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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Spatial delivery of immune cues to lymph nodes to define therapeutic outcomes in cancer vaccination.
Spatial delivery of immune cues to lymph nodes to define therapeutic outcomes in cancer vaccination.
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近期获批的癌症免疫疗法——包括CAR-T 细胞和癌症疫苗——前景广阔,但分离并在体外工程化患者细胞的复杂性和成本限制了这些技术。淋巴结(LN)是整合免疫信号、协调适应性免疫的关键组织。直接调节LN中的信号和局部环境,可在不分离、工程化和回输细胞的情况下实现强效且安全的免疫治疗。
本研究将装载免疫信号的生物材料储库直接注射至淋巴结(i.LN.),以控制癌症疫苗沉积,揭示淋巴结内及淋巴结之间信号的组合和空间分布如何影响抗肿瘤应答。研究在健康和患病小鼠中显示,抗原与佐剂在淋巴结中以及相对于肿瘤的位置远近,可决定先天及适应性免疫应答的独特局部和全身特征,并最终控制淋巴瘤和黑色素瘤小鼠模型的生存。
值得注意的是,适当空间分布免疫信号后,仅需一次淋巴结内疫苗治疗,即可使小鼠在100天后肿瘤初次攻击和再次攻击中几乎全部存活,无需额外治疗。这些数据为利用生物材料开展淋巴结局部免疫疗法提供设计依据,可诱导系统性且特异性应答,同时避免全身暴露于强效或免疫毒性药物。
Recently approved cancer immunotherapies - including CAR-T cells and cancer vaccination, - show great promise.
However, these technologies are hindered by the complexity and cost of isolating and engineering patient cells ex vivo . Lymph nodes (LNs) are key tissues that integrate immune signals to coordinate adaptive immunity. Directly controlling the signals and local environment in LNs could enable potent and safe immunotherapies without cell isolation, engineering, and reinfusion.
Here we employ intra-LN ( i. LN. ) injection of immune signal-loaded biomaterial depots to directly control cancer vaccine deposition, revealing how the combination and geographic distribution of signals in and between LNs impact anti-tumor response.
We show in healthy and diseased mice that relative proximity of antigen and adjuvant in LNs - and to tumors - defines unique local and systemic characteristics of innate and adaptive response. These factors ultimately control survival in mouse models of lymphoma and melanoma. Of note, with appropriate geographic signal distributions, a single i. LN.
vaccine treatment confers near-complete survival to tumor challenge and re-challenge 100 days later, without additional treatments. These data inform design criteria for immunotherapies that leverage biomaterials for loco-regional LN therapy to generate responses that are systemic and specific, without systemically exposing patients to potent or immunotoxic drugs.
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