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:Enhancing CAR T-cell Therapy Using Fab-Based Constitutively Heterodimeric Cytokine Receptors.
我们的结果证明了Fab二聚化在重现细胞因子受体异二聚化信号方面是高效且多功能的。
过继性T细胞治疗旨在实现持久的肿瘤清除,需要增强免疫细胞的植入和存活。细胞因子是T细胞存活和增殖的最重要调节因子。细胞因子受体通过配体诱导的二聚化进行信号传导,这一原理已被利用非天然二聚化结构域所劫持。当前技术的一个主要局限在于缺乏一种能够重现天然细胞因子受体异二聚化配对的模块。为了规避这一问题,我们创建了一种新的工程化细胞因子受体,能够利用源自IgG1抗体的异二聚化结构域(dFab_CCR)组成性重建受体异二聚体。我们发现,dFab_CCR-IL2传递的信号能够熟练地模拟细胞因子受体异二聚化,其转录组特征与通过激活天然IL2受体所获得的特征相似。此外,我们发现这种二聚化结构具有不可知性,能够有效激活四个细胞因子受体家族的信号传导。利用体内和体外筛选方法的组合,我们表征了一个由18个dFab_CCR组成的文库,这些dFab_CCR与临床相关的实体瘤特异性GD2特异性嵌合抗原受体(CAR)共表达。基于这一表征,我们建议共表达共同γ链GMCSF或IL18 dFab_CCR中的任一种,对于改善CAR T细胞扩增、植入和疗效是最优的。我们的结果证明了Fab二聚化在重现细胞因子受体异二聚化信号方面的高效性和多功能性。该模块可应用于增强过继性T细胞治疗,以及基于其他免疫细胞类型的治疗。此外,这些结果为过继性T细胞疗法中选择细胞因子信号提供了依据。
Adoptive T-cell therapy aims to achieve lasting tumor clearance, requiring enhanced engraftment and survival of the immune cells. Cytokines are paramount modulators of T-cell survival and proliferation. Cytokine receptors signal via ligand-induced dimerization, and this principle has been hijacked utilizing nonnative dimerization domains. A major limitation of current technologies resides in the absence of a module that recapitulates the natural cytokine receptor heterodimeric pairing. To circumvent this, we created a new engineered cytokine receptor able to constitutively recreate receptor-heterodimer utilizing the heterodimerization domain derived from the IgG1 antibody (dFab_CCR). We found that the signal delivered by the dFab_CCR-IL2 proficiently mimicked the cytokine receptor heterodimerization, with transcriptomic signatures like those obtained by activation of the native IL2 receptor. Moreover, we found that this dimerization structure was agnostic, efficiently activating signaling through four cytokine receptor families. Using a combination of in vivo and in vitro screening approaches, we characterized a library of 18 dFab_CCRs coexpressed with a clinically relevant solid tumor-specific GD2-specific chimeric antigen receptor (CAR). Based on this characterization, we suggest that the coexpression of either the common -chain GMCSF or the IL18 dFab_CCRs is optimal to improve CAR T-cell expansion, engraftment, and efficacy. Our results demonstrate how Fab dimerization is efficient and versatile in recapitulating a cytokine receptor heterodimerization signal. This module could be applied for the enhancement of adoptive T-cell therapies, as well as therapies based on other immune cell types. Furthermore, these results provide a choice of cytokine signal to incorporate with adoptive T-cell therapies.
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