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:Anti-PD-1 antibody armored γδ T cells enhance anti-tumor efficacy in ovarian cancer.
Anti-PD-1 antibody armored γδ T cells enhance anti-tumor efficacy in ovarian cancer.
T 细胞具有检测广泛低突变负荷肿瘤的独特能力,使其成为 CAR-T 细胞治疗极具吸引力的候选者。
T细胞能够识别突变负荷较低的多种肿瘤,因此是CAR-T细胞治疗中有吸引力的候选细胞。与其他免疫细胞相比,T细胞在MHC非限制性、选择性募集和快速活化方面具有优势。然而,临床试验获益有限,过继输注T细胞的效果往往不如预期。研究人员假设,T细胞清除肿瘤细胞的效力有限,可能归因于PD-1/PD-L1轴诱导的抑制性肿瘤微环境。本研究构建了可分泌人源化抗PD-1抗体的新型装甲化γδ T细胞,称为Lv-PD1-γδ T细胞。Lv-PD1-γδ T细胞增殖能力改善,对肿瘤细胞的细胞毒作用增强,在卵巢肿瘤荷瘤小鼠中产生更强治疗效果并带来生存获益。这些工程化细胞体内存活超过29天,且在免疫缺陷NOD/SCID/γ链敲除小鼠中未显示致瘤风险。Lv-PD1-γδ T细胞在免疫人源化NOD/SCID/γ链敲除小鼠中也具有良好耐受性和安全性。该疗法通过在肿瘤局部释放抗PD-1抗体减弱或消除免疫抑制并最大化细胞毒效力,有望成为癌症现货型细胞疗法。
T cells have the unique ability to detect a wide range of tumors with low mutation burdens, making them attractive candidates for CAR-T-cell therapy. Unlike T cells and other immune cells, T cells are superior in MHC non-restriction, selective cell recruitment, and rapid activation. However, clinical trials have shown limited clinical benefits, and the adoptive transplantation of T cells has often fallen short of expectations. We hypothesized that the limited effectiveness of T cells in eradicating tumor cells may be attributed to the inhibitory tumor microenvironment induced by the suppressive PD-1/PD-L1 axis. Herein, we constructed novel armored T cells capable of secreting humanized anti-PD-1 antibodies, referred to as "Lv-PD1- T cells. Lv-PD1- T cells showed improved proliferation and enhanced cytotoxicity against tumor cells, resulting in augmented therapeutic effects and survival benefits in ovarian tumor-bearing mice. These engineered cells demonstrated a prolonged in vivo survival of more than 29 days, without any potential for tumorigenicity in immunodeficient NOD/SCID/ null mice. We also found that Lv-PD1- T cells exhibited excellent tolerance and safety in humanized NOD/SCID/ null mice. With attenuated or eliminated immunosuppression and maximized cytotoxicity efficacy by the local secretion of anti-PD1 antibodies in tumors, Lv-PD1- T cells can serve as a promising "off-the-shelf" cell therapy against cancers.
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