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:Syngeneic mouse model of human HER2+ metastatic breast cancer for the evaluation of trastuzumab emtansine combined with oncolytic rhabdovirus.
Syngeneic mouse model of human HER2+ metastatic breast cancer for the evaluation of trastuzumab emtansine combined with oncolytic rhabdovirus.
采用 4T1.2-HER2T 模型评估我们复合药物病毒治疗策略后的抗肿瘤免疫应答。
背景:现有HER2阳性癌症小鼠模型依赖过表达啮齿动物Neu/Erbb2同源蛋白,与靶向人HER2(huHER2)的治疗药物不兼容。此外,使用免疫缺陷异种移植模型或转基因模型无法评估天然抗肿瘤免疫应答。这些限制阻碍了人们理解靶向huHER2免疫疗法背后的免疫机制。方法:为评估huHER2靶向联合策略的免疫效应,研究人员使用截短型huHER2(HER2T)构建了huHER2阳性乳腺癌同系小鼠模型。验证模型后,研究人员对荷瘤小鼠实施免疫治疗策略:使用溶瘤水疱性口炎病毒VSV 51,联合临床已获批、靶向huHER2的抗体药物偶联物曲妥珠单抗恩美坦(T-DM1)。通过肿瘤控制、生存和免疫分析评估疗效。结果:在小鼠乳腺癌4T1.2细胞中表达截短型HER2T后,该构建体在野生型BALB/c小鼠中不具免疫原性。与对照相比,VSV 51联合T-DM1治疗4T1.2-HER2T肿瘤,获得强效且可治愈的疗效,并形成广泛免疫记忆。抗肿瘤免疫分析发现肿瘤中有CD4+ T细胞浸润,并伴随B细胞、NK细胞和树突状细胞应答活化,以及肿瘤反应性血清IgG。结论:研究利用4T1.2-HER2T模型评估复杂药物-病毒治疗策略后的抗肿瘤免疫应答,证明该同系模型可在免疫功能完整的体内环境中评估靶向huHER2治疗。研究还证实,HER2T可用于多种其他同系肿瘤模型,包括结直肠癌和卵巢癌模型。HER2T平台也可能用于评估多种靶向细胞表面HER2T的疗法,如CAR-T、T细胞衔接器、抗体或经重新靶向的溶瘤病毒。
BACKGROUND: Established mouse models of HER2+ cancer are based on the over-expression of rodent Neu/Erbb2 homologues, which are incompatible with human HER2 (huHER2) targeted therapeutics. Additionally, the use of immune-deficient xenograft or transgenic models precludes assessment of native anti-tumour immune responses. These hurdles have been a challenge for our understanding of the immune mechanisms behind huHER2-targeting immunotherapies. METHODS: To assess the immune impacts of our huHER2-targeted combination strategy, we generated a syngeneic mouse model of huHER2+ breast cancer, using a truncated form of huHER2, HER2T. Following validation of this model, we next treated tumour-bearing with our immunotherapy strategy: oncolytic vesicular stomatitis virus (VSV 51) with clinically approved antibody-drug conjugate targeting huHER2, trastuzumab emtansine (T-DM1). We assessed efficacy through tumour control, survival, and immune analyses. RESULTS: The generated truncated HER2T construct was non-immunogenic in wildtype BALB/c mice upon expression in murine mammary carcinoma 4T1.2 cells. Treatment of 4T1.2-HER2T tumours with VSV 51+T-DM1 yielded robust curative efficacy compared to controls, and broad immunologic memory. Interrogation of anti-tumour immunity revealed tumour infiltration by CD4+ T cells, and activation of B, NK, and dendritic cell responses, as well as tumour-reactive serum IgG. CONCLUSIONS: The 4T1.2-HER2T model was used to evaluate the anti-tumour immune responses following our complex pharmacoviral treatment strategy. These data demonstrate utility of the syngeneic HER2T model for assessment of huHER2-targeted therapies in an immune-competent in vivo setting. We further demonstrated that HER2T can be implemented in multiple other syngeneic tumour models, including but not limited to colorectal and ovarian models. These data also suggest that the HER2T platform may be used to assess a range of surface-HER2T targeting approaches, such as CAR-T, T-cell engagers, antibodies, or even retargeted oncolytic viruses.
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