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:B7-H3-targeted CAR T cell activity is enhanced by radiotherapy in solid cancers.
利用经基因修饰以表达嵌合抗原受体(CAR)的T细胞进行的过继性细胞疗法,已在血液系统恶性肿瘤中展现出有前景的临床结果。
利用基因修饰表达嵌合抗原受体(CAR)的T细胞进行的过继细胞疗法已在血液系统恶性肿瘤中显示出有前景的临床结果。然而,由于多重障碍,实体瘤尚未取得类似的成功。研究这些逃逸机制并设计应对此类局限性的策略至关重要且恰逢其时。文献中越来越多的证据支持以下假设:放疗有潜力通过克服耐药机制来增强实体瘤对CAR T细胞疗法的易感性。放射治疗可以增加不同类型实体瘤(TNBC、HNSCC、PDAC)对B7-H3 CAR T细胞介导的清除的易感性。多种机制,包括减少癌细胞增殖、上调靶抗原、调节凋亡分子,可能促成了这一信号。文献中的信息以及我们所描述的结果支持放疗能够提高CAR T细胞疗法在实体瘤中的疗效。
Adoptive cell therapy utilizing T cells genetically modified to express a chimeric antigen receptor (CAR) has demonstrated promising clinical results in hematological malignancies. However, solid cancers have not seen a similar success due to multiple obstacles. Investigating these escape mechanisms and designing strategies to counteract such limitations is crucial and timely. Growing evidence in the literature supports the hypothesis that radiotherapy has the potential to enhance the susceptibility of solid tumors to CAR T cell therapy, by overcoming mechanisms of resistance. Radiation treatment can increase the susceptibility of different types of solid cancers (TNBC, HNSCC, PDAC) to B7-H3 CAR T cell-mediated eradication. Multiple mechanisms, including reduced cancer cell proliferation, upregulation of the targeted antigen, modulation of apoptotic molecules may contribute to this signal. The information in the literature and the results we describesupport the ability of radiotherapy to improve the efficacy of CAR T cell therapy in solid tumors.
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