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 the effectiveness of γδ T cells by mRNA transfection of chimeric antigen receptors or bispecific T cell engagers.
使用CD19特异性CAR,约60%的T细胞在mRNA电穿孔后被修饰,这些细胞在体外和体内对两种CD19阳性癌细胞系显示出强效抗癌活性。
利用T细胞的过继性细胞疗法(ACT)正成为癌症治疗中一种有前景的选择,因为它提供了一种安全、强效且临床有效的现成同种异体产品。用于ACT的免疫活性细胞工程化或增强策略,如表达嵌合抗原受体(CAR)或与双特异性T细胞衔接器联合治疗,已提高了ACT的特异性和细胞毒性潜力,并在临床前和临床环境中展现出巨大前景。在此,我们测试了通过电穿孔将CAR或分泌型双特异性T细胞衔接器(sBite)mRNA导入T细胞是否是提高T细胞细胞毒性的有效方法。使用CD19特异性CAR,约60%的T细胞在mRNA电穿孔后被修饰,这些细胞在体外和体内对两种CD19阳性癌细胞系均显示出强效抗癌活性。此外,CD19 sBite的表达和分泌在体外和体内均增强了T细胞细胞毒性,并促进修饰和未修饰T细胞对靶细胞的杀伤。综上所述,我们表明通过电穿孔将CAR或sBite mRNA瞬时转染T细胞可作为一种有效的癌症治疗平台。
Adoptive cell therapy (ACT) utilizing T cells is becoming a promising option for the treatment of cancer, because it offers an off-the-shelf allogeneic product that is safe, potent, and clinically effective. Approaches to engineer or enhance immune-competent cells for ACT, like expression of chimeric antigen receptors (CARs) or combination treatments with bispecific T cell engagers, have improved the specificity and cytotoxic potential of ACTs and have shown great promise in preclinical and clinical settings. Here, we test whether electroporation of T cells with CAR or secreted bispecific T cell engager (sBite) mRNA is an effective approach to improve the cytotoxicity of T cells. Using a CD19-specific CAR, approximately 60% of T cells are modified after mRNA electroporation and these cells show potent anticancer activity in vitro and in vivo against two CD19-positive cancer cell lines. In addition, expression and secretion of a CD19 sBite enhances T cell cytotoxicity, both in vitro and in vivo , and promotes killing of target cells by modified and unmodified T cells. Taken together, we show that transient transfection of T cells with CAR or sBite mRNA by electroporation can be an effective treatment platform as a cancer therapeutic.
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