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:Leveraging gene therapy to achieve long-term continuous or controllable expression of biotherapeutics.
此外,我们利用外显子跳跃策略构建了可诱导版本,并在 AAV 注射后至少 36 周内实现了可重复的按需表达。
通过嵌合抗原受体(CAR-T)或双特异性分子将T细胞重定向至癌细胞是突破性技术;但CAR-T需个体化生产,双抗通常需持续输注。我们利用腺相关病毒(AAV)基因转移,开发现货型单次给药方案,使蛋白免疫治疗药物在血清中持续维持较长时间。研究在CD19阳性淋巴瘤异种移植模型中验证概念:单次静脉注射表达分泌型blinatumomab的AAV,可作为CD19 CAR-T治疗的通用替代方案。此外,利用外显子跳跃策略构建可诱导版本,在AAV注射后至少36周内实现按需重复表达。本系统亦可考虑用于非癌症适应证,以短期和/或重复表达其他目标转基因。
T cells redirected to cancer cells either via a chimeric antigen receptor (CAR-T) or a bispecific molecule have been breakthrough technologies; however, CAR-T cells require individualized manufacturing and bispecifics generally require continuous infusions. We created an off-the-shelf, single-dose solution for achieving prolonged systemic serum levels of protein immunotherapeutics via adeno-associated virus (AAV) gene transfer. We demonstrate proof of principle in a CD19 + lymphoma xenograft model using a single intravenous dose of AAV expressing a secreted version of blinatumomab, which could serve as a universal alternative for CD19 CAR-T cell therapy. In addition, we created an inducible version using an exon skipping strategy and achieved repeated, on-demand expression up to at least 36 weeks after AAV injection. Our system could be considered for short-term and/or repeated expression of other transgenes of interest for noncancer applications.
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