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:DAP10 integration in CAR-T cells enhances the killing of heterogeneous tumors by harnessing endogenous NKG2D.
尽管CAR-T(CAR-T)细胞在血液系统恶性肿瘤中取得了显著成功,但 CAR-T 细胞对实体瘤的疗效仍不理想。
CAR-T(CAR-T)细胞已在血液系统恶性肿瘤治疗中取得显著成功,但对实体瘤的疗效仍不理想。抗原表达异质性是实体癌难以有效清除的障碍之一。DNAX活化蛋白10(DAP10)与NK 细胞受体NKG2D相互作用,可作为适配蛋白,帮助识别并监视多种恶性细胞。本研究设计了一种DAP10嵌合受体,利用T细胞内源性NKG2D靶向表达NKG2D配体的癌细胞;并将该受体与靶向磷脂酰肌醇蛋白聚糖3(GPC3)的单链可变片段(scFv)串联,构建双抗原靶向系统。表达DAP10嵌合受体的T细胞(DAP10-T)对实体癌细胞系的细胞毒性和细胞因子分泌均增强;其与抗GPC3 scFv串联后形成的CAR GPC3-DAP10-T细胞,可在体外清除异质性癌细胞,并在体内抑制异质性肿瘤生长。因此,这种新型双靶向系统可高效杀伤癌细胞并拓宽CAR-T细胞对肿瘤的识别范围,为临床治疗实体癌提供潜在策略。
Although chimeric antigen receptor T (CAR-T) cells have achieved remarkable successes in hematological malignancies, the efficacies of CAR-T cells against solid tumors remains unsatisfactory. Heterogeneous antigen expression is one of the obstacles on its effective elimination of solid cancer cells. DNAX-activating protein 10 (DAP10) interacts with natural killer group 2D (NKG2D), acting as an adaptor that targets various malignant cells for surveillance. Here, we designed a DAP10 chimeric receptor that utilized native NKG2D on T cells to target NKG2D ligand-expressing cancer cells. We then tandemly incorporated it with anti-glypican 3 (GPC3) single-chain variable fragment (scFv) to construct a dual-antigen-targeting system. T cells expressing DAP10 chimeric receptor (DAP10-T cells) displayed with an enhancement on both cytotoxicity and cytokine secretion against solid cancer cell lines, and its tandem connection with anti-GPC3 scFv (CAR GPC3-DAP10-T cells) exhibited a dual-antigen-targeting capacity on eliminating heterogeneous cancer cells in vitro and suppressing the growth of heterogeneous cancer in vivo. Thus, this novel dual-targeting system enabled a high efficacy on killing cancer cells and extended the recognition profile of CAR-T cells toward tumors, which providing a potential strategy on treatment of solid cancer clinically.
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