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:In vitro vascular differentiation system efficiently produces natural killer cells for cancer immunotherapies.
In vitro vascular differentiation system efficiently produces natural killer cells for cancer immunotherapies.
我们的类器官系统旨在复现体内细胞组织(包括信号梯度与剪切应力条件),为 HPC 和 NK 细胞的生成提供了适宜的环境。
背景:对手术适用性有限的肿瘤而言,免疫治疗创新至关重要。CAR-T细胞治疗胶质母细胞瘤(GBM)的疗效较低,可能与疾病进展相关突变有关。自然杀伤(NK)细胞能够识别携带这些突变的癌细胞,因而具有更强的肿瘤清除潜力。研究人员利用人多能干细胞(hPSC)开发了NK细胞分化系统。该系统可在多能阶段引入针对癌症治疗挑战的基因改造,从而实现改造型“现货”hPSC-NK细胞的无限量生产。方法:利用新型类器官系统将hPSC分化为造血祖细胞(HPC)和NK细胞,并通过流式细胞术和生物信息学分析鉴定其特征。采用NSG小鼠评估HPC植入能力,以K562细胞体外实验验证NK细胞毒性,并进一步在淋巴瘤、弥漫性内生性脑桥胶质瘤(DIPG)和GBM细胞系中进行验证。结果:HPC可在外周血样本中植入;hPSC-NK细胞的形态和功能与同一供者外周血NK细胞(PB-NK)相似。hPSC-NK在免疫检查点抑制剂及代谢相关基因表达方面还显示潜在优势,并在体内外对多种癌症表现出细胞毒性。结论:该类器官系统模拟体内细胞组织方式,包括信号梯度和剪切应力环境,可为HPC和NK细胞生成提供合适条件。HPC的植入能力及NK细胞对多种白血病、淋巴瘤、DIPG和GBM的强效细胞毒作用,表明该系统有望成为助力癌症治疗和研究的工具,改善患者生存和生活质量。
BACKGROUND: Immunotherapeutic innovation is crucial for limited operability tumors. CAR T-cell therapy displayed reduced efficiency against glioblastoma (GBM), likely due to mutations underlying disease progression. Natural Killer cells (NKs) detect cancer cells despite said mutations - demonstrating increased tumor elimination potential. We developed an NK differentiation system using human pluripotent stem cells (hPSCs). Via this system, genetic modifications targeting cancer treatment challenges can be introduced during pluripotency - enabling unlimited production of modified "off-the-shelf" hPSC-NKs. METHODS: hPSCs were differentiated into hematopoietic progenitor cells (HPCs) and NKs using our novel organoid system. These cells were characterized using flow cytometric and bioinformatic analyses. HPC engraftment potential was assessed using NSG mice. NK cytotoxicity was validated using in vitro and in vitro K562 assays and further corroborated on lymphoma, diffuse intrinsic pontine glioma (DIPG), and GBM cell lines in vitro . RESULTS: HPCs demonstrated engraftment in peripheral blood samples, and hPSC-NKs showcased morphology and functionality akin to same donor peripheral blood NKs (PB-NKs). The hPSC-NKs also displayed potential advantages regarding checkpoint inhibitor and metabolic gene expression, and demonstrated in vitro and in vivo cytotoxicity against various cancers. CONCLUSIONS: Our organoid system, designed to replicate in vivo cellular organization (including signaling gradients and shear stress conditions), offers a suitable environment for HPC and NK generation. The engraftable nature of HPCs and potent NK cytotoxicity against leukemia, lymphoma, DIPG, and GBM highlight the potential of this innovative system to serve as a valuable tool that will benefit cancer treatment and research - improving patient survival and quality of life.
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