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:Host Interactions with Engineered T-cell Micropharmacies.
经基因工程改造的细胞毒性过继转移T细胞能够定位到患者体内抗原阳性的癌细胞,但肿瘤异质性和多种免疫逃逸机制阻碍了大多数实体瘤类型的根除。
基因工程改造的、具有细胞毒性的过继转移T细胞能够定位到患者体内抗原阳性的癌细胞,但肿瘤异质性和多种免疫逃逸机制阻碍了大多数实体瘤类型的根除。更有效、多功能的工程化T细胞正在开发中,以克服实体瘤治疗的障碍,但这些高度修饰的细胞与宿主的相互作用却知之甚少。我们此前将前药激活酶功能工程化到嵌合抗原受体(CAR)T细胞中,赋予其一种与常规T细胞细胞毒性正交的杀伤机制。这些递药细胞,被称为合成酶武装杀伤(SEAKER)细胞,在小鼠淋巴瘤异种移植模型中显示出疗效。然而,免疫缺陷异种移植模型与如此复杂的工程化T细胞的相互作用不同于免疫健全宿主中的相互作用,从而阻碍了理解这些生理过程可能如何影响治疗。在此,我们扩展了SEAKER细胞的范围,利用T细胞受体(TCR)工程化T细胞的特异性靶向,在同基因小鼠模型中靶向实体瘤黑色素瘤。我们证明,尽管存在宿主免疫反应,SEAKER细胞仍能特异性地定位到肿瘤,并激活生物活性前药。我们还表明,TCR工程化的SEAKER细胞在免疫健全宿主中具有疗效,证明SEAKER平台适用于多种过继细胞疗法。
Genetically engineered, cytotoxic, adoptively transferred T cells localize to antigen-positive cancer cells inside patients, but tumor heterogeneity and multiple immune escape mechanisms have prevented the eradication of most solid tumor types. More effective, multifunctional engineered T cells are in development to overcome the barriers to the treatment of solid tumors, but the interactions of these highly modified cells with the host are poorly understood. We previously engineered prodrug-activating enzymatic functions into chimeric antigen receptor (CAR) T cells, endowing them with a killing mechanism orthogonal to conventional T-cell cytotoxicity. These drug-delivering cells, termed Synthetic Enzyme-Armed KillER (SEAKER) cells, demonstrated efficacy in mouse lymphoma xenograft models. However, the interactions of an immunocompromised xenograft with such complex engineered T cells are distinct from those in an immunocompetent host, precluding an understanding of how these physiologic processes may affect the therapy. Herein, we expanded the repertoire of SEAKER cells to target solid-tumor melanomas in syngeneic mouse models using specific targeting with T-cell receptor (TCR)-engineered T cells. We demonstrate that SEAKER cells localized specifically to tumors, and activated bioactive prodrugs, despite host immune responses. We additionally show that TCR-engineered SEAKER cells were efficacious in immunocompetent hosts, demonstrating that the SEAKER platform is applicable to many adoptive cell therapies.
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