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:Chimeric TIM-4 receptor-modified T cells targeting phosphatidylserine mediates both cytotoxic anti-tumor responses and phagocytic uptake of tumor-associated antigen for T cell cross-presentation.
为了利用互补机制清除癌细胞,我们开发了一种新型细胞工程与治疗策略,将吞噬清除和抗原呈递活性整合到T细胞中。
为了利用互补机制清除癌细胞,我们开发了一种新型细胞工程和治疗策略,将吞噬清除和抗原呈递活性赋予T细胞。我们构建了一种嵌合吞噬受体(CER)-1236,它将TIM-4的胞外结构域——一种识别“吃我”信号磷脂酰丝氨酸的吞噬受体——与胞内信号结构域(TLR2/TIR、CD28和CD3)相结合,以增强TIM-4介导的吞噬作用和T细胞细胞毒功能。CER-1236 T细胞表现出靶标依赖性吞噬功能,并诱导负责吞噬识别和摄取的关键调控因子以及细胞毒性介质的转录特征。套细胞淋巴瘤(MCL)和EGFR突变阳性非小细胞肺癌(NSCLC)的临床前模型在体外和体内均证明了先天性-适应性抗肿瘤免疫应答的协同作用。BTK(MCL)和EGFR(NSCLC)抑制剂治疗增加了靶标配体,条件性地驱动CER-1236功能以增强抗肿瘤应答。我们还表明,活化的CER-1236 T细胞与常规T细胞相比表现出更优的交叉呈递能力,以HLA I类和TLR-2依赖性方式触发E7特异性TCR T应答,从而克服常规T细胞有限的抗原呈递能力。因此,CER-1236 T细胞具有通过引发直接细胞毒性效应和间接介导的交叉致敏来实现肿瘤控制的潜力。
To leverage complementary mechanisms for cancer cell removal, we developed a novel cell engineering and therapeutic strategy co-opting phagocytic clearance and antigen presentation activity into T cells. We engineered a chimeric engulfment receptor (CER)-1236, which combines the extracellular domain of TIM-4, a phagocytic receptor recognizing the "eat me" signal phosphatidylserine, with intracellular signaling domains (TLR2/TIR, CD28, and CD3 ) to enhance both TIM-4-mediated phagocytosis and T cell cytotoxic function. CER-1236 T cells demonstrate target-dependent phagocytic function and induce transcriptional signatures of key regulators responsible for phagocytic recognition and uptake, along with cytotoxic mediators. Pre-clinical models of mantle cell lymphoma (MCL) and EGFR mutation-positive non-small cell lung cancer (NSCLC) demonstrate collaborative innate-adaptive anti-tumor immune responses both in vitro and in vivo. Treatment with BTK (MCL) and EGFR (NSCLC) inhibitors increased target ligand, conditionally driving CER-1236 function to augment anti-tumor responses. We also show that activated CER-1236 T cells exhibit superior cross-presentation ability compared with conventional T cells, triggering E7-specific TCR T responses in an HLA class I- and TLR-2-dependent manner, thereby overcoming the limited antigen presentation capacity of conventional T cells. Therefore, CER-1236 T cells have the potential to achieve tumor control by eliciting both direct cytotoxic effects and indirect-mediated cross-priming.
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