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:T lymphocytes expressing the switchable chimeric Fc receptor CD64 exhibit augmented persistence and antitumor activity.
T lymphocytes expressing the switchable chimeric Fc receptor CD64 exhibit augmented persistence and antitumor activity.
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嵌合抗原受体(CAR)T细胞疗法在治疗实体瘤时缺乏持久疗效,并存在“靶向、非肿瘤”毒性。因此,设计了一种抗体引导的可切换CAR载体,即嵌合Fc受体CD64(CFR64),由CD64胞外结构域组成。表达CFR64的T细胞对癌细胞的细胞毒性比以高亲和力CD16变体(CD16v)或CD32A作为其胞外结构域的CFR T细胞更强。与常规CAR-T 细胞相比,CFR64 T细胞还表现出更好的长期细胞毒性和对T细胞耗竭的抵抗。与曲妥珠单抗联合使用时,CFR64建立的免疫突触(IS)比抗HER2 CAR-T 细胞更稳定,下游信号诱导强度更低。此外,CFR64 T细胞在刺激下表现出融合的线粒体,而CARH2 T细胞主要含有 punctate 线粒体。这些结果表明,CFR64 T细胞可能作为一种可控的工程化T细胞疗法,具有更长的持久性和长期抗肿瘤活性。
Chimeric antigen receptor (CAR) T cell therapy lacks persistent efficacy with "on-target, off-tumor" toxicities for treating solid tumors.
Thus, an antibody-guided switchable CAR vector, the chimeric Fc receptor CD64 (CFR64), composed of a CD64 extracellular domain, is designed. T cells expressing CFR64 exert more robust cytotoxicity against cancer cells than CFR T cells with high-affinity CD16 variant (CD16v) or CD32A as their extracellular domains.
CFR64 T cells also exhibit better long-term cytotoxicity and resistance to T cell exhaustion compared with conventional CAR T cells. With trastuzumab, the immunological synapse (IS) established by CFR64 is more stable with lower intensity induction of downstream signaling than anti-HER2 CAR T cells.
Moreover, CFR64 T cells exhibit fused mitochondria in response to stimulation, while CARH2 T cells contain predominantly punctate mitochondria. These results show that CFR64 T cells may serve as a controllable engineered T cell therapy with prolonged persistence and long-term antitumor activity.
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