抑制血管生成。此外,CART-CXCL9治疗减缓肿瘤生长并延长小鼠生存期,显示更强抗肿瘤活性。简言之,改造CAR-T 细胞使其表达CXCL9,可有效提高CAR-T 细胞治疗实体瘤的疗效。
Chimeric antigen receptor (CAR) T cells remain unsatisfactory in treating solid tumors. The frequency of tumor-infiltrating T cells is closely related to the good prognosis of patients. Augmenting T cell accumulation in the tumor microenvironment is essential for tumor clearance. To overcome insufficient immune cell infiltration, innovative CAR designs need to be developed immediately. CXCL9 plays a pivotal role in regulating T cell migration and inhibiting tumor angiogenesis.
Therefore, we engineered CAR T cells expressing CXCL9 (CART-CXCL9). The addition of CXCL9 enhanced cytokine secretion and cytotoxicity of CAR T cells and endowed CAR T cells with the ability to recruit activated T cells and antiangiogenic effect. In tumor-bearing mice, CART-CXCL9 cells attracted more T cell trafficking to the tumor site and inhibited angiogenesis than conventional CAR T cells.
Additionally, CART-CXCL9 cell therapy slowed tumor growth and prolonged mouse survival, displaying superior antitumor activity. Briefly, modifying CAR T cells to express CXCL9 could effectively improve CAR T cell efficacy against solid tumors.
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