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:CD62L as target receptor for specific gene delivery into less differentiated human T lymphocytes.
本研究描述了一种新型受体靶向慢病毒载体(LV),命名为62L-LV,其优先转导以L-选择素受体CD62L为标志的较少分化的T细胞,对CD4+和CD8+原代T细胞的转导率分别高达70%和50%。
嵌合抗原受体(CAR)表达 T 细胞是一种复杂且异质的基因治疗产品,其表型组成具有差异。分化程度较低的 CAR-T 细胞比例较高,通常与更强的抗肿瘤功能和持久性相关。本研究介绍了一种新型受体靶向慢病毒载体(LV),名为 62L-LV;该载体优先转导由 L-选择素受体 CD62L 标记、分化程度较低的 T 细胞,原代 CD4⁺ 和 CD8⁺ T 细胞的转导率分别最高可达 70% 和 50%。值得注意的是,与 VSV-LV 相比,使用 62L-LV 转导并长期培养后,分化程度较低的 T 细胞数量更高且得以保留。有趣的是,脱落的 CD62L 既不会改变 62L-LV 颗粒与 T 细胞的结合,也不会影响转导。对活化 T 淋巴细胞使用 62L-LV 或 VSV-LV,仅需孵育 24 小时,便可产生能在白血病小鼠肿瘤模型中控制肿瘤生长的 CAR-T 细胞。数据证明,短时间离体暴露于 LV 即可从原代细胞制备出强效 CAR-T 细胞。作为首种优先转导低分化 T 淋巴细胞的载体,62L-LV 有望避免繁琐的 T 细胞亚型筛选,并显著缩短 CAR-T 细胞生产流程。
Chimeric antigen receptor (CAR)-expressing T cells are a complex and heterogeneous gene therapy product with variable phenotype compositions. A higher proportion of less differentiated CAR T cells is usually associated with improved antitumoral function and persistence. We describe in this study a novel receptor-targeted lentiviral vector (LV) named 62L-LV that preferentially transduces less differentiated T cells marked by the L-selectin receptor CD62L, with transduction rates of up to 70% of CD4+ and 50% of CD8+ primary T cells. Remarkably, higher amounts of less differentiated T cells are transduced and preserved upon long-term cultivation using 62L-LV compared to VSV-LV. Interestingly, shed CD62L neither altered the binding of 62L-LV particles to T cells nor impacted their transduction. The incubation of 2 days of activated T lymphocytes with 62L-LV or VSV-LV for only 24 hours was sufficient to generate CAR T cells that controlled tumor growth in a leukemia tumor mouse model. The data proved that potent CAR T cells can be generated by short-term ex vivo exposure of primary cells to LVs. As a first vector type that preferentially transduces less differentiated T lymphocytes, 62L-LV has the potential to circumvent cumbersome selections of T cell subtypes and offers substantial shortening of the CAR T cell manufacturing process.
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