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:Balancing activation and co-stimulation of CAR tunes signaling dynamics and enhances therapeutic potency.
靶向CD19的嵌合抗原受体(CAR)带有CD28和CD3信号域,已获美国FDA批准用于治疗B细胞恶性肿瘤。
靶向CD19且带有CD28和CD3信号结构域的嵌合抗原受体(CAR)已获美国FDA批准用于治疗B细胞恶性肿瘤。对CD3中免疫受体酪氨酸基激活基序(ITAM)进行突变,生成了仅含单个ITAM的1XX CAR,其在白血病小鼠模型中显示出优越的抗肿瘤活性。在此,我们研究了1XX设计是否能增强对实体瘤的治疗效力。我们构建了针对CD19和AXL的1XX CAR,并将其体外和体内功能与野生型(WT)对应物进行了比较。1XX CAR在胰腺癌和黑色素瘤小鼠模型中均显示出更好的抗肿瘤疗效。详细分析显示,1XX CAR-T细胞在体内持续存在时间更长,且中央记忆细胞比例更高。利用基于荧光共振能量转移(FRET)的生物传感器,我们发现1XX中ITAM数量减少导致相似的70-kDa zeta链相关蛋白(ZAP70)激活,而1XX诱导的Ca2+升高高于WT CAR,细胞外信号调节激酶(Erk)激活也快于WT CAR。因此,我们的结果证实了1XX在不同实体瘤模型中针对两个靶点的优越性,并揭示了CAR信号传导的潜在分子机制,为1XX CAR应用于实体瘤的临床铺平了道路。
CD19-targeting chimeric antigen receptors (CARs) with CD28 and CD3 signaling domains have been approved by the US FDA for treating B cell malignancies. Mutation of immunoreceptor tyrosine-based activation motifs (ITAMs) in CD3 generated a single-ITAM containing 1XX CAR, which displayed superior antitumor activity in a leukemia mouse model. Here, we investigated whether the 1XX design could enhance therapeutic potency against solid tumors. We constructed both CD19- and AXL-specific 1XX CARs and compared their in vitro and in vivo functions with their wild-type (WT) counterparts. 1XX CARs showed better antitumor efficacy in both pancreatic and melanoma mouse models. Detailed analysis revealed that 1XX CAR-T cells persisted longer in vivo and had a higher percentage of central memory cells. With fluorescence resonance energy transfer (FRET)-based biosensors, we found that decreased ITAM numbers in 1XX resulted in similar 70-kDa zeta chain-associated protein (ZAP70) activation, while 1XX induced higher Ca 2+ elevation and faster extracellular signal-regulated kinase (Erk) activation than WT CAR. Thus, our results confirmed the superiority of 1XX against two targets in different solid tumor models and shed light on the underlying molecular mechanism of CAR signaling, paving the way for the clinical applications of 1XX CARs against solid tumors.
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