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:Multidimensional single-cell analysis identifies a role for CD2-CD58 interactions in clinical antitumor T cell responses.
Multidimensional single-cell analysis identifies a role for CD2-CD58 interactions in clinical antitumor T cell responses.
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过继转移 T 细胞的体内持久性与抗肿瘤反应具有预测相关性。鉴定能够导致体内持久性和肿瘤根除的输注 T 细胞的功能特性仍然难以实现。
我们使用基于纳米孔网格中延时成像显微镜(TIMING)的高通量单细胞技术,对用于治疗大 B 细胞淋巴瘤的输注产品 CD19 特异性嵌合抗原受体(CAR)T 细胞进行了分析,该技术整合了杀伤、细胞因子分泌和转录谱分析。
我们的结果表明,CD19 特异性 CAR-T 细胞的定向迁移与多功能性相关。我们证明,T 细胞上的 CD2 与定向迁移相关,并且 T 细胞上的 CD2 与淋巴瘤细胞上的 CD58 之间的相互作用加速了杀伤和连续杀伤。与此一致,我们观察到,在接受 CD19 特异性 CAR-T 细胞治疗的复发/难治性大 B 细胞淋巴瘤患者中,治疗前肿瘤样本上 CD58 表达升高与完全临床反应和生存相关。这些结果突出了研究动态 T 细胞-肿瘤细胞相互作用在鉴定最佳抗肿瘤反应中的重要性。
The in vivo persistence of adoptively transferred T cells is predictive of antitumor response. Identifying functional properties of infused T cells that lead to in vivo persistence and tumor eradication has remained elusive.
We profiled CD19-specific chimeric antigen receptor (CAR) T cells as the infusion products used to treat large B cell lymphomas using high-throughput single-cell technologies based on time-lapse imaging microscopy in nanowell grids (TIMING), which integrates killing, cytokine secretion, and transcriptional profiling.
Our results show that the directional migration of CD19-specific CAR T cells is correlated with multifunctionality.
We showed that CD2 on T cells is associated with directional migration and that the interaction between CD2 on T cells and CD58 on lymphoma cells accelerates killing and serial killing.
Consistent with this, we observed that elevated CD58 expression on pretreatment tumor samples in patients with relapsed or refractory large B cell lymphomas treated with CD19-specific CAR T cell therapy was associated with complete clinical response and survival. These results highlight the importance of studying dynamic T cell-tumor cell interactions in identifying optimal antitumor responses.
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