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:A novel anti-B7-H3 chimeric antigen receptor from a single-chain antibody library for immunotherapy of solid cancers.
A novel anti-B7-H3 chimeric antigen receptor from a single-chain antibody library for immunotherapy of solid cancers.
B7-H3 (CD276) 已成为癌症免疫治疗的靶点,因为它在许多恶性肿瘤中持续表达,在健康组织中相对缺失,并且逐渐显现出作为肿瘤免疫抑制驱动因子的作用。
B7-H3(CD276)因在许多恶性肿瘤中持续表达、在健康组织中相对缺失,以及作为肿瘤免疫抑制驱动因素的新兴作用,已成为癌症免疫治疗的靶点。近期研究报道,B7-H3 是利用由已建立的抗 B7-H3 抗体转化为单链 Fv 格式(scFv)构建的 CAR 进行嵌合抗原受体修饰 T 细胞(CAR-T)治疗的合适靶点。我们在 scFv 文库中构建并筛选结合物,以生成具有良好特性的新型抗 B7-H3 CAR-T。这使我们能够获得许多已准备好用于 CAR 评估的特异性。选出的抗人 B7-H3 scFv 可方便地克隆到 CAR-T 中,并在细胞毒性、细胞因子和增殖实验中评估抗肿瘤反应性。发现两个互补决定区不同的结合物显示出最佳的抗原特异性细胞毒性和细胞因子分泌。一个以第二代 CD28-CD3 CAR 格式构建的结合物在重复抗原刺激下诱导持续的体外增殖。先导候选 CAR-T 还在耐药神经母细胞瘤模型中显示出体内活性。通过在 CAR-T 格式中筛选新型 scFv 序列来经验性发现 B7-H3 CAR-T,已鉴定出一种具有持续增殖能力的新构建体,值得进一步评估。
B7-H3 (CD276) has emerged as a target for cancer immunotherapy by virtue of consistent expression in many malignancies, relative absence from healthy tissues, and an emerging role as a driver of tumor immune inhibition. Recent studies have reported B7-H3 to be a suitable target for chimeric antigen receptor-modified T cell (CAR-T) therapy using CARs constructed from established anti-B7-H3 antibodies converted into single-chain Fv format (scFv). We constructed and screened binders in an scFv library to generate a new anti-B7-H3 CAR-T with favorable properties. This allowed access to numerous specificities ready formatted for CAR evaluation. Selected anti-human B7-H3 scFvs were readily cloned into CAR-T and evaluated for anti-tumor reactivity in cytotoxicity, cytokine, and proliferation assays. Two binders with divergent complementarity determining regions were found to show optimal antigen-specific cytotoxicity and cytokine secretion. One binder in second-generation CD28-CD3 CAR format induced sustained in vitro proliferation on repeat antigen challenge. The lead candidate CAR-T also demonstrated in vivo activity in a resistant neuroblastoma model. An empirical approach to B7-H3 CAR-T discovery through screening of novel scFv sequences in CAR-T format has led to the identification of a new construct with sustained proliferative capacity warranting further evaluation.
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