CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Acellular scaffold-based approach for in situ genetic engineering of host T-cells in solid tumor immunotherapy.
Acellular scaffold-based approach for in situ genetic engineering of host T-cells in solid tumor immunotherapy.
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我们的基于支架的 T 细胞疗法提出了一种创新的原位局部方法,用于编程 T 细胞以靶向实体瘤。这种方法为 T 细胞的体外操作提供了一种可行的替代方案,规避了大规模体外生成和培养肿瘤特异性 T 细胞的需求。它提供了一种现成的替代方案,促进使用宿主细胞而非异体细胞,从而克服了一个主要障碍。
靶向T细胞疗法已成为治疗血液恶性肿瘤的一种有前景的策略。然而,由于可及性有限和异质性,其在实体瘤中的应用面临重大挑战。使用生物材料局部递送肿瘤特异性T细胞已显示出前景,然而,由于成本和时间限制,体外基因修饰和生成足够数量肿瘤特异性T细胞所需的程序仍是主要障碍。
开发了基于聚乙二醇(PEG)的三维(3D)支架,并利用碳二亚胺化学将其与带正电荷的聚-L-赖氨酸(PLL)偶联,以高效负载携带肿瘤抗原特异性T细胞受体(TCR)的慢病毒(LVs)。对支架的物理和生物学特性进行了全面表征。此外,将负载OVA-TCR LVs的支架植入表达卵清蛋白的B16F10细胞(B16-OVA)肿瘤模型中,以评估抗肿瘤反应及转导T细胞的存在。
我们的研究结果表明,这些支架在皮下植入后不会诱导任何全身性炎症,并能有效地将T细胞招募到植入部位。在B16-OVA黑色素瘤荷瘤小鼠中,这些支架能够高效地将OVA特异性TCRs转导至宿主T细胞。这些经基因修饰的T细胞表现出向肿瘤和次级淋巴器官归巢的能力,从而导致肿瘤体积显著缩小以及抗肿瘤细胞因子在全身水平升高。免疫细胞分析显示,在植入这些支架的小鼠肿瘤内,转导T细胞的百分比显著升高,而抑制性免疫细胞明显减少。
Targeted T-cell therapy has emerged as a promising strategy for the treatment of hematological malignancies. However, its application to solid tumors presents significant challenges due to the limited accessibility and heterogeneity. Localized delivery of tumor-specific T-cells using biomaterials has shown promise, however, procedures required for genetic modification and generation of a sufficient number of tumor-specific T-cells ex vivo remain major obstacles due to cost and time constraints.
Polyethylene glycol (PEG)-based three-dimensional (3D) scaffolds were developed and conjugated with positively charged poly-L-lysine (PLL) using carbamide chemistry for efficient loading of lentiviruses (LVs) carrying tumor antigen-specific T-cell receptors (TCRs). The physical and biological properties of the scaffold were extensively characterized. Further, the scaffold loaded with OVA-TCR LVs was implanted in B16F10 cells expressing ovalbumin (B16-OVA) tumor model to evaluate the anti-tumor response and the presence of transduced T-cells.
Our findings demonstrate that the scaffolds do not induce any systemic inflammation upon subcutaneous implantation and effectively recruit T-cells to the site. In B16-OVA melanoma tumor-bearing mice, the scaffolds efficiently transduce host T-cells with OVA-specific TCRs. These genetically modified T-cells exhibit homing capability towards the tumor and secondary lymphoid organs, resulting in a significant reduction of tumor size and systemic increase in anti-tumor cytokines. Immune cell profiling revealed a significantly high percentage of transduced T-cells and a notable reduction in suppressor immune cells within the tumors of mice implanted with these scaffolds.
Our scaffold-based T-cell therapy presents an innovative in situ localized approach for programming T-cells to target solid tumors. This approach offers a viable alternative to in vitro manipulation of T-cells, circumventing the need for large-scale in vitro generation and culture of tumor-specific T-cells. It offers an off-the-shelf alternative that facilitates the use of host cells instead of allogeneic cells, thereby, overcoming a major hurdle.
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