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:Developing ROR1 Targeting CAR-T Cells against Solid Tumors in Preclinical Studies.
Developing ROR1 Targeting CAR-T Cells against Solid Tumors in Preclinical Studies.
嵌合抗原受体(CAR)修饰的T细胞(CAR-T)在对抗B细胞恶性肿瘤方面已展现出有前景的临床获益。
嵌合抗原受体(CAR)修饰的T细胞(CAR-T)在B细胞恶性肿瘤中已显示出有前景的临床获益。然而,其在实体瘤中的应用仍面临挑战。与血液系统肿瘤不同,实体瘤往往缺乏良好的靶点,理想的靶点应表达于肿瘤细胞,而不由正常健康细胞表达。幸运的是,受体酪氨酸激酶样孤儿受体1(ROR1)是少数良好的肿瘤靶点之一,其在多种肿瘤中异常表达,而在正常组织中低表达,提示其是CAR-T治疗的良好候选靶点。在此,我们构建了两种ROR1 CAR,它们具有相同的抗原识别结构域,该结构域来源于Zilovertamab,但铰链区不同。两种CAR均特异性靶向ROR1+癌细胞,但具有较短IgG4铰链的CAR表现出更高的表面表达和更好的体外功能。我们进一步在三种人实体瘤异种移植小鼠模型中测试了ROR1 CAR-T。我们的ROR1 CAR-T细胞控制了实体瘤生长,且未引起任何严重毒性。我们的结果表明,来源于Zilovertamab的ROR1 CAR-T在体外和体内均能有效且安全地抑制ROR1+实体瘤,为未来临床应用提供了一种有前景的治疗选择。
Chimeric antigen receptor (CAR)-modified T-cells (CAR-T) have demonstrated promising clinical benefits against B-cell malignancies. Yet, its application for solid tumors is still facing challenges. Unlike haematological cancers, solid tumors often lack good targets, which are ideally expressed on the tumor cells, but not by the normal healthy cells. Fortunately, receptor tyrosine kinase-like orphan receptor 1 (ROR1) is among a few good cancer targets that is aberrantly expressed on various tumors but has a low expression on normal tissue, suggesting it as a good candidate for CAR-T therapy. Here, we constructed two ROR1 CARs with the same antigen recognition domain that was derived from Zilovertamab but differing in hinge regions. Both CARs target ROR1 + cancer cells specifically, but CAR with a shorter IgG4 hinge exhibits a higher surface expression and better in vitro functionality. We further tested the ROR1 CAR-T in three human solid tumor xenografted mouse models. Our ROR1 CAR-T cells controlled the solid tumor growth without causing any severe toxicity. Our results demonstrated that ROR1 CAR-T derived from Zilovertamab is efficacious and safe to suppress ROR1 + solid tumors in vitro and in vivo , providing a promising therapeutic option for future clinical application.
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