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:CAR T cells equipped with a fully human scFv targeting Trop2 can be used to treat pancreatic cancer.
这些结果表明,装备了全人源抗Trop2 scFv的Trop2靶向CAR T细胞可能成为胰腺癌的潜在治疗策略,并可能有助于临床评估。
嵌合抗原受体(CAR)T细胞疗法在治疗血液系统恶性肿瘤方面已取得临床成功,但迄今为止对实体瘤尚未有效。Trop2是一种肿瘤相关抗原,在多种肿瘤中广泛过表达,并已被报道为胰腺癌的有前景靶点。我们的研究旨在确定使用全人源Trop2特异性单链可变区片段(scFv)设计的CAR T细胞是否可用于治疗Trop2阳性胰腺肿瘤。
我们设计了靶向Trop2的嵌合抗原受体工程T细胞,其携带一种新型人源抗Trop2 scFv(2F11),随后研究了抗Trop2 CAR T细胞在体外暴露于Trop2+癌细胞时的细胞毒性、脱颗粒及细胞因子分泌特征。我们还利用BxPC-3胰腺异种移植模型,在体内研究了Trop2特异性CAR T细胞的抗肿瘤疗效和毒性。
以2F11设计的Trop2靶向CAR T细胞在体外有效杀死了Trop2阳性胰腺癌细胞,并产生了高水平的细胞毒性细胞因子。此外,Trop2靶向CAR T细胞在体内持续循环并高效浸润肿瘤组织,显著阻断甚至消除了BxPC-3胰腺异种移植肿瘤的生长,静脉注射到NSG小鼠后未观察到明显的毒性效应。此外,无病生存期得到有效延长。
PURPOSE: Chimeric antigen receptor (CAR) T cell therapy has demonstrated clinical success in treating haematologic malignancies but has not been effective against solid tumours thus far. Trop2 is a tumour-related antigen broadly overexpressed on a variety of tumours and has been reported as a promising target for pancreatic cancers. Our study aimed to determine whether CAR T cells designed with a fully human Trop2-specific single-chain fragment variable (scFv) can be used in the treatment of Trop2-positive pancreatic tumours. METHODS: We designed Trop2-targeted chimeric antigen receptor engineered T cells with a novel human anti-Trop2 scFv (2F11) and then investigated the cytotoxicity, degranulation, and cytokine secretion profiles of the anti-Trop2 CAR T cells when they were exposed to Trop2 + cancer cells in vitro. We also studied the antitumour efficacy and toxicity of Trop2-specific CAR T cells in vivo using a BxPC-3 pancreatic xenograft model. RESULTS: Trop2-targeted CAR T cells designed with 2F11 effectively killed Trop2-positive pancreatic cancer cells and produced high levels of cytotoxic cytokines in vitro. In addition, Trop2-targeted CAR T cells, which persistently circulate in vivo and efficiently infiltrate into tumour tissues, significantly blocked and even eliminated BxPC-3 pancreatic xenograft tumour growth without obvious deleterious effects observed after intravenous injection into NSG mice. Moreover, disease-free survival was efficiently prolonged. CONCLUSION: These results show that Trop2-targeted CAR T cells equipped with a fully human anti-Trop2 scFv could be a potential treatment strategy for pancreatic cancer and could be useful for clinical evaluation.
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