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:Oncolytic adenovirus-mediated expression of CCL5 and IL12 facilitates CA9-targeting CAR-T therapy against renal cell carcinoma.
Oncolytic adenovirus-mediated expression of CCL5 and IL12 facilitates CA9-targeting CAR-T therapy against renal cell carcinoma.
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CAR-T 细胞在血液系统恶性肿瘤治疗中尤为突出,但用于实体瘤疗效有限,主要与肿瘤免疫微环境复杂有关。溶瘤病毒(OV)是一种新兴辅助治疗方法,可预激活肿瘤病灶并诱导抗肿瘤免疫反应,从而增强CAR-T 细胞功能,并可能提高缓解率。
本研究联合靶向碳酸酐酶9(CA9)的CAR-T 细胞与携带趋化因子(C-C基序)配体5(CCL5)及细胞因子IL-12的溶瘤腺病毒(OAV),探索该联合策略的抗肿瘤作用。数据显示,Ad5-ZD55-hCCL5-hIL12可感染并在肾癌细胞系中复制,并中度抑制裸鼠异种移植瘤。Ad5-ZD55-hCCL5-hIL12介导的IL12促进CAR-T 细胞中Stat4磷酸化,诱导其分泌更多IFN-γ。
我们还发现,Ad5-ZD55-hCCL5-hIL-12联合CA9-CAR-T 细胞可显著增加CAR-T 细胞在肿瘤组织中的浸润,延长免疫缺陷小鼠生存并抑制肿瘤生长。Ad5-ZD55-mCCL5-mIL-12也可增加免疫功能正常小鼠中CD45⁺CD3⁺ T细胞浸润并延长生存。这些结果证明溶瘤腺病毒与CAR-T 细胞联合具有可行性,并显示CAR-T 治疗实体瘤的潜力和前景。
Chimeric antigen receptor T-cell (CAR-T) is particularly prominent in hematological but not in solid tumors, mainly based on the complex tumor immune microenvironment. Oncolytic virus (OVs) is an emerging adjuvant therapy method. OVs may prime tumor lesions to induce anti-tumor immune response, thereby enhancing CAR-T cells functionality and possibly increasing response rates.
Here, we combined CAR-T cells targeting carbonic anhydrase 9 (CA9) and an oncolytic adenovirus (OAV) carrying chemokine (C-C motif) ligand 5 (CCL5), cytokine interleukin-12 (IL12) to explore the anti-tumor effects of this combination strategy. The data showed that Ad5-ZD55-hCCL5-hIL12 could infect and replicate in renal cancer cell lines and induced a moderate inhibition of xenografted tumor in nude mice. IL12 mediated by Ad5-ZD55-hCCL5-hIL12 promoted the phosphorylation of Stat4 in CAR-T cells, induced CAR-T cells to secrete more IFN- .
We also found that Ad5-ZD55-hCCL5-hIL-12 combined with CA9-CAR-T cells significantly increased the infiltration of CAR-T cells in tumor mass, prolonged the survival of the mice and restrained tumor growth in immunodeficient mice. Ad5-ZD55-mCCL5-mIL-12 could also increase CD45 + CD3 + T cell infiltration and prolong mice survival in immunocompetent mice. These results provided feasibility for the combination of oncolytic adenovirus and CAR-T cells, which demonstrated the sufficient potential and prospects of CAR-T for the treatment of solid tumors.
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