CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Co-transducing B7H3 CAR-NK cells with the DNR preserves their cytolytic function against GBM in the presence of exogenous TGF-β.
Co-transducing B7H3 CAR-NK cells with the DNR preserves their cytolytic function against GBM in the presence of exogenous TGF-β.
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脐血(CB)来源的自然杀伤(NK)细胞经基因工程改造表达嵌合抗原受体(CAR)后,是一种有吸引力的现货型癌症治疗产品,在体内展现出良好的安全性。对于胶质母细胞瘤(GBM)等预后不良的脑肿瘤,亟需新型疗法。尽管CAR-T 细胞在临床前GBM模型中显示出疗效,但现货型产品可能出现移植物抗宿主病等不良副作用。因此,我们开发了一种使用B7H3 CAR的现货型CAR-NK细胞方法,并证明CAR转导的NK细胞在体外对GBM细胞具有强大的细胞溶解活性。然而,肿瘤微环境中的转化生长因子(TGF)-β对未修饰和CAR转导的NK细胞的细胞溶解活性均具有破坏性影响。为克服这种强效免疫抑制,我们证明将NK细胞同时转导B7H3 CAR和TGF-β显性负性受体(DNR)可在存在外源性TGF-β的情况下保持细胞溶解功能。本研究表明,新型DNR与CAR共表达策略可能成为治疗GBM等难治性中枢神经系统肿瘤的有前景的疗法。
Cord blood (CB)-derived natural killer (NK) cells that are genetically engineered to express a chimeric antigen receptor (CAR) are an attractive off-the-shelf therapy for the treatment of cancer, demonstrating a robust safety profile in vivo . For poor prognosis brain tumors such as glioblastoma multiforme (GBM), novel therapies are urgently needed.
Although CAR-T cells demonstrate efficacy in preclinical GBM models, an off-the-shelf product may exhibit unwanted side effects like graft-versus-host disease. Hence, we developed an off-the-shelf CAR-NK cell approach using a B7H3 CAR and showed that CAR-transduced NK cells have robust cytolytic activity against GBM cells in vitro .
However, transforming growth factor (TGF)- within the tumor microenvironment has devastating effects on the cytolytic activity of both unmodified and CAR-transduced NK cells. To overcome this potent immune suppression, we demonstrated that co-transducing NK cells with a B7H3 CAR and a TGF- dominant negative receptor (DNR) preserves cytolytic function in the presence of exogenous TGF- .
This study demonstrates that a novel DNR and CAR co-expression strategy may be a promising therapeutic for recalcitrant CNS tumors like GBM.
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