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:Harnessing the Power of CAR-NK Cells: A Promising Off-the-Shelf Therapeutic Strategy for CD38-Positive Malignancies.
Harnessing the Power of CAR-NK Cells: A Promising Off-the-Shelf Therapeutic Strategy for CD38-Positive Malignancies.
体外研究结果表明,抗 CD38 CAR-NK 细胞有潜力作为针对 CD38 阳性恶性肿瘤的现货型治疗策略。
背景:CD38在多发性骨髓瘤(MM)细胞中高表达,且已通过多种靶向治疗方式取得成功。CD38也是弥漫性大B细胞淋巴瘤和慢性淋巴细胞白血病的重要预后标志物。目的:本研究以NK-92细胞系为基础设计并制备抗CD38 CAR-NK细胞,探索将其用作治疗CD38阳性恶性肿瘤现货型疗法的可能性。方法:研究设计并制备第二代抗CD38 CAR-NK细胞,在体外评估其对CD38阳性细胞系的疗效。采用PE-Annexin V和7-AAD法测定靶细胞凋亡比例;通过胞内染色流式细胞术测量IFN-γ、穿孔素和颗粒酶B产生;并使用计算机模拟分析结合能力和相互作用界面。结果:利用慢病毒将抗CD38构建体转导至细胞并扩增,NK-92细胞表面抗CD38 CAR表达率约为25%。与计算机模拟预测一致,设计的CD38 CAR可恰当结合CD38蛋白。转导CD38 CAR的NK-92细胞产生的IFN-γ、穿孔素和颗粒酶显著高于Mock细胞,并以CD38依赖方式成功裂解Daudi和Jurkat恶性细胞。结论:体外结果提示,抗CD38 CAR-NK细胞有潜力作为治疗CD38阳性恶性肿瘤的现货型疗法。建议进一步开展临床前研究,再考虑进入临床试验。
BACKGROUND: CD38 is highly expressed on multiple myeloma (MM) cells and has been successfully targeted by different target therapy methods. This molecule is a critical prognostic marker in both diffuse large B-cell lymphoma and chronic lymphocytic leukemia. OBJECTIVE: We have designed and generated an anti-CD38 CAR-NK cell applying NK 92 cell line. The approach has potential application as an off-the-shelf strategy for treatment of CD38 positive malignancies. METHODS: A second generation of anti-CD38 CAR-NK cell was designed and generated, and their efficacy against CD38-positive cell lines was assessed in vitro. The PE-Annexin V and 7-AAD methods were used to determine the percentage of apoptotic target cells. Flow cytometry was used to measure IFN- , Perforin, and Granzyme-B production following intracellular staining. Using in silico analyses, the binding capacity and interaction interface were evaluated. RESULTS: Using Lentivirus, cells were transduced with anti-CD38 construct and were expanded. The expression of anti-CD38 CAR on the surface of NK 92 cells was approximately 25%. As we expected from in silico analysis, our designed CD38-chimeric antigen receptor was bound appropriately to the CD38 protein. NK 92 cells that transduced with the CD38 chimeric antigen receptor, generated significantly more IFN- , perforin, and granzyme than Mock cells, and successfully lysed Daudi and Jurkat malignant cells in a CD38-dependent manner. CONCLUSION: The in vitro findings indicated that the anti-CD38 CAR-NK cells have the potential to be used as an off-the-shelf therapeutic strategy against CD38-positive malignancies. It is recommended that the present engineered NK cells undergo additional preclinical investigations before they can be considered for subsequent clinical trial studies.
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