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:Engineering Human MAIT Cells with Chimeric Antigen Receptors for Cancer Immunotherapy.
用嵌合Ag受体(CAR)工程化免疫细胞是癌症免疫治疗中一项有前景的技术。
用嵌合Ag受体(CAR)工程化免疫细胞是癌症免疫治疗中一项有前景的技术。除经典的细胞毒性CD8+ T细胞外,先天细胞类型如NK细胞也已被用于生成CAR-T或CAR-NK细胞。在本研究中,我们设计了一种方法,将一种非经典细胞毒性T细胞亚群,称为黏膜相关恒定T(MAIT)细胞,编程为有效的CAR-T细胞,以对抗B细胞淋巴瘤和乳腺癌细胞。据此,我们在激活的原代人MAIT细胞和CD8+ T细胞中表达抗CD19和抗Her2 CAR,在体外扩增它们,并比较它们对肿瘤细胞靶标的细胞毒性。我们显示,通过CAR激活后,CAR-MAIT细胞对靶细胞表现出高水平的细胞毒性,与CD8+CAR-T细胞相当,但有趣的是,其表达的IFN-低于常规CAR CD8+T细胞。此外,在维生素B2代谢物5-ARU(5-氨基-4-d-核糖基氨基尿嘧啶二盐酸盐)存在下,这是一种通过MHC I类相关(MR1)蛋白激活MAIT细胞的保守化合物,MAIT细胞以剂量依赖性方式杀伤表达MR1的靶乳腺癌和B细胞淋巴瘤细胞系。因此,MAIT细胞可以被基因编辑为CAR-T细胞,或通过MR1配体被动员和扩增,作为一种现成的新型基于细胞的癌症免疫治疗策略方法,同时在有效性上与常规方法相当。
Engineering immune cells with chimeric Ag receptors (CARs) is a promising technology in cancer immunotherapy. Besides classical cytotoxic CD8 + T cells, innate cell types such as NK cells have also been used to generate CAR-T or CAR-NK cells. In this study, we devised an approach to program a nonclassical cytotoxic T cell subset called mucosal-associated invariant T (MAIT) cells into effective CAR-T cells against B cell lymphoma and breast cancer cells. Accordingly, we expressed anti-CD19 and anti-Her2 CARs in activated primary human MAIT cells and CD8 + T cells, expanded them in vitro, and compared their cytotoxicity against tumor cell targets. We show upon activation through CARs that CAR-MAIT cells exhibit high levels of cytotoxicity toward target cells, comparable to CD8 + CAR-T cells, but interestingly expressed lower levels of IFN- than conventional CAR CD8 + T cells. Additionally, in the presence of vitamin B 2 metabolite 5-ARU (5-amino-4-d-ribitylaminouracil dihydrochloride), which is a conserved compound that activates MAIT cells through MHC class I-related (MR1) protein, MAIT cells killed MR1-expressing target breast cancer and B cell lymphoma cell lines in a dose-dependent manner. Thus, MAIT cells can be genetically edited as CAR-T cells or mobilized and expanded by MR1 ligands as an off-the-shelf novel approach to cell-based cancer immunotherapy strategies while being comparable to conventional methods in effectivity.
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