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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:T cells engineered with full-length NKG2D linked to signaling domains of 4-1BB and CD3ζ show enhanced antitumor activity.
T cells engineered with full-length NKG2D linked to signaling domains of 4-1BB and CD3ζ show enhanced antitumor activity.
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NKG2D配体(NKG2DL)主要在多种实体瘤中过表达,而在大多数正常组织中缺失,因此可能是CAR-T 细胞的理想靶抗原。目前已有两类NKG2DL CAR:(1)将NKG2D胞外结构域与CD8α跨膜结构域以及4-1BB和CD3信号结构域融合(NKBz);(2)将全长NKG2D与CD3信号结构域融合(chNKz)。既往研究显示,NKBz和chNKz工程化T细胞均具有抗肿瘤活性,但尚未比较二者的功能。
此外,将4-1BB信号结构域纳入CAR构建体可能延长CAR-T 细胞的持续存留并增强其抗肿瘤作用。为此,我们设计了一种新型NKG2DL CAR,即将全长NKG2D与4-1BB和CD3信号结构域融合(chNKBz)。在既往报道的两类NKG2DL CAR-T 细胞中,chNKz T细胞体外抗肿瘤能力强于NKBz T细胞,但二者体内抗肿瘤活性相近。chNKBz T细胞在体内外的抗肿瘤活性均优于chNKz和NKBz T细胞,为NKG2DL阳性肿瘤患者的免疫治疗提供了新选择。
Since NKG2D ligands (NKG2DLs) are primarily overexpressed on multiple types of solid tumors but absent on most normal tissues, NKG2DLs could be optimal antigens for CAR-T cells. To date, there have been two types of NKG2DL CARs: (i) the extracellular domain of NKG2D fused to the CD8a transmembrane domain, signaling domains of 4-1BB and CD3 (NKBz) and (ii) full-length NKG2D fused to the CD3 signaling domain (chNKz). Although NKBz- and chNKz-engineered T cells both showed antitumor activities, a comparison of their functions has not been reported.
In addition, use of the 4-1BB signaling domain into the CAR construct could prolong the persistence and resistance to antitumor activities of CAR-T cells, we designed a new NKG2DL CAR, full-length NKG2D fused to the signaling domains of 4-1BB and CD3 (chNKBz).
Among the two types of NKG2DL CAR-T cells reported in previous studies, we found that chNKz T cells had stronger antitumor ability than NKBz T cells in vitro, but their antitumor activity in vivo is similar. The chNKBz T cells showed antitumor activity superior to that of chNKz T cells and NKBz T cells in vitro and in vivo, providing a new option for the immunotherapy of NKG2DL-positive tumor patients.
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