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:Identification and targeting of protein tyrosine kinase 7 (PTK7) as an immunotherapy candidate for neuroblastoma.
Identification and targeting of protein tyrosine kinase 7 (PTK7) as an immunotherapy candidate for neuroblastoma.
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靶向GD2的免疫疗法改善了神经母细胞瘤患儿的生存,但仍可能发生靶向、脱肿瘤毒性,且一部分患者会停止应答。大多数接受免疫治疗的神经母细胞瘤患者既往接受过细胞毒性化疗,因此识别在整个标准治疗过程中保持稳定的神经母细胞瘤特异性抗原至关重要。对化疗治疗后小鼠体内人源神经母细胞瘤肿瘤进行细胞表面糖蛋白组学分析,鉴定出蛋白酪氨酸激酶7(PTK7)高表达。此外,PTK7在儿童特异性正常组织上表达极低。我们开发了抗PTK7嵌合抗原受体(CAR),并发现PTK7 CAR-T 细胞在体外特异性靶向并杀伤表达PTK7的神经母细胞瘤。在体内,人/鼠结合PTK7 CAR-T 细胞使侵袭性神经母细胞瘤转移小鼠模型消退,并延长生存,且无毒性。总之,这些数据证明了靶向PTK7的临床前疗效和耐受性,并支持正在进行的优化用于神经母细胞瘤的靶向PTK7 CAR-T 细胞的研究。
GD2-targeting immunotherapies have improved survival in children with neuroblastoma, yet on-target, off-tumor toxicities can occur and a subset of patients cease to respond. The majority of neuroblastoma patients who receive immunotherapy have been previously treated with cytotoxic chemotherapy, making it paramount to identify neuroblastoma-specific antigens that remain stable throughout standard treatment.
Cell surface glycoproteomics performed on human-derived neuroblastoma tumors in mice following chemotherapy treatment identified protein tyrosine kinase 7 (PTK7) to be abundantly expressed.
Furthermore, PTK7 shows minimal expression on pediatric-specific normal tissues.
We developed an anti-PTK7 chimeric antigen receptor (CAR) and find PTK7 CAR T cells specifically target and kill PTK7-expressing neuroblastoma in vitro. In vivo, human/murine binding PTK7 CAR T cells regress aggressive neuroblastoma metastatic mouse models and prolong survival with no toxicity.
Together, these data demonstrate preclinical efficacy and tolerability for targeting PTK7 and support ongoing investigations to optimize PTK7-targeting CAR T cells for neuroblastoma.
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