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:Chimeric anti-GPC3 sFv-CD3ε receptor-modified T cells with IL7 co-expression for the treatment of solid tumors.
这些结果表明,GPC3 特异性 7sFv-T 细胞可能成为实体瘤的一种有前景的治疗策略。
靶向磷脂酰肌醇蛋白聚糖3(GPC3)的嵌合抗原受体(CAR)T细胞已在肝细胞癌患者中显示早期疗效信号,但存在细胞因子释放综合征(CRS)风险。在实体瘤中,使用天然T细胞受体(TCR)信号的若干过继细胞疗法(ACT)比CAR更有效地诱导抗肿瘤功能,同时减少细胞因子产生。为改善GPC3靶向ACT的疗效和安全性,研究者将抗GPC3单链可变片段(sFv)与CD3ε连接,构建可整合至完整TCR/CD3复合物中的嵌合sFv-CD3受体(sFv-ε)。与CD28或4-1BB CAR-T细胞相比,sFv-ε T细胞具有相当的抗肿瘤活性且细胞因子释放较低,这可能与Ca²⁺-钙调神经磷酸酶-NFAT信号通路活化程度适度较低有关。研究者进一步制备共表达白细胞介素7(IL-7)的鼠源sFv-ε T细胞(7sFv-ε),以促进T细胞存活并调动内源性免疫系统。在免疫功能完整的小鼠模型中,与常规sFv-ε T细胞相比,7sFv-ε T细胞持续存在能力更强、抗肿瘤疗效更好、免疫记忆更佳,同时维持较低细胞因子生成及CRS相关风险。这些结果表明,GPC3特异性7sFv-ε T细胞可能成为实体瘤有前景的治疗策略。
Chimeric antigen receptor (CAR) T cells targeting glypican-3 (GPC3) demonstrated early signs of therapeutic efficacy to hepatocellular carcinoma patients with a risk of cytokine release syndrome (CRS). Several adoptive cell therapies (ACTs) with T cells using the natural T cell receptor (TCR) signaling induced more efficient antitumor function and reduced cytokine production relative to CARs in solid tumors. To improve the efficacy and safety of GPC3-targeted ACTs, T cells were modified with anti-GPC3 single-chain fragment variable(sFv) linked to CD3 , which could be incorporated into the entire TCR/CD3 complex to form chimeric sFv-CD3 receptor (sFv- ). sFv- T cells showed competitive antitumor activity and lower cytokine release compared to 28 or BB CAR T cells, which may be ascribed to moderately less activated Ca 2+ -calcineurin-NFAT signaling pathway. We further generated murine sFv- T cells with interleukin-7 co-expression (7sFv- ) to promote T cell survival and to mobilize the endogenous immune system. In immunocompetent mouse models, 7sFv- T cells showed superior persistence, antitumor efficacy, and immunological memory while preserving the low production of cytokines associated with CRS compared to conventional sFv- T cells. These results indicate that GPC3-specific 7sFv- T cells could serve as a promising therapeutic strategy for solid tumors.
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