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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Ionizable Lipid Nanoparticles with Integrated Immune Checkpoint Inhibition for mRNA CAR T Cell Engineering.
Ionizable Lipid Nanoparticles with Integrated Immune Checkpoint Inhibition for mRNA CAR T Cell Engineering.
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程序性死亡蛋白 1(PD-1)信号通路是肿瘤微环境中 T 细胞活性减弱的重要原因。通过抗体阻断 PD-1 通路的临床方法已广泛取得成功,但这种方法会导致全身范围的 PD-1 抑制,增加自身免疫反应风险。
本研究报告开发了一种可离子化脂质纳米颗粒(LNP)平台,可同时实现治疗性基因表达和 RNA 干扰(RNAi)介导的 T 细胞基因瞬时敲低。在开发该平台的过程中,研究人员观察到两种 RNA 载荷共包封时存在有趣的相互作用;与单独递送任一载荷相比,共递送可改善表达和敲低特征。研究随后使用这一信使 RNA(mRNA)/小干扰 RNA(siRNA)共递送平台,将 CAR mRNA 和靶向 PD-1 的 siRNA 递送至离体培养的人原代 T 细胞;结果观察到强 CAR 表达和 PD-1 敲低,且总体 T 细胞活化状态未见明显改变。该递送平台在多种免疫工程应用中实现免疫基因瞬时调节方面前景广阔,其中包括开发更优的癌症免疫疗法。
The programmed cell death protein 1 (PD-1) signaling pathway is a major source of dampened T cell activity in the tumor microenvironment. While clinical approaches to inhibiting the PD-1 pathway using antibody blockade have been broadly successful, these approaches lead to widespread PD-1 suppression, increasing the risk of autoimmune reactions.
This study reports the development of an ionizable lipid nanoparticle (LNP) platform for simultaneous therapeutic gene expression and RNA interference (RNAi)-mediated transient gene knockdown in T cells. In developing this platform, interesting interactions are observed between the two RNA cargoes when co-encapsulated, leading to improved expression and knockdown characteristics compared to delivering either cargo alone.
This messenger RNA (mRNA)/small interfering RNA (siRNA) co-delivery platform is adopted to deliver chimeric antigen receptor (CAR) mRNA and siRNA targeting PD-1 to primary human T cells ex vivo and strong CAR expression and PD-1 knockdown are observed without apparent changes to overall T cell activation state. This delivery platform shows great promise for transient immune gene modulation for a number of immunoengineering applications, including the development of improved cancer immunotherapies.
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