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 virus-mediated expansion of dual-specific CAR T cells improves efficacy against solid tumors in mice.
编码多种转基因的溶瘤病毒(OVs)已被评估作为治疗工具,以提高嵌合抗原受体(CAR)修饰的T细胞在实体瘤微环境(TME)中的疗效。
溶瘤病毒(OVs)编码多种转基因,已被评估作为治疗工具,用以提高嵌合抗原受体(CAR)修饰T细胞在实体瘤微环境(TME)中的疗效。在此,我们在免疫健全小鼠模型中采用系统性递送的OVs和CAR T细胞,界定了一种机制,即OVs可增强CAR T细胞对黑色素瘤和胶质瘤实体瘤模型的疗效。我们显示,用病毒或病毒编码的表位刺激天然T细胞受体(TCR)可产生增强的增殖、CAR导向的抗肿瘤功能以及独特的记忆表型。双特异性(DS)CAR T细胞的体内扩增通过体外预加载溶瘤性水疱性口炎病毒(VSV)或呼肠孤病毒得以实现,从而可通过同源加强在体内进一步扩增和再激活T细胞。该治疗导致皮下黑色素瘤和颅内胶质瘤小鼠的生存期延长。人CD19 CAR T细胞也可通过针对病毒或病毒编码抗原的TCR反应性在体外扩增,并与更强的CAR导向细胞因子产生相关。我们的数据突显了将OV与CAR T细胞疗法联合应用的效用,并表明可利用对天然TCR的刺激来增强小鼠中CAR T细胞的活性和疗效。
Oncolytic viruses (OVs) encoding a variety of transgenes have been evaluated as therapeutic tools to increase the efficacy of chimeric antigen receptor (CAR)-modified T cells in the solid tumor microenvironment (TME). Here, using systemically delivered OVs and CAR T cells in immunocompetent mouse models, we have defined a mechanism by which OVs can potentiate CAR T cell efficacy against solid tumor models of melanoma and glioma. We show that stimulation of the native T cell receptor (TCR) with viral or virally encoded epitopes gives rise to enhanced proliferation, CAR-directed antitumor function, and distinct memory phenotypes. In vivo expansion of dual-specific (DS) CAR T cells was leveraged by in vitro preloading with oncolytic vesicular stomatitis virus (VSV) or reovirus, allowing for a further in vivo expansion and reactivation of T cells by homologous boosting. This treatment led to prolonged survival of mice with subcutaneous melanoma and intracranial glioma tumors. Human CD19 CAR T cells could also be expanded in vitro with TCR reactivity against viral or virally encoded antigens and was associated with greater CAR-directed cytokine production. Our data highlight the utility of combining OV and CAR T cell therapy and show that stimulation of the native TCR can be exploited to enhance CAR T cell activity and efficacy in mice.
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