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.
英文原题:Potent immunomodulatory and antitumor effect of anti-CD20-IL2no-alpha tri-functional immunocytokine for cancer therapy.
Potent immunomodulatory and antitumor effect of anti-CD20-IL2no-alpha tri-functional immunocytokine for cancer therapy.
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这些发现提示,anti-CD20-IL2no-alpha 可能是 B 细胞淋巴瘤患者的一种替代治疗选择,主要是那些对 RTX 治疗耐药的患者。
为提高 RTX 疗效,研究者将小鼠型(mIgG2a)或人型(hIgG1)RTX 与突变 IL-2(no-alpha mutein)融合。该突变体对高亲和力 IL-2 受体的亲和力受损,旨在避免刺激 Treg,并减少与表达高亲和力 IL-2R α 链 CD25 的内皮细胞结合。通过 SDS-PAGE、Western 印迹、SEC-HPLC 及多种体外功能实验(T 细胞增殖、凋亡、补体依赖性细胞毒作用 [CDC] 和 ADCC)表征抗 CD20-IL2no-alpha ICK;使用表达人 CD20 的小鼠肿瘤细胞及 C57BL/6 小鼠评估体内活性。
两种 ICK 的 IL2no-alpha 突变体部分体外特异活性相近,且保留 CD20 结合能力。抗 CD20-IL2no-alpha(hIgG1)保留抗体效应功能,如 CDC;相比 RTX,还增强直接诱导凋亡、NK 细胞活化和 ADCC。两种 ICK 在免疫健全小鼠 EL4-huCD20 肿瘤模型中的抗肿瘤效力,均高于亲本分子或其联用。抗 CD20-IL2no-alpha(hIgG1)强烈扩增肿瘤小鼠的 NK 和 CD8⁺ T 细胞,但未扩增 Treg。讨论:这些发现提示,抗 CD20-IL2no-alpha 可成为 B 细胞淋巴瘤的替代疗法,尤其适用于 RTX 治疗难治的患者。
To improve the efficacy of RTX therapy, we fused a murine (mIgG2a) or a human (hIgG1) version of RTX to a mutated IL-2 (no-alpha mutein), which has a disrupted affinity for the high affinity IL-2 receptor (IL-2R) to prevent the stimulation of Tregs and reduce the binding to endothelial cells expressing CD25, the chain of high affinity IL-2R. Characterization of anti-CD20-IL2no-alpha ICKs was performed by SDS-PAGE, Western-blotting and SEC-HPLC and also by several functional in vitro techniques like T-cell proliferation assays, apoptosis, CDC and ADCC assays. The in vivo activity was assessed by using murine tumor cells expressing huCD20 in C57/Bl6 mice.
Both ICKs exhibited similar in vitro specific activity of their IL2no-alpha mutein moieties and kept CD20-binding capacity. Anti-CD20-IL2no-alpha (hIgG1) retained antibody effector functions as complement-dependent cytotoxicity and enhanced direct apoptosis, NK cell activation and antibody-dependent cellular cytotoxicity relative to RTX. In addition, both ICKs demonstrated a higher antitumor efficacy than parental molecules or their combination in an EL4-huCD20 tumor model in immunocompetent mice. Anti-CD20-IL2no-alpha (hIgG1) strongly expanded NK and CD8+ T cells but not Tregs in tumor-bearing mice. DISCUSSION: These findings suggest that anti-CD20-IL2no-alpha could represent an alternative treatment for B cell lymphoma patients, mainly those refractory to RTX therapy.
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