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:Bispecific GPC3/PD‑1 CAR‑T cells for the treatment of HCC.
Bispecific GPC3/PD‑1 CAR‑T cells for the treatment of HCC.
在肿瘤微环境(TME)的持续刺激下,程序性死亡 1(PD-1)表达升高,并与 PD 配体 1(PD-L1)相互作用,导致 CAR-T 细胞功能障碍。
肿瘤微环境(TME)持续刺激可使程序性死亡受体1(PD-1)表达升高;PD-1与程序性死亡配体1(PD-L1)相互作用后,嵌合抗原受体(CAR)T细胞功能受损。因此,我们构建了不受PD-1介导免疫抑制影响的CAR-T细胞,以改善其在肝细胞癌(HCC)中的功能。我们建立了双靶点CAR-T细胞,同时靶向肿瘤相关抗原(TAA)磷脂酰肌醇蛋白聚糖3(GPC3),并阻断PD-1与PD-L1结合。采用流式细胞术检测GPC3、PD-L1和抑制性受体表达;采用乳酸脱氢酶释放实验、酶联免疫吸附实验和流式细胞术分别测定CAR-T细胞的细胞毒性、细胞因子释放和分化程度。双靶点CAR-T细胞可靶向并清除HCC细胞。此类细胞阻断PD-1与PD-L1结合,并对PD-L1阳性HCC细胞维持细胞毒作用。与单靶点CAR-T细胞相比,双靶点CAR-T细胞在肿瘤组织中的抑制性受体表达和分化程度相对较低,在PD-L1阳性HCC移植瘤模型中可抑制肿瘤并延长生存。本研究结果提示,新构建的双靶点CAR-T细胞较常见的单靶点CAR-T细胞具有更强的HCC肿瘤抑制作用,显示出增强CAR-T细胞用于HCC治疗活性的潜力。
Constantly stimulated by the tumor microenvironment (TME), programmed death 1 (PD 1) is elevated, and it interacts with PD ligand 1 (PD L1), rendering chimeric antigen receptor (CAR) T cells dysfunctional. Hence, CAR T cells immune to PD 1 induced immunosuppression were constructed to improve the function of CAR T cells in hepatocellular carcinoma (HCC). Double target CAR T cells, targeting glypican 3 (GPC3) [a tumour-associated antigen (TAA)] and hindering PD 1 PD L1 binding, were established. The expression of GPC3, PD L1, and inhibitory receptors was measured using flow cytometry. The cytotoxicity, cytokine release, and differentiation level of CAR T cells were determined using lactate dehydrogenase release assay, enzyme linked immunosorbent assay, and flow cytometry, respectively. HCC cells were targeted and eliminated by double target CAR T cells. These double target CAR T cells limit PD 1 PD L1 binding and sustain cytotoxicity to PD L1 + HCC cells. The relatively low IR expression and differentiation level in double target CAR T cells in tumour tissues induced tumour suppression and extended survival in PD L1 + HCC TX models, as opposed to their single target counterparts. The results of the present study suggested that the newly constructed double target CAR T cells exhibit stronger tumour suppressing effects in HCC than their single target counterparts, which are common, suggesting the potential of strengthening CAR T cell activity in HCC treatment.
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