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:Three-Dimensional Bioconjugated Liquid-Like Solid (LLS) Enhance Characterization of Solid Tumor - Chimeric Antigen Receptor T cell interactions.
肿瘤免疫治疗为癌症提供了挽救生命的治疗手段,但缺乏可用于肿瘤-免疫相互作用机制研究的可靠临床前模型,阻碍了新治疗策略的发现。
癌症免疫疗法可挽救患者生命,但缺乏能够支持肿瘤-免疫相互作用机制研究的可靠临床前模型,妨碍了新治疗策略的发现。我们假设,生物共轭液态类固体(LLS)之间的间质空间所形成的三维限域微通道,可使CAR-T细胞在免疫抑制性肿瘤微环境(TME)中动态移动并发挥抗肿瘤功能。将小鼠CD70特异性CAR-T细胞与表达CD70的胶质母细胞瘤和骨肉瘤细胞共培养,显示其能有效迁移、浸润并杀伤癌细胞。长期原位成像清晰捕捉到抗肿瘤活性,并得到细胞因子和趋化因子上调的支持,包括IFNγ、CXCL9、CXCL10、CCL2、CCL3和CCL4。有趣的是,受到免疫攻击后,靶癌细胞会迅速侵入周围微环境,启动“免疫逃逸”应答;但野生型肿瘤样本未观察到这一现象,其结构保持完整,且未产生相关细胞因子应答。对感兴趣区域的CAR-T细胞进行单细胞采集和转录组分析,证实可行区分不同免疫亚群的基因表达。互补的三维体外平台对于揭示癌症免疫生物学机制不可或缺,这也凸显了TME及其异质性的显著作用。
Cancer immunotherapy offers lifesaving treatments for cancers, but the lack of reliable preclinical models that could enable the mechanistic studies of tumor-immune interactions hampers the identification of new therapeutic strategies. We hypothesized 3D confined microchannels, formed by interstitial space between bio-conjugated liquid-like solids (LLS), enable CAR T dynamic locomotion within an immunosuppressive TME to carry out anti-tumor function. Murine CD70-specific CAR T cells cocultured with the CD70-expressing glioblastoma and osteosarcoma demonstrated efficient trafficking, infiltration, and killing of cancer cells. The anti-tumor activity was clearly captured via longterm in situ imaging and supported by upregulation of cytokines and chemokines including IFNg, CXCL9, CXCL10, CCL2, CCL3, and CCL4. Interestingly, target cancer cells, upon an immune attack, initiated an "immune escape" response by frantically invading the surrounding microenvironment. This phenomenon however was not observed for the wild-type tumor samples which remained intact and produced no relevant cytokine response. Single cells collection and transcriptomic profiling of CAR T cells at regions of interest revealed feasibility of identifying differential gene expression amongst the immune subpopulations. Complimentary 3D in vitro platforms are necessary to uncover cancer immune biology mechanisms, as emphasized by the significant roles of the TME and its heterogeneity.
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