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:Co-infusion of CAR T cells with aAPCs expressing chemokines and costimulatory ligands enhances the anti-tumor efficacy in mice.
Co-infusion of CAR T cells with aAPCs expressing chemokines and costimulatory ligands enhances the anti-tumor efficacy in mice.
嵌合抗原受体修饰T细胞(CAR-T)疗法在治疗血液系统恶性肿瘤方面已显示出可治愈的疗效,而在实体瘤中,免疫抑制微环境导致CAR-T细胞激活、扩增和存活不佳,这主要是疗效不理想的原因。
嵌合抗原受体修饰的T(CAR-T)细胞疗法在治疗血液系统恶性肿瘤方面已显示出可治愈的疗效,而在实体瘤中,免疫抑制微环境导致CAR-T细胞激活、扩增和存活不佳,这主要是疗效不理想的原因。人工抗原提呈细胞(aAPCs)已被用于CAR-T细胞的体外扩增和生产。在此,我们构建了一种基于K562细胞的aAPCs,表达人上皮细胞黏附分子(EpCAM)、趋化因子(CCL19和CCL21)以及共刺激分子配体(CD80和4-1BBL)。我们的数据表明,这种新型aAPCs在体外增强了识别EpCAM的CAR-T细胞的扩增,并增加了其免疫记忆表型和细胞毒性。值得注意的是,共输注CAR-T和aAPC增强了CAR-T细胞在实体瘤中的浸润,这对实体瘤的治疗具有一定潜力。此外,IL-2-9-21这种细胞因子混合物可防止CAR-T细胞在持续抗原接合后过早进入耗竭状态,并增强与aAPCs共输注的CAR-T细胞的抗肿瘤活性。这些数据为增强CAR-T细胞疗法治疗实体瘤的治疗潜力提供了新策略。
Chimeric antigen receptor-modified T (CAR-T) cell therapy has shown curable efficacy for treating hematological malignancies, while in solid tumors, the immunosuppressive microenvironment causes poor activation, expansion and survival of CAR-T cells, accounting mainly for the unsatisfactory efficacy. The artificial antigen-presenting cells (aAPCs) have been used for ex vivo expansion and manufacturing of CAR-T cells. Here, we constructed a K562 cell-based aAPCs expressing human epithelial cell adhesion molecule (EpCAM), chemokines (CCL19 and CCL21) and co-stimulatory molecular ligands (CD80 and 4-1BBL). Our data demonstrated that the novel aAPCs enhanced the expansion, and increased the immune memory phenotype and cytotoxicity of CAR-T cells recognizing EpCAM, in vitro. Of note, co-infusion CAR-T and aAPC enhances the infiltration of CAR-T cells in solid tumors, which has certain potential for the treatment of solid tumors Moreover, IL-2-9-21, a cytokine cocktail, prevents CAR-T cells from entering the state of exhaustion prematurely after continuous antigen engagement and boosts the anti-tumor activity of CAR-T cells co-infused with aAPCs. These data provide a new strategy to enhance the therapeutic potential of CAR-T cell therapy for the treatment of solid tumors.
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