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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Annihilation of Non-small Cell Lung Cancer by NKG2D CAR-T Cells Produced from T Cells from Peripheral Blood of Healthy Donors.
Annihilation of Non-small Cell Lung Cancer by NKG2D CAR-T Cells Produced from T Cells from Peripheral Blood of Healthy Donors.
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靶向NKG2D-NKG2D配体(NKG2DL)、旨在清除实体瘤的嵌合抗原受体(CAR)T细胞免疫疗法已取得一定进展。已有研究表明,非小细胞肺癌(NSCLC)表达NKG2DL。
因此,本研究评估NKG2D CAR-T 细胞对NSCLC的治疗作用。研究从多种人自体T细胞来源制备NKG2D CAR-T 细胞,并将未导入NKG2D CAR的健康志愿者外周血T淋巴细胞作为未转染T细胞(NT-T)对照。将效应细胞(CAR-T 或NT-T)与不同效靶比的NSCLC靶细胞(如PC-9或NCL-H460)共培养,采用乳酸脱氢酶检测试剂盒评估CAR-T 细胞毒性,并以小鼠异种移植模型考察体内抗肿瘤作用。通过酶联免疫吸附测定检测CAR-T 分泌的细胞因子,并以免疫组织化学观察CAR-T 在异种移植瘤中的浸润。
结果显示,NSCLC细胞高表达NKG2DL。与NT-T相比,不同来源的NKG2D CAR-T 细胞对NSCLC细胞毒性更强,并分泌更多与效应和记忆功能相关的细胞因子;其中健康供者外周血来源的H-T细胞效果最强。
此外,与NT-T相比,健康供者H-T细胞和NSCLC患者外周血来源的NKG2D CAR-T 均能缩小NOG小鼠肿瘤、改善生存、增加体重和肿瘤浸润能力,并上调血清IFN-γ水平。
综上,NKG2D CAR-T 细胞能够以NKG2DL依赖方式有效清除NSCLC,是值得进一步研究的治疗候选方案。
Some progress has been made in immunotherapy with chimeric antigen receptor (CAR)-T cells targeting NKG2D-NKG2DL with the purpose of eradicating solid tumors. Non-small cell lung cancer (NSCLC) has been shown to express NKG2DL.
This study hence evaluated the therapeutic effect of NKG2D CAR-T cells on NSCLC. Accordingly, NKG2D CAR-T cells were obtained from diverse human autologous T cell sources. T cells from peripheral blood T lymphocytes of healthy volunteers (without NKG2D CAR insertion) were used as NT-T cells. Coculture of effector cells (CAR-T cells or NT-T cells) with target cells (NSCLC cells such as PC-9 or NCL-H460 cells) was performed at different ratios. The cytotoxicity of CAR-T cells was examined using lactate dehydrogenase assay kits.
Murine xenograft assay was conducted to investigate the in vivo antitumor effect of CAR-T cells. Cytokines secreted from CAR-T cells were assessed by enzyme-linked immunosorbent assay. CAR-T cell infiltration into xenografts was observed through immunochemical assay. Based on the results, NKG2DL was highly expressed in NSCLC cells.
Compared with NT-T cells, NKG2D CAR-T cells from different sources of T cells delivered stronger toxicity, and secreted more effector and memory function-related cytokines to NSCLC cells, and those from the peripheral blood of healthy donors (H-T cells) exhibited the strongest effect.
Furthermore, compared with NT-T cells, H-T cells and NKG2D CAR-T cells from NSCLC patients' peripheral blood diminished tumor, improved survival, increased body weight and tumor-infiltrating capacity, and upregulated serum IFN- level in NOG mice. Collectively speaking, NKG2D CAR-T cells exhibit a robust effect on eradicating NSCLC in a NKG2DL-dependent manner, thus making themselves a promising therapeutic candidate for NSCLC patients.
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