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溶瘤单纯疱疹病毒递送 CD19 和 BCMA 双 CAR 靶点及免疫调节剂以增强联合 CAR-T 细胞治疗实体瘤的疗效

英文原题:Oncolytic herpes simplex virus delivery of dual CAR targets of CD19 and BCMA as well as immunomodulators to enhance therapeutic efficacy in solid tumors combined with CAR T cell therapy.

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Oncolytic herpes simplex virus delivery of dual CAR targets of CD19 and BCMA as well as immunomodulators to enhance therapeutic efficacy in solid tumors combined with CAR T cell therapy.

PubMed 2022/10/24(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

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研究概要

这些研究表明,新一代 oHSV T7011 可与 CD19 或 BCMA 特异性 CAR-T 细胞联合治疗,有望成为治疗多种实体瘤的有前景的联合疗法。

研究思路结论见上方概要

CAR-T 细胞疗法是治疗血液系统恶性肿瘤的一种有前景的方法。然而,在实体瘤中的应用仍面临许多严峻挑战,包括抗原表达的异质性以及免疫抑制性肿瘤微环境(TME)。作为一种新的癌症治疗方式,溶瘤病毒疗法可以被工程化改造,以规避CAR-T 细胞疗法在实体瘤中遇到的这些障碍。

在本研究中,将oHSV T7011进行工程化改造,以驱动双抗原(CD19和BCMA的胞外结构域)在实体瘤细胞表面的异位表达,从而被已获批的CAR-T 细胞靶向。此外,还引入了多种免疫调节因子,包括CCL5、IL-12和抗PD-1抗体,以调节TME。在体外和体内评估了T7011与CD19或BCMA CAR-T 细胞联合使用的抗肿瘤活性。

T7011感染后可检测到肿瘤细胞表面CD19或BMCA的表达。TME中CCL5水平也升高。疗效研究证明,T7011与CAR-T CD19或CAR-T BCMA细胞联合在多种实体瘤模型中显示出显著的协同抗肿瘤反应。

展开英文摘要原文

The CAR T-cell therapy is a promising approach to treating hematologic malignancies. However, the application in solid tumors still has many tough challenges, including heterogenicity in antigen expressions and immunosuppressive tumor microenvironment (TME). As a new cancer treatment modality, oncolytic virotherapy can be engineered to circumvent these obstacles for CAR T cell therapy in solid tumors.

In this study, an oHSV T7011 is engineered to drive ectopic expression of dual-antigens, extracellular domains of CD19 and BCMA, on the solid tumor cell surface to be targeted by approved CAR T cells. In addition, multiple immunomodulators, CCL5, IL-12, and anti-PD-1 antibody are also included to modulate the TME. The antitumor activities of T7011 in combination with CD19 or BCMA CAR T-cell were evaluated in vitro and in vivo .

The expression of CD19 or BMCA on the tumor cell surface could be detected after T7011 infection. The level of CCL5 in TME was also increased. Efficacy studies demonstrated that combination with T7011 and CAR-T CD19 or CAR-T BCMA cells showed significant synergistic anti-tumor responses in several solid tumor models.

These studies indicated that the new generation of oHSV T7011 can be a promising combinational therapy with CD19 or BCMA-specific CAR T cells for the treatment of a broad range of solid tumors.

论文信息

作者
Liu Y、Zheng Y、Deng T、Huang Y、Liu Z、Zhan B、Zhou X、Yan R
单位
ImmVira Co., Ltd., Shenzhen, China.China
期刊
Frontiers in oncology2022
原文标识
PubMed 36353540 · DOI 10.3389/fonc.2022.1037934