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接头介导 CAR 的 CAR-T 疗法模块化控制研究进展

英文原题:Advances in modular control of CAR-T therapy with adapter-mediated CARs.

查看英文原题

Advances in modular control of CAR-T therapy with adapter-mediated CARs.

PubMed 2022/05/23(内容时间) Adv Drug Deliv Rev Q1 · IF 21(JCR 2025)

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中文摘要

蛋白质工程为基于 T 细胞的免疫治疗领域的成功做出了贡献,包括嵌合抗原受体(CAR)T 细胞疗法。CAR-T 细胞疗法已成为癌症免疫治疗的支柱,通过靶向 B 细胞抗原 CD19,在 B 细胞恶性肿瘤中展现出临床疗效。当前的基因编辑技术对 CAR-T 细胞活性的安全控制有限,这为在患者中控制 CAR-T 细胞带来了障碍。另一种方法是通过工程化 CAR 使其结合可溶性衔接分子来控制 CAR-T 细胞活性,这些衔接分子引导 CAR-T 细胞与靶细胞之间的相互作用。这种衔接分子介导方法的灵活性克服了传统 CAR-T 细胞的固定特异性,从而能够靶向多种细胞类型。在此,我们描述衔接分子 CAR-T 技术,以及这些方法如何凸显蛋白质工程在 T 细胞疗法可编程工具设计中日益增长的作用。

展开英文摘要原文

Protein engineering has contributed to successes in the field of T cell-based immunotherapy, including chimeric antigen receptor (CAR) T cell therapy. CAR T cell therapy has become a pillar of cancer immunotherapy, demonstrating clinical effectiveness against B cell malignancies by targeting the B cell antigen CD19. Current gene editing techniques have limited safety controls over CAR T cell activity, which presents a hurdle for control of CAR T cells in patients.

Alternatively, CAR T cell activity can be controlled by engineering CARs to bind soluble adapter molecules that direct the interaction between the CAR T cell and target cell. The flexibility in this adapter-mediated approach overcomes the rigid specificity of traditional CAR T cells to allow targeting of multiple cell types.

Here we describe adapter CAR T technologies and how these methods emphasize the growing role of protein engineering in the design of programmable tools for T cell therapies.

论文信息

作者
McCue AC、Yao Z、Kuhlman B
第一作者单位
Department of Biochemistry and Biophysics, University of North Carolina, Chapel Hill, NC 27599, USA. Electronic address: acmccue@unc.edu.United States
通讯作者单位
Department of Biochemistry and Biophysics, University of North Carolina, Chapel Hill, NC 27599, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27514, USA. Electronic address: bkuhlman@email.unc.edu.United States
文献类型
综述 · 美国 NIH 资助研究
期刊
Advanced drug delivery reviews2022 Aug
原文标识
PubMed 35618140 · DOI 10.1016/j.addr.2022.114358