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CD44v6 特异性 CAR-NK 细胞用于头颈部鳞状细胞癌的靶向免疫治疗

英文原题:CD44v6 specific CAR-NK cells for targeted immunotherapy of head and neck squamous cell carcinoma.

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CD44v6 specific CAR-NK cells for targeted immunotherapy of head and neck squamous cell carcinoma.

PubMed 2023/11/10(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

头颈部鳞状细胞癌(HNSCC)给现有疗法带来重大挑战。CAR-T 细胞治疗血液系统恶性肿瘤已显示良好前景,但治疗实体瘤仍有障碍。近期研究显示,靶向CD44v6的CAR-T 细胞可控制多发性骨髓瘤及HNSCC、肺腺癌和卵巢腺癌等实体瘤的生长。除CAR-T 外,CAR自然杀伤(NK)细胞为自体CAR-T 治疗提供了一种安全的异基因替代方案。本文研究重定向靶向CD44v6的CAR-NK细胞对HNSCC的细胞毒能力。研究使用健康供者外周血来源NK细胞,经伽马逆转录病毒载体(gRV)制备抗CD44v6 CAR-NK细胞;并比较狒狒内源性逆转录病毒包膜(BaEV)、猫白血病病毒包膜(FeLV,RD114-TR)及长臂猿白血病病毒(GaLV)包膜,以优化NK细胞转导。以转导NK细胞的EGFP和表面CAR表达衡量,BaEV假型gRV转导率最高,优于RD114-TR和GaLV包膜。与未改造、经细胞因子扩增的原代NK细胞相比,CAR-NK细胞对多种HNSCC细胞系的杀伤效力提高2至3倍。抗CD44v6 CAR-NK细胞可有效清除CD44v6高表达和低表达的肿瘤细胞系。

总体而言,CAR-NK细胞细胞毒性增强,使其有望成为治疗HNSCC的选择。不过仍需进一步临床前试验评估其体内疗效和安全性,并优化抗CD44v6 CAR-NK细胞治疗实体瘤的方案。

展开英文摘要原文

Head and neck squamous cell carcinoma (HNSCC) is a major challenge for current therapies. CAR-T cells have shown promising results in blood cancers, however, their effectiveness against solid tumors remains a hurdle. Recently, CD44v6-directed CAR-T cells demonstrated efficacy in controlling tumor growth in multiple myeloma and solid tumors such as HNSCC, lung and ovarian adenocarcinomas. Apart from CAR-T cells, CAR-NK cells offer a safe and allogenic alternative to autologous CAR-T cell therapy. In this paper, we investigated the capacity of CAR-NK cells redirected against CD44v6 to execute cytotoxicity against HNSCC. Anti-CD44v6 CAR-NK cells were generated from healthy donor peripheral blood-derived NK cells using gamma retroviral vectors (gRVs).

The NK cell transduction was optimized by exploring virus envelope proteins derived from the baboon endogenous virus envelope (BaEV), feline leukemia virus (FeLV, termed RD114-TR) and gibbon ape leukemia virus (GaLV), respectively. BaEV pseudotyped gRVs induced the highest transduction rate compared to RD114-TR and GaLV envelopes as measured by EGFP and surface CAR expression of transduced NK cells.

CAR-NK cells showed a two- to threefold increase in killing efficacy against various HNSCC cell lines compared to unmodified, cytokine-expanded primary NK cells. Anti-CD44v6 CAR-NK cells were effective in eliminating tumor cell lines with high and low CD44v6 expression levels.

Overall, the improved cytotoxicity of CAR-NK cells holds promise for a therapeutic option for the treatment of HNSCC.

However, further preclinical trials are necessary to test in vivo efficacy and safety, as well to optimize the treatment regimen of anti-CD44v6 CAR-NK cells against solid tumors.

论文信息

作者
Ciulean IS、Fischer J、Quaiser A、Bach C、Abken H、Tretbar US、Fricke S、Koehl U
单位
Fraunhofer Institute for Cell Therapy and Immunology (IZI), Leipzig, Germany.Germany
文献类型
非美国政府资助研究
期刊
Frontiers in immunology2023
原文标识
PubMed 38022580 · DOI 10.3389/fimmu.2023.1290488