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:Exploring TCR-like CAR-Engineered Lymphocyte Cytotoxicity against MAGE-A4.
类似 TCR 的嵌合抗原受体(CAR-T)细胞疗法已成为癌症免疫治疗中具有变革意义的策略,可提供广泛的潜在抗原靶点,尤其是在含胞内抗原的实体瘤中。
TCR样嵌合抗原受体(CAR)工程化淋巴细胞疗法已成为癌症免疫治疗的重要策略,可提供广泛的潜在抗原靶点,尤其适用于含有细胞内抗原的实体瘤。本研究考察了体外生成、经工程改造而表达靶向癌睾抗原MAGE-A4的TCR样CAR受体的T淋巴细胞的细胞毒性和功能特征。通过病毒转导使T细胞表达TCR样CAR受体,并与表达MAGE-A4的肿瘤细胞共培养。流式细胞术分析显示,接触肿瘤细胞后,表达CD69、CD107a和FasL活化标志物的细胞显著增加,提示T细胞活化和细胞毒作用强劲。免疫转录组分析还显示,参与免疫反应及细胞增殖调控的关键T效应基因表达升高。此外,多重检测发现颗粒酶和可溶性Fas配体(sFasL)介导的细胞因子产生和细胞毒作用增强,提示抗肿瘤免疫反应加强。初步体内研究显示肿瘤生长显著减缓,凸显了这类TCR样CAR-T细胞的治疗潜力。仍需进一步研究以充分验证这些发现,并发挥TCR样CAR-T细胞克服癌症顽固防御机制的全部潜力。
TCR-like chimeric antigen receptor (CAR-T) cell therapy has emerged as a game-changing strategy in cancer immunotherapy, offering a broad spectrum of potential antigen targets, particularly in solid tumors containing intracellular antigens. In this study, we investigated the cytotoxicity and functional attributes of in vitro-generated T-lymphocytes, engineered with a TCR-like CAR receptor precisely targeting the cancer testis antigen MAGE-A4. Through viral transduction, T-cells were genetically modified to express the TCR-like CAR receptor and co-cultured with MAGE-A4-expressing tumor cells. Flow cytometry analysis revealed a significant surge in cells expressing activation markers CD69, CD107a, and FasL upon encountering tumor cells, indicating robust T-cell activation and cytotoxicity. Moreover, immune transcriptome profiling unveiled heightened expression of pivotal T-effector genes involved in immune response and cell proliferation regulation. Additionally, multiplex assays also revealed increased cytokine production and cytotoxicity driven by granzymes and soluble Fas ligand (sFasL), suggesting enhanced anti-tumor immune responses. Preliminary in vivo investigations revealed a significant deceleration in tumor growth, highlighting the therapeutic potential of these TCR-like CAR-T cells. Further investigations are warranted to validate these revelations fully and harness the complete potential of TCR-like CAR-T cells in overcoming cancer's resilient defenses.
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