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:TIL-Derived CAR T Cells Improve Immune Cell Infiltration and Survival in the Treatment of CD19-Humanized Mouse Colorectal Cancer.
靶向 CD19 的嵌合抗原受体工程化 T 细胞(CAR-T)在治疗血液系统恶性肿瘤方面显示出前所未有的预后。
靶向CD19的嵌合抗原受体工程化T细胞(CAR-T)治疗血液系统癌症已带来前所未有的良好预后,但实体瘤中缺乏肿瘤特异性靶抗原且肿瘤环境不利,限制了CAR-T临床应用。TIL(肿瘤浸润淋巴细胞)具有多样的T细胞受体克隆性和较强肿瘤归巢能力。因此,本研究构建了带有CD3和4-1BB信号结构域的靶向人CD19的TIL CAR-T细胞。研究建立表达人CD19的小鼠结直肠癌CT26细胞(hCD19+-CT26),在体内外评估TIL CAR-T抗肿瘤活性。与脾脏来源CAR-T过继转输相比,TIL CAR-T在荷瘤小鼠中显示更强肿瘤抑制作用。此外,肿瘤部位T细胞数量更多,耗竭相关抑制性受体Tim3表达较低,免疫记忆分子CD62L表达较高。总体而言,研究在实体瘤中构建了人工肿瘤特异性抗原,并证明结合表达CAR的TIL-T细胞(TIL CAR-T)具有强效抗肿瘤活性,可改善T细胞浸润和免疫记忆。该人源化肿瘤抗原小鼠模型提示,基于TIL CAR-T的过继疗法可能是治疗实体癌的有前景策略。
Chimeric antigen receptor-engineered T cells (CAR Ts) targeting CD19 have shown unprecedented prognosis in treating hematological cancers. However, the lack of a tumor-specific antigen as the target and an inhospitable tumor environment limit the clinical application of CAR T in solid tumors. Tumor-infiltrating T lymphocytes (TIL) exhibit diverse T cell receptor clonality and superior tumor-homing abilities. Therefore, in our study, human CD19-target TIL CAR-Ts armed with CD3 and 4-1BB signaling domains were constructed. Mouse colorectal cancer CT26 cells expressing human CD19 (hCD19 + -CT26) were developed to assess the anti-tumor activity of TIL CAR-T cells, both in vitro and in vivo. Compared with splenic CAR T adoptive transfer, TIL CAR-T administration showed superior tumor suppression ability in hCD19 + -CT26 tumor-bearing mice. Furthermore, more T cells were found at the tumor site and had lower exhaustion-related inhibitory receptor (T cell immunoglobulin and mucin domain-containing protein 3, Tim3) expression and higher immune memory molecule (CD62L) expression. Overall, we provided an artificial tumor-specific antigen in solid tumors and demonstrated that combined CAR-expressing TIL-Ts (TIL CAR-Ts) exhibited strong anti-tumor activity, with improved T cell infiltration and immune memory. Our humanized tumor antigen presented platform of mice suggests that TIL CAR-T-based adoptive therapy could be a promising strategy for solid cancer treatment.
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