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:Highly proliferative and hypodifferentiated CAR-T cells targeting B7-H3 enhance antitumor activity against ovarian and triple-negative breast cancers.
嵌合抗原受体(CAR)-T 细胞免疫疗法对血液系统肿瘤高度有效。
嵌合抗原受体(CAR)T 细胞免疫疗法对血液系统恶性肿瘤疗效显著,但受肿瘤差异性、抗原特异性较低和 CAR-T 细胞存活时间有限等因素影响,其在实体瘤中的应用受到限制。本研究采用慢病毒转导,构建一种新型靶向 B7-H3 的 CAR-T 细胞,其中含有 4-1BB 共刺激分子以及与 STAT3 和 STAT5 相关的活化基序。肿瘤相关抗原 B7-H3 及其 scFv 抗体赋予 CAR-T 细胞肿瘤特异性靶向能力。此外,整合 trIL2RB 和 YRHQ 基序可依赖抗原刺激 STAT5 和 STAT3,通过激活 JAK-STAT 信号通路,显著促进 CAR-T 细胞增殖和存活。BB-trIL2RB-z(YRHQ) CAR-T 细胞中,分化程度较低的 T 细胞比例也有所增加。此外,在低剂量条件下,BB-trIL2RB-z(YRHQ) 可在体内有效抑制卵巢癌(OC)和三阴性乳腺癌(TNBC),且未引起血清炎症细胞因子水平升高或器官毒性。因此,本研究提出了一种组合设计,可用于构建性能更优、具有多效性的 CAR-T 细胞,为治疗难治性实体瘤提供有效策略。
Chimeric antigen receptor (CAR)-T cell immunotherapy is highly effective against hematological neoplasms. However, owing to tumor variability, low antigen specificity, and impermanent viability of CAR-T cells, their use in the treatment of solid tumors is limited. Here, a novel CAR-T cell targeting B7-H3 and incorporating a 4-1BB costimulatory molecule with STAT3-and STAT5-related activation motifs was constructed using lentivirus transduction. B7-H3, a tumor-associated antigen, and its scFv antibody endowed CAR-T cells with tumor-specific targeting capabilities. Moreover, the integration of the trIL2RB and YRHQ motifs stimulated STAT5 and STAT3 in an antigen-dependent manner, inducing a remarkable increase in the proliferation and survival of CAR-T cells via the activation of the JAK-STAT signaling pathway. Besides, the proportion of less-differentiated T cells increased among BB-trIL2RB-z(YRHQ) CAR-T cells. Moreover, BB-trIL2RB-z(YRHQ) effectively inhibited ovarian cancer (OC) and triple-negative breast cancer (TNBC) in vivo at low doses, without high serum levels of inflammatory cytokines and organ toxicity. Therefore, our study proposes a combination of elements for the construction of superior pluripotent CAR-T cells to provide an effective strategy for the treatment of intractable solid tumors.
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