一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Development and pharmacokinetic assessment of a fully canine anti-PD-1 monoclonal antibody for comparative translational research in dogs with spontaneous tumors.
Development and pharmacokinetic assessment of a fully canine anti-PD-1 monoclonal antibody for comparative translational research in dogs with spontaneous tumors.
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PD-1检查点抑制剂彻底改变了多种组织学类型癌症的治疗,包括黑色素瘤、肾细胞癌和非小细胞肺癌。然而,只有部分患者对治疗产生显著临床应答。尽管进行了大量生物标志物探索,目前仍未发现单一、可靠且预后相关的指标可作为有效结局预测因子。免疫功能健全的宠物犬会自发形成肿瘤,这些肿瘤与人类癌症具有相似特征,包括染色体异常、分子亚型、免疫特征、肿瘤异质性、转移行为及化疗应答。
因此,犬可作为有价值的平行患者群体,用于研究检查点抑制的预测性生物标志物。然而,缺乏经验证、无免疫原性的犬抗PD-1抗体供临床前使用,阻碍了这种比较研究,也使PD-1阻断在兽医临床中的潜在获益无法实现。为此,研究者从全面的犬单链可变片段(scFv)噬菌体展示文库中分离出可结合犬PD-1(cPD-1)的全犬源scFv。筛选出能够高亲和力结合cPD-1并抑制其与犬PD-L1(cPD-L1)相互作用的候选分子。将领先scFv候选物改造为全犬源IgG D后,可逆转cPD-1:cPD-L1相互作用对犬嵌合抗原受体(CAR)T细胞功能的抑制作用。体内给药未见毒性,并显示出适合合理给药方案的药代动力学特征。这些结果为在犬癌症患者中开展抗cPD-1临床试验铺平道路,以研究预测性生物标志物和联合方案,为人类临床试验提供参考,并将有潜力的检查点抑制剂纳入兽医治疗手段。
PD-1 checkpoint inhibitors have revolutionized the treatment of patients with different cancer histologies including melanoma, renal cell carcinoma, and non-small cell lung carcinoma.
However, only a subset of patients show a dramatic clinical response to treatment. Despite intense biomarker discovery efforts, no single robust, prognostic correlation has emerged as a valid outcome predictor.
Immune competent, pet dogs develop spontaneous tumors that share similar features to human cancers including chromosome aberrations, molecular subtypes, immune signatures, tumor heterogeneity, metastatic behavior, and chemotherapeutic response. As such, they represent a valuable parallel patient population in which to investigate predictive biomarkers of checkpoint inhibition.
However, the lack of a validated, non-immunogenic, canine anti-PD-1 antibody for pre-clinical use hinders this comparative approach and prevents potential clinical benefits of PD-1 blockade being realized in the veterinary clinic. To address this, fully canine single-chain variable fragments (scFvs) that bind canine (c)PD-1 were isolated from a comprehensive canine scFv phage display library. Lead candidates were identified that bound with high affinity to cPD-1 and inhibited its interaction with canine PD-L1 (cPD-L1).
The lead scFv candidate re-formatted into a fully canine IgG D reversed the inhibitory effects of cPD-1:cPD-L1 interaction on canine chimeric antigen receptor (CAR) T cell function. In vivo administration showed no toxicity and revealed favorable pharmacokinetics for a reasonable dosing schedule. These results pave the way for clinical trials with anti-cPD-1 in canine cancer patients to investigate predictive biomarkers and combination regimens to inform human clinical trials and bring a promising checkpoint inhibitor into the veterinary armamentarium.
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