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:A GMP-Compliant Procedure for the Generation of Gene-Modified T cells.
A GMP-Compliant Procedure for the Generation of Gene-Modified T cells.
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过继细胞治疗(ACT)领域因基因改造细胞、特别是嵌合抗原受体(CAR)T细胞的开发而发生变革。这些改造细胞使血液系统恶性肿瘤患者获得显著临床应答。然而,治疗生产成本高昂且质量控制评估复杂,限制了更多患者获得治疗。为解决这一问题,许多学术机构正在探索在遵守国家和国际监管机构指南的前提下,开展基因改造细胞的院内生产。大规模生产基因改造T细胞产品面临多项挑战,尤其是机构生产能力及满足输注细胞数量要求方面。一个主要难题是按照药品生产质量管理规范(GMP)大规模生产病毒载体,这通常需要外包给专业公司。此外,简化T细胞转导流程有助于减少不同批次间变异、降低成本并便于人员培训。本研究介绍了一种简化流程,利用慢病毒载体将荧光标记基因转导至原代人T细胞。整个流程符合GMP标准,并在研究团队所在学术机构内实施。
The field of Adoptive Cell Therapy (ACT) has been revolutionized by the development of genetically modified cells, specifically Chimeric Antigen Receptor (CAR)-T cells. These modified cells have shown remarkable clinical responses in patients with hematologic malignancies.
However, the high cost of producing these therapies and conducting extensive quality control assessments has limited their accessibility to a broader range of patients. To address this issue, many academic institutions are exploring the feasibility of in-house manufacturing of genetically modified cells, while adhering to guidelines set by national and international regulatory agencies.
Manufacturing genetically modified T cell products on a large scale presents several challenges, particularly in terms of the institution's production capabilities and the need to meet infusion quantity requirements. One major challenge involves producing large-scale viral vectors under Good Manufacturing Practice (GMP) guidelines, which is often outsourced to external companies.
Additionally, simplifying the T cell transduction process can help minimize variability between production batches, reduce costs, and facilitate personnel training. In this study, we outline a streamlined process for lentiviral transduction of primary human T cells with a fluorescent marker as the gene of interest. The entire process adheres to GMP-compliant standards and is implemented within our academic institution.
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