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:Generation and proof-of-concept for allogeneic CD123 CAR-Delta One T (DOT) cells in acute myeloid leukemia.
我们的结果为基于DOT的下一代异体CAR-T疗法治疗AML提供了概念验证。
嵌合抗原受体(CAR)-T细胞已成为复发/难治性血液肿瘤的突破性治疗手段,展现出令人瞩目的完全缓解率。然而,约50%的患者在治疗后1年内复发。T细胞“适应性”对于延长CAR-T的持久性和活性至关重要。来自健康供者的异体T细胞比自体患者来源的T细胞功能失调或耗竭更少;在此背景下,Delta One T细胞(DOTs),一种最近描述的基于MHC/HLA非依赖性V 1 + T细胞的细胞产品,代表了一个有前景的异体平台。
我们首次生成并临床前验证了基于4-1BB的CAR-DOTs,其针对白细胞介素-3链受体(CD123),这是一种在急性髓系白血病(AML)原始细胞上广泛表达的靶抗原。
CD123CAR-DOTs对AML细胞系和原代样本在体外和体内均表现出强烈的细胞毒性,优于对照DOTs,即使在肿瘤再攻击时也是如此。
BACKGROUND: Chimeric antigen receptor (CAR)-T cells have emerged as a breakthrough treatment for relapse/refractory hematological tumors, showing impressive complete remission rates. However, around 50% of the patients relapse before 1-year post-treatment. T-cell 'fitness' is critical to prolong CAR-T persistence and activity. Allogeneic T cells from healthy donors are less dysfunctional or exhausted than autologous patient-derived T cells; in this context, Delta One T cells (DOTs), a recently described cellular product based on MHC/HLA-independent V 1 + T cells, represent a promising allogeneic platform. METHODS: Here we generated and preclinically validated, for the first time, 4-1BB-based CAR-DOTs directed against the interleukin-3 chain receptor (CD123), a target antigen widely expressed on acute myeloid leukemia (AML) blasts. RESULTS: CD123CAR-DOTs showed vigorous, superior to control DOTs, cytotoxicity against AML cell lines and primary samples both in vitro and in vivo , even on tumor rechallenge. CONCLUSIONS: Our results provide the proof-of-concept for a DOT-based next-generation allogeneic CAR-T therapy for AML.
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