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:Optimization of the proliferation and persistency of CAR T cells derived from human induced pluripotent stem cells.
Optimization of the proliferation and persistency of CAR T cells derived from human induced pluripotent stem cells.
嵌合抗原受体(CAR)T细胞免疫疗法对实体瘤的有效性取决于T细胞在肿瘤部位的积聚、增殖和持续存在。
嵌合抗原受体(CAR)T细胞免疫疗法对实体瘤的疗效依赖于T细胞在肿瘤部位的积聚、增殖和持续存在。在此,我们表明,通过从携带经筛选以实现高效分化的CAR的单一人类诱导多能干细胞克隆衍生并扩增CD8细胞毒性CAR T细胞,可以增强其在实体瘤中的增殖。我们还表明,通过基因敲除抑制抗原受体信号传导的二酰甘油激酶,并通过转导编码膜结合白细胞介素-15(IL-15)及其受体亚基IL-15R的基因,可以进一步增强效应细胞在肿瘤中的增殖和持续存在。在多种荷瘤动物模型中,工程化的hiPSC衍生CAR T细胞产生了与携带相同CAR的原代CD8 T细胞相似的治疗效果。优化源自多能干细胞的效应CAR T细胞可能有助于开发用于治疗实体瘤的持久抗原特异性T细胞免疫疗法。
The effectiveness of chimaeric antigen receptor (CAR) T-cell immunotherapies against solid tumours relies on the accumulation, proliferation and persistency of T cells at the tumour site. Here we show that the proliferation of CD8 cytotoxic CAR T cells in solid tumours can be enhanced by deriving and expanding them from a single human induced-pluripotent-stem-cell clone bearing a CAR selected for efficient differentiation. We also show that the proliferation and persistency of the effector cells in the tumours can be further enhanced by genetically knocking out diacylglycerol kinase, which inhibits antigen-receptor signalling, and by transducing the cells with genes encoding for membrane-bound interleukin-15 (IL-15) and its receptor subunit IL-15R . In multiple tumour-bearing animal models, the engineered hiPSC-derived CAR T cells led to therapeutic outcomes similar to those of primary CD8 T cells bearing the same CAR. The optimization of effector CAR T cells derived from pluripotent stem cells may aid the development of long-lasting antigen-specific T-cell immunotherapies for the treatment of solid tumours.
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