CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CD147-specific chimeric antigen receptor T cells effectively inhibit T cell acute lymphoblastic leukemia.
CD147-specific chimeric antigen receptor T cells effectively inhibit T cell acute lymphoblastic leukemia.
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T 细胞急性淋巴细胞白血病(T-ALL)具有侵袭性和异质性,现有疗法有时效果不佳。嵌合抗原受体(CAR)T 细胞疗法是一种突破性肿瘤治疗方法,尤其适用于 B 细胞急性淋巴细胞白血病。
我们发现,T-ALL 患者和 T 细胞淋巴瘤患者的肿瘤 T 细胞中 CD147 高表达。因此,我们构建了用于治疗 T-ALL 的 CD147-CAR-T 细胞,其包含靶向人 CD147 的人源化单链可变片段和第二代 CAR 骨架。CD147-CAR-T 细胞能够维持良好增殖率,并保留一部分 CD62L⁺/CCR7⁺ 记忆 T 细胞。它们对人 T-ALL 细胞系和 T-ALL 原始细胞具有强效抗肿瘤活性,同时释放大量细胞因子。
不过,CD147-CAR-T 细胞对人正常细胞和 CD147 缺失细胞表现出潜在安全性。研究者使用 NOD/ShiLtJGpt-Prkdc em26Cd52 Il2rg em26Cd22/Gpt 小鼠建立 T-ALL 异种移植模型;CD147-CAR-T 细胞有效保护小鼠免于 T-ALL 进展,并显著改善生存。
总体而言,研究发现 CD147 是 T-ALL CAR-T 细胞治疗的潜在抗原靶点。
T cell acute lymphoblastic leukemia (T-ALL) is invasive and heterogeneous, and existing therapies are sometimes unsuccessful. Chimeric antigen receptor (CAR) T cell therapy is a breakthrough tumor treatment method, particularly for B cell acute lymphoblastic leukemia.
We found that CD147 was highly expressed in tumor T cells of T-ALL patients and T cell lymphoma.
Therefore, CD147-CAR T cells that contain a humanized single-chain variable fragment targeting human CD147 and a second-generation CAR frame were constructed for treating T-ALL. CD147-CAR T cells were able to maintain a healthy proliferation rate, preserving a subset of CD62L+/CCR7+ memory T cells. CD147-CAR T cells showed a potent anti-tumor activity against human T-ALL cell line and T-ALL blasts, releasing high level of cytokines in the process.
However, CD147-CAR T cells exhibited potential safety toward human normal cells and CD147-deficent cells. NOD/ShiLtJGpt-Prkdc em26Cd52 Il2rg em26Cd22 /Gpt mice were used to establish a T-ALL xenograft model and CD147-CAR T cells conferred robust protection against T-ALL progression and significantly improved survival in mice.
Overall, we found that CD147 is a potential antigen target of CAR T cell therapy for T-ALL.
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