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:Generation of T-cell-receptor-negative CD8αβ-positive CAR T cells from T-cell-derived induced pluripotent stem cells.
Generation of T-cell-receptor-negative CD8αβ-positive CAR T cells from T-cell-derived induced pluripotent stem cells.
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表达嵌合抗原受体(CAR)的自体T细胞的生产耗时、昂贵且偶尔失败。T细胞来源的诱导多能干细胞(TiPS)是生成“现货型”CAR-T 细胞的有前景来源,但TiPS的体外分化通常产生特征欠佳的T细胞。在此我们表明,TiPS中T细胞受体(TCR)或组成型表达CAR的过早表达会促进先天表型的获得,而通过失活TCR并依赖CAR驱动分化可以避免这一现象。延迟CAR表达并校准其在TiPS中的信号强度,能够生成人TCR−CD8+CAR-T 细胞,其表现与来自外周血的CD8+CAR-T 细胞相似,在小鼠白血病模型中全身给药可实现有效的肿瘤控制,且不引起移植物抗宿主病。通过利用CAR在缺乏TCR的情况下驱动TiPS中的T细胞成熟,可能促进用于广泛免疫治疗的高效异体CD8+T细胞的大规模开发。
The production of autologous T cells expressing a chimaeric antigen receptor (CAR) is time-consuming, costly and occasionally unsuccessful. T-cell-derived induced pluripotent stem cells (TiPS) are a promising source for the generation of 'off-the-shelf' CAR T cells, but the in vitro differentiation of TiPS often yields T cells with suboptimal features.
Here we show that the premature expression of the T-cell receptor (TCR) or a constitutively expressed CAR in TiPS promotes the acquisition of an innate phenotype, which can be averted by disabling the TCR and relying on the CAR to drive differentiation.
Delaying CAR expression and calibrating its signalling strength in TiPS enabled the generation of human TCR - CD8 + CAR T cells that perform similarly to CD8 + CAR T cells from peripheral blood, achieving effective tumour control on systemic administration in a mouse model of leukaemia and without causing graft-versus-host disease. Driving T-cell maturation in TiPS in the absence of a TCR by taking advantage of a CAR may facilitate the large-scale development of potent allogeneic CD8 + T cells for a broad range of immunotherapies.
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