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:Construction of truncated PSMA as a PET reporter gene for CAR T cell trafficking.
在实体瘤中,嵌合抗原受体(CAR)T 细胞要到达肿瘤部位需要克服多重屏障。
在实体瘤中,嵌合抗原受体(CAR)T细胞需要克服多重屏障才能到达肿瘤部位。为更好地了解CAR-T细胞是否有效浸润肿瘤,以及是否同时发生脱靶效应,需要建立实时监测技术。基于细胞的正电子发射断层成像(PET)报告基因已用于监测活体受试者中的工程化细胞。本研究报告构建了一种新型截短型前列腺特异性膜抗原(PSMA)报告基因,用于监测CAR-T细胞;该报告基因可通过68Ga-PSMA-617显像,并据此建立了体内追踪CAR-T细胞分布的方法。数据显示,PSMA主要定位于质膜,且体外能够以时间依赖方式摄取68Ga-PSMA-617。PSMA表达不影响CAR表达或CAR-T细胞的细胞溶解能力。裸鼠体内注射68Ga-PSMA-617后60分钟,可通过PET清晰成像CAR-PSMA T细胞异种移植模型。PSMA与68Ga-PSMA-617配对使用,可识别约1×10⁴个工程化CAR-T细胞。体内成像少量CAR-T细胞的能力有助于加速细胞疗法向临床转化,并可能加深对治疗成功、失败和毒性的认识。
In solid tumors, there are multiple barriers for a chimeric antigen receptor (CAR) T cell to surmount in order to reach the tumor site. For better understanding whether CAR T cells effectively infiltrate into tumor site, and simultaneously, whether there are off-target effects, real-time monitoring technologies need to be established. Cell-based positron emission tomography reporter genes have been developed to monitor engineered cells in living subjects. In this study, we reported the construction of a novel reporter gene truncated prostate-specific membrane antigen ( PSMA) pending for monitoring CAR T cells using 68Ga-PSMA-617 and a method for tracking the distribution of CAR T cells in vivo was developed. Data were provided to demonstrate that PSMA was predominantly localized on the plasma membrane and could take up 68Ga-PSMA-617 in vitro in a time-dependent manner. And the expression of PSMA did not affect CAR expression and cytolytic capacity of CAR T cells. CAR- PSMA T cell xenografts in nude mice were clearly imaged by positron emission tomography 60 min after injection of 68Ga-PSMA-617. PSMA paired with 68Ga-PSMA-617 was capable of identifying approximately 1 104 engineered CAR T cells. The ability to image small numbers of CAR T cells in vivo would be helpful to accelerate the translation of cell-based therapies into the clinic, and it may reinforce our understanding of treatment success, failure, and toxicity.
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