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:Development of a TGFβ-IL-2/15 Switch Receptor for Use in Adoptive Cell Therapy.
Development of a TGFβ-IL-2/15 Switch Receptor for Use in Adoptive Cell Therapy.
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嵌合抗原受体(CAR)修饰T细胞疗法对血液系统恶性肿瘤有效,但尚未在实体瘤中取得相同效果。实体瘤中的CAR-T 细胞活性受到包括转化生长因子(TGF-β)在内的免疫抑制因子限制。本文介绍一种转换受体(SwR)的开发:将TGF受体胞外结构域与IL-2/15受体胞内结构域融合。
我们将SwR与两种针对STEAP1的CAR变体联合评估;STEAP1是在前列腺癌中高表达的蛋白。采用一组STEAP1阳性或阴性的前列腺癌细胞系,在有或无TGF-β过表达、或外加TGF-β的条件下,通过流式细胞术、细胞因子和杀伤实验、Luminex细胞因子谱分析、细胞计数及流式表型分析评估SwR-CAR-T 细胞活性。
结果显示,在富含TGF-β的环境中,SwR-CAR构建体增强了CAR-T 细胞功能,表现为T细胞增殖和存活、细胞因子应答及细胞毒性提高。在进行四轮重复靶细胞刺激的实验中,SwR-CAR-T 细胞形成活化的效应记忆表型,同时保持STEAP1特异性活性。
总之,SwR使CAR-T 细胞在富含TGF-β的环境中具有强效且持久的体外功能。SwR可作为附加构建体用于CAR-T 细胞或其他过继细胞疗法。
Therapy employing T cells modified with chimeric antigen receptors (CARs) is effective in hematological malignancies but not yet in solid cancers. CAR T cell activity in solid tumors is limited by immunosuppressive factors, including transforming growth factor (TGF ).
Here, we describe the development of a switch receptor (SwR), in which the extracellular domains of the TGF receptor are fused to the intracellular domains from the IL-2/15 receptor.
We evaluated the SwR in tandem with two variants of a CAR that we have developed against STEAP1, a protein highly expressed in prostate cancer. The SwR-CAR T cell activity was assessed against a panel of STEAP1 +/- prostate cancer cell lines with or without over-expression of TGF , or with added TGF , by use of flow cytometry cytokine and killing assays, Luminex cytokine profiling, cell counts, and flow cytometry phenotyping.
The results showed that the SwR-CAR constructs improved the functionality of CAR T cells in TGF -rich environments, as measured by T cell proliferation and survival, cytokine response, and cytotoxicity. In assays with four repeated target-cell stimulations, the SwR-CAR T cells developed an activated effector memory phenotype with retained STEAP1-specific activity.
In conclusion, the SwR confers CAR T cells with potent and durable in vitro functionality in TGF -rich environments. The SwR may be used as an add-on construct for CAR T cells or other forms of adoptive cell therapy.
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