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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Massively parallel knock-in engineering of human T cells.
Massively parallel knock-in engineering of human T cells.
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针对细胞治疗应用的定点敲入通常效率较低,规模也有限。本研究开发了CLASH系统,可实现高效、高通量的敲入工程改造。在CLASH中,Cas12a/Cpf1 mRNA与混合腺相关病毒共同介导同步基因编辑和精确转基因敲入,通过大规模并行同源定向修复,产生一组稳定整合的突变变体,每个变体均经过靶向基因编辑。研究者将这一技术应用于原代人T细胞,并在血液癌和实体瘤模型中,使用CD3、CD8和CD4 T细胞开展时间序列CLASH实验,从而以混合方式生成CAR-T 变体,并无偏筛选有利变体。CLASH实验发现,一种独特的CRISPR RNA(crRNA)可在CAR-T 细胞中产生PRDM1外显子3跳跃突变,使细胞增殖增强、呈现干细胞样特性、中央记忆表型和更长持久性;因此,细胞在包括实体瘤模型在内的多种癌症模型中体内疗效更高。CLASH用途广泛,可适用于多种细胞和治疗工程应用。
The efficiency of targeted knock-in for cell therapeutic applications is generally low, and the scale is limited. In this study, we developed CLASH, a system that enables high-efficiency, high-throughput knock-in engineering. In CLASH, Cas12a/Cpf1 mRNA combined with pooled adeno-associated viruses mediate simultaneous gene editing and precise transgene knock-in using massively parallel homology-directed repair, thereby producing a pool of stably integrated mutant variants each with targeted gene editing.
We applied this technology in primary human T cells and performed time-coursed CLASH experiments in blood cancer and solid tumor models using CD3, CD8 and CD4 T cells, enabling pooled generation and unbiased selection of favorable CAR-T variants.
Emerging from CLASH experiments, a unique CRISPR RNA (crRNA) generates an exon3 skip mutant of PRDM1 in CAR-Ts, which leads to increased proliferation, stem-like properties, central memory and longevity in these cells, resulting in higher efficacy in vivo across multiple cancer models, including a solid tumor model. The versatility of CLASH makes it broadly applicable to diverse cellular and therapeutic engineering applications.
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