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:B7-H3 Specific CAR T Cells for the Naturally Occurring, Spontaneous Canine Sarcoma Model.
B7-H3 Specific CAR T Cells for the Naturally Occurring, Spontaneous Canine Sarcoma Model.
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人类实体瘤免疫治疗研究面临的一个障碍是缺乏具有临床相关性的动物模型。本研究尝试建立自然发生的犬肉瘤CAR-T 细胞治疗模型,以模拟人类CAR-T 治疗。研究者构建了靶向B7-H3的犬CAR,采用源自人抗B7-H3抗体MGA271的单链可变片段,并证实其可与犬B7-H3交叉反应。改进激活、转导及扩增方法后,研究者在三维肿瘤球实验中证实了靶细胞杀伤能力。研究设计的犬B7-H3 CAR-T 细胞具有持续较高的转导效率、扩增能力和体外肿瘤杀伤活性。两只专门繁育的健康犬在接受环磷酰胺和氟达拉滨淋巴清除后接受CAR-T 细胞治疗,结果证实其安全性。研究者密切监测治疗后的免疫应答、临床指标和表现,发现其特征与人体相似,且未观察到严重不良事件。
总之,与人类癌症类似,B7-H3可作为犬实体瘤的治疗靶点。研究者通过与人类CAR-T 生产流程高度相似的工艺,成功制备了功能良好的犬B7-H3特异性CAR-T 细胞产品;所设计的治疗方案也经体内验证具有安全性。
本研究为建立犬和人类实体瘤免疫治疗的体外及体内模型提供了有前景的方向。
One obstacle for human solid tumor immunotherapy research is the lack of clinically relevant animal models. In this study, we sought to establish a chimeric antigen receptor (CAR) T-cell treatment model for naturally occurring canine sarcomas as a model for human CAR T-cell therapy.
Canine CARs specific for B7-H3 were constructed using a single-chain variable fragment derived from the human B7-H3-specific antibody MGA271, which we confirmed to be cross-reactive with canine B7-H3. After refining activation, transduction, and expansion methods, we confirmed target killing in a tumor spheroid three-dimensional assay.
We designed a B7-H3 canine CAR T-cell and achieved consistently high levels of transduction efficacy, expansion, and in vitro tumor killing. Safety of the CAR T cells were confirmed in two purposely bred healthy canine subjects following lymphodepletion by cyclophosphamide and fludarabine.
Immune response, clinical parameters, and manifestation were closely monitored after treatments and were shown to resemble that of humans. No severe adverse events were observed. In summary, we demonstrated that similar to human cancers, B7-H3 can serve as a target for canine solid tumors.
We successfully generated highly functional canine B7-H3-specific CAR T-cell products using a production protocol that closely models human CAR T-cell production procedure. The treatment regimen that we designed was confirmed to be safe in vivo.
Our research provides a promising direction to establish in vitro and in vivo models for immunotherapy for canine and human solid tumor treatment.
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