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:Locally secreted BiTEs complement CAR T cells by enhancing killing of antigen heterogeneous solid tumors.
由单价或多价T细胞分泌的BiTEs在体外和体内均具有强效抗肿瘤活性,且具有显著的敏感性和特异性,展示出在实体瘤治疗中一种有前景的策略。
双特异性T细胞衔接器(BiTE)是一种双特异性抗体,可将T细胞重定向至表达靶抗原的肿瘤。我们假设,分泌BiTE的T细胞可能是一种有价值的实体瘤治疗方法,在结合嵌合抗原受体(CAR)T细胞的单价或多价策略中具有独特性质。胶质母细胞瘤是实体瘤异质性的良好模型,代表着重大的治疗挑战。我们在胶质瘤组织和癌症干细胞上检测到肿瘤相关表皮生长因子受体(EGFR)、EGFR变异体III和白细胞介素-13受体α2(IL13R 2)的表达。这些抗原构成了多价方法的基础,使用构象特异性肿瘤相关EGFR靶向抗体(806)和Hu08(一种靶向IL13R 2的抗体)作为单链可变片段,生成新的BiTE分子。与CAR T细胞相比,BiTE T细胞在应对靶阳性胶质瘤时表现出显著的活化、细胞因子产生和细胞毒性。在胶质瘤小鼠模型早期阶段,分泌BiTE的双价T细胞也表现出优于双价CAR T细胞的应答活性,但长期并未如此。总之,由单价或多价T细胞分泌的BiTE在体外和体内均具有强效抗肿瘤活性,具有显著的敏感性和特异性,展示了实体瘤治疗中一种有前景的策略。
Bispecific T cell engagers (BiTEs) are bispecific antibodies that redirect T cells to target antigen-expressing tumors. We hypothesized that BiTE-secreting T cells could be a valuable therapy in solid tumors, with distinct properties in mono- or multi-valent strategies incorporating chimeric antigen receptor (CAR) T cells. Glioblastomas represent a good model for solid tumor heterogeneity, representing a significant therapeutic challenge. We detected expression of tumor-associated epidermal growth factor receptor (EGFR), EGFR variant III, and interleukin-13 receptor alpha 2 (IL13R 2) on glioma tissues and cancer stem cells. These antigens formed the basis of a multivalent approach, using a conformation-specific tumor-related EGFR targeting antibody (806) and Hu08, an IL13R 2-targeting antibody, as the single chain variable fragments to generate new BiTE molecules. Compared with CAR T cells, BiTE T cells demonstrated prominent activation, cytokine production, and cytotoxicity in response to target-positive gliomas. Superior response activity was also demonstrated in BiTE-secreting bivalent T cells compared with bivalent CAR T cells in a glioma mouse model at early phase, but not in the long term. In summary, BiTEs secreted by mono- or multi-valent T cells have potent anti-tumor activity in vitro and in vivo with significant sensitivity and specificity, demonstrating a promising strategy in solid tumor therapy.
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