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:Chemokine Receptors CCR6 and PD1 Blocking scFv E27 Enhances Anti-EGFR CAR-T Therapeutic Efficacy in a Preclinical Model of Human Non-Small Cell Lung Carcinoma.
作为实体瘤治疗药物的嵌合抗原受体(CAR)-T 细胞并不完全有效,原因在于 T 细胞向肿瘤部位的浸润不足以及程序性死亡受体 1(PD1)所致的免疫。
CAR-T治疗实体瘤的疗效受T细胞肿瘤浸润不足和PD-1免疫抑制限制。本研究构建表达趋化因子受体CCR6并分泌PD-1阻断单链抗体片段E27的EGFR CAR-T细胞。CCR6增强其体外迁移;与肿瘤细胞共培养时,细胞表现出特异性细胞毒作用,并产生较高水平TNF、IL-2和IFN-γ。研究在免疫缺陷小鼠中建立A549非小细胞肺癌异种移植模型。活体成像显示,改造细胞较传统EGFR CAR-T抗肿瘤作用更强,器官组织学未见明显损伤。结果提示PD-1阻断与CCR6可增强EGFR CAR-T在肺癌模型中的抗肿瘤功能。
Chimeric antigen receptor (CAR)-T cells, a therapeutic agent for solid tumors, are not completely effective due to a lack of infiltration of T cells into the tumor site and immunity caused by Programmed Death Receptor 1(PD1). Here, an epidermal growth factor receptor (EGFR) CAR-T cell was engineered to express the chemokine receptor CCR6 and secrete PD1 blocking Single-chain antibody fragment (scFv) E27 to enhance their anti-tumor effects. The findings showed that CCR6 enhanced the migration of EGFR CAR-E27-CCR6 T cells in vitro by the Transwell migration assay. When incubated with tumor cells, EGFR CAR-E27-CCR6 T cells specifically exerted potent cytotoxicity and produced high levels of pro-inflammatory cytokines, including tumor necrosis factor- (TNF- ), interleukin-2 (IL-2), and interferon- (IFN- ). A non-small cell lung carcinoma (NSCLC) cell line-derived xenograft model was constructed by implanting modified A549 cell lines into immunodeficient NOD. Prkdc scid Il2rg em1 /Smoc (NSG) mice. In comparison with traditional EGFR CAR-T cells, live imaging indicated that EGFR CAR-E27-CCR6 T cells displayed superior anti-tumor function. In addition, the histopathological examination of mouse organs showed no obvious organic damage. Our findings confirmed that PD1 blocking and CCR6 can enhance the anti-tumor function of EGFR CAR-T cells in an NSCLC xenograft model, providing an effective treatment strategy to improve the efficacy of CAR-T in NSCLC.
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