CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A Near-Infrared-II Fluorescent Nanocatalyst for Enhanced CAR T Cell Therapy against Solid Tumor by Immune Reprogramming.
A Near-Infrared-II Fluorescent Nanocatalyst for Enhanced CAR T Cell Therapy against Solid Tumor by Immune Reprogramming.
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嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤的治疗中具有巨大前景,但由于肿瘤免疫抑制微环境,其在实体瘤中表现不佳。
在此,我们通过将负载辣根过氧化物酶(HRP)的Au/聚多巴胺纳米颗粒(Au/PDA NPs)和Ag2S量子点用CAR-T 细胞膜包裹,制备了一种多功能纳米催化剂(APHA@CM),以改善实体瘤中的CAR-T 细胞疗法。APHA@CM具有优异的多模态成像能力,可精确指导纳米催化剂诱导的肿瘤微环境调控和CAR-T 细胞疗法的范围和时间窗口。Au NPs的类氧化酶活性抑制了肿瘤细胞的糖酵解代谢,减少了乳酸外排,重编程了肿瘤免疫抑制,并最终增加了肿瘤内CAR-T 细胞的活化。
此外,肿瘤的缺氧环境可通过HRP得到缓解,从而增强Au/PDA NPs诱导的协同声动力/光热疗法(SDT/PTT),进而促进NALM 6细胞的免疫原性细胞死亡,并增强CAR-T 细胞介导的免疫微环境重编程。当该策略用于治疗NALM 6实体瘤时,不仅完全消除了肿瘤,还形成了长期免疫记忆效应,以抑制肿瘤转移和复发。这项工作为实体瘤中的CAR-T 细胞疗法提供了一种策略。
Chimeric antigen receptor (CAR) T cell therapy holds great promise in the treatment of hematological malignancies but performs poorly in solid tumors due to the tumor immunosuppressive microenvironment.
Herein, a multifunctional nanocatalyst (APHA@CM) was prepared by encapsulating horseradish peroxidase (HRP)-loaded Au/polydopamine nanoparticles (Au/PDA NPs) and Ag 2 S quantum dots with CAR T cell membranes to improve the CAR T cell therapy in solid tumors.
The APHA@CM has excellent multimodal imaging capability to precisely guide the scope and time window for nanocatalyst-induced tumor microenvironment regulation and CAR T cell therapy. The oxidase-like activity of Au NPs inhibited the glycolytic metabolism of tumor cells, reducing lactate efflux, reprogramming tumor immunosuppression, and ultimately increasing CAR T cell activation within the tumors.
Additionally, the hypoxia environment of tumors could be relieved by HRP to enhance the Au/PDA NPs-induced synergistic sonodynamic/photothermal therapy (SDT/PTT), thereby promoting the immunogenic cell death of NALM 6 cells and enhancing CAR T cell-mediated immune microenvironment reprogramming. When this strategy was utilized to treat NALM 6 solid tumors, it not only completely eliminated tumors but also formed a long-term immune memory effect to inhibit tumor metastasis and recurrence. This work offers a strategy for CAR T cell therapy in solid tumor.
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