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:Coexpression of c-Jun in multiple-chain DAP-CAR-engineered T-cells for solid tumor therapy.
目的:本研究旨在探讨c-Jun过表达是否能提高DAPCAR-T 细胞的持久性和抗肿瘤疗效。
目的:本研究旨在探索c-Jun过表达是否能提高DAPCAR-T 细胞的持久性和抗肿瘤疗效。方法:通过ELISA、实时细胞分析及异种移植模型,验证靶向间皮素(MSLN)的DAP-CAR-T细胞的体外和体内抗肿瘤效果。结果:c-Jun过表达不影响DAP-CAR-T细胞扩增,同时轻微增加IL-2分泌。此外,c-Jun在体外或体内均未提高DAP-CAR-T细胞的抗肿瘤疗效,但在体内降低了LAG3表达并增加了Tcm和Tn/Tscm细胞的比例。结论:研究结果表明,在DAP-CAR-T细胞中与c-Jun共表达可轻微改善T细胞耗竭和中央记忆表型的维持,这可能对DAP-CAR-T细胞治疗实体瘤有用。嵌合抗原受体(CAR)T细胞疗法在治疗血液肿瘤如b-急性淋巴细胞白血病和淋巴瘤患者中取得了巨大成功。然而,越来越多的临床试验表明,大多数具有不同靶向单链片段变量(scFv)的第二代CAR-T细胞在实体瘤中并未表现出与靶向CD19的CAR-T细胞相当的治疗效果。为克服这一挑战,科学家们开发了多种优化CAR结构的方法,包括在CAR-T细胞中共表达一种称为c-Jun的转录因子。作者此前开发了一种新型多链DAP-CAR,显示出有前景的实体瘤清除能力。在本研究中,c-Jun过表达仅轻微改善了DAP-CAR-T细胞的抗肿瘤活性,表明需要其他优化方法。
Aim: This work was designed to explore whether c-Jun overexpression could improve the persistence and antitumor efficacy of DAP chimeric antigen receptor T-cell (CAR-T) cells. Methods: The in vitro and in vivo antitumor effects of mesothelin (MSLN) targeting DAP-CAR-T cells were verified by ELISA, real-time cell analysis and in a xenograft model. Results: c-Jun overexpression did not affect DAP-CAR-T cell expansion while slightly increasing IL-2 secretion. Moreover, c-Jun did not improve the antitumor efficacy of DAP-CAR-T cells in vitro or in vivo , but reduced LAG3 expression and increased the ratio of Tcm and Tn/Tscm cells in vivo . Conclusion: The findings indicate that coexpression with c-Jun in DAP-CAR-T cells slightly improves T-cell exhaustion and central memory phenotype maintenance, which may be useful for DAP-CAR-T cell therapy in solid tumors. Chimeric antigen receptor (CAR) T-cell therapy has achieved great success in treating patients with hematological tumors such as b-acute lymphoblastic leukemia and lymphoma. However, a growing number of clinical trials show that most of the second-generation CAR-T cells with different targeting single-chain fragment variables (scFv) did not exhibit comparable therapeutic effects with CD19-targeting CAR-T cells in solid tumors. To overcome this challenge, scientists have developed several methods to optimize the structure of CARs, including coexpression of a transcription factor called c-Jun in CAR-T cells. The authors previously developed a novel multiple-chain DAP-CAR that shows promising solid tumor eradication capacity. In this study, overexpression of c-Jun only slightly improved the antitumor activity of DAP-CAR-T cells, suggesting other optimization methods are needed.
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