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:Universal allogeneic CAR T cells engineered with Sleeping Beauty transposons and CRISPR-CAS9 for cancer immunotherapy.
同种异体CD19特异性嵌合抗原受体(CAR)T细胞,其供者T细胞受体(TCR)表达被灭活,可作为淋巴系统恶性肿瘤的“现货型”治疗手段,从而为自体患者来源T细胞提供了一种有吸引力的替代方案。
表达失活供者T细胞受体(TCR)的异基因CD19特异性嵌合抗原受体(CAR)T细胞,可作为淋巴系统恶性肿瘤的“现货型”疗法,是自体患者来源T细胞的有吸引力替代方案。目前T细胞工程化改造主要依赖病毒载体。我们优化并验证了一种非病毒基因改造平台:使用微环递送Sleeping Beauty(SB)转座子以表达CD19-28z.CAR,并通过CRISPR-Cas9核糖核蛋白颗粒使异基因TCR失活。该方法高效破坏TCR基因,细胞毒性很低,同时实现强效且稳定的CD19-28z.CAR表达。CAR-T细胞可应答CD19+肿瘤细胞并发挥抗肿瘤活性,在NALM6荷瘤小鼠中诱导肿瘤完全缓解,同时显著降低TCR介导的异体反应性和GvHD发生。单独CAR信号在TCR被破坏的CAR-T细胞和对照CAR-T细胞中诱导了相似的T细胞信号特征。相反,在CAR/TCR双重信号传导时,TCR破坏抑制了T细胞信号传导和蛋白磷酸化。本非病毒SB转座子与CRISPR-Cas9联合策略可作为制备下一代CD19特异性CAR-T细胞的替代方案,同时降低GvHD风险并减轻病毒载体固有的潜在生产限制。
Allogeneic CD19-specific chimeric antigen receptor (CAR) T cells with inactivated donor T cell receptor (TCR) expression can be used as an "off-the-shelf" therapeutic modality for lymphoid malignancies, thus offering an attractive alternative to autologous, patient-derived T cells. Current approaches for T cell engineering mainly rely on the use of viral vectors. Here, we optimized and validated a non-viral genetic modification platform based on Sleeping Beauty (SB) transposons delivered with minicircles to express CD19-28z.CAR and CRISPR-Cas9 ribonucleoparticles to inactivate allogeneic TCRs. Efficient TCR gene disruption was achieved with minimal cytotoxicity and with attainment of robust and stable CD19-28z.CAR expression. The CAR T cells were responsive to CD19+ tumor cells with antitumor activities that induced complete tumor remission in NALM6 tumor-bearing mice while significantly reducing TCR alloreactivity and GvHD development. Single CAR signaling induced the similar T cell signaling signatures in TCR-disrupted CAR T cells and control CAR T cells. In contrast, TCR disruption inhibited T cell signaling/protein phosphorylation compared with the control CAR T cells during dual CAR/TCR signaling. This non-viral SB transposon-CRISPR-Cas9 combination strategy serves as an alternative for generating next-generation CD19-specific CAR T while reducing GvHD risk and easing potential manufacturing constraints intrinsic to viral vectors.
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