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:Label-free in vitro assays predict the potency of anti-disialoganglioside chimeric antigen receptor T-cell products.
这些研究确立了阻抗传感作为一种高通量、无标记的检测方法,用于 CAR T 细胞抗实体瘤的临床前效力测试。
背景与目的:嵌合抗原受体(CAR)T细胞已显示出治疗血液系统恶性肿瘤的显著疗效,但治疗胶质母细胞瘤(GBM)等实体瘤尚未取得相同成功。亟需高通量功能筛选平台,以测量CAR-T细胞对实体瘤细胞的效力。方法:采用实时无标记细胞阻抗检测,评估抗二唾液酸神经节苷脂GD2 CAR-T细胞产品在体外培养2天和7天内对GD2阳性患者来源GBM干细胞的效力。比较采用两种不同基因转移方式制备的CAR-T产品:逆转录病毒转导和无病毒CRISPR编辑。采集终点流式细胞术、细胞因子分析和代谢组学数据并进行整合,建立CAR-T细胞效力预测模型。结果:与逆转录病毒转导CAR-T细胞相比,无病毒CRISPR编辑CAR-T细胞杀伤速度更快,并伴随炎症性细胞因子释放增加、共培养条件下CD8⁺ CAR-T细胞比例增加,以及CAR-T细胞向三维GBM球体内浸润增加。计算模型识别出肿瘤坏死因子浓度升高以及谷氨酰胺、乳酸和甲酸浓度降低,是预测CAR-T细胞短期(2天)和长期(7天)抗GBM干细胞效力的最重要指标。结论:本研究确立了阻抗检测作为一种高通量、无标记的实验方法,可用于临床前评估CAR-T细胞对实体瘤的效力。
BACKGROUND AIMS: Chimeric antigen receptor (CAR) T cells have demonstrated remarkable efficacy against hematological malignancies; however, they have not experienced the same success against solid tumors such as glioblastoma (GBM). There is a growing need for high-throughput functional screening platforms to measure CAR T-cell potency against solid tumor cells. METHODS: We used real-time, label-free cellular impedance sensing to evaluate the potency of anti-disialoganglioside (GD2) targeting CAR T-cell products against GD2+ patient-derived GBM stem cells over a period of 2 days and 7 days in vitro. We compared CAR T products using two different modes of gene transfer: retroviral transduction and virus-free CRISPR-editing. Endpoint flow cytometry, cytokine analysis and metabolomics data were acquired and integrated to create a predictive model of CAR T-cell potency. RESULTS: Results indicated faster cytolysis by virus-free CRISPR-edited CAR T cells compared with retrovirally transduced CAR T cells, accompanied by increased inflammatory cytokine release, CD8+ CAR T-cell presence in co-culture conditions and CAR T-cell infiltration into three-dimensional GBM spheroids. Computational modeling identified increased tumor necrosis factor concentrations with decreased glutamine, lactate and formate as being most predictive of short-term (2 days) and long-term (7 days) CAR T cell potency against GBM stem cells. CONCLUSIONS: These studies establish impedance sensing as a high-throughput, label-free assay for preclinical potency testing of CAR T cells against solid tumors.
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