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:Efficacy against Lung Cancer Is Augmented by Combining Aberrantly N-Glycosylated T Cells with a Chimeric Antigen Receptor Targeting Fragile X Mental Retardation 1 Neighbor.
通过嵌合Ag受体(CAR)将T细胞重定向至癌细胞的适应性转移已为血液病的治疗产生了临床获益。
通过嵌合Ag受体(CAR)将T细胞重定向至癌细胞的适应性转移已为血液系统疾病的治疗带来了临床获益。为将这一方法拓展至实体瘤,我们利用(据我们所知)基于Ag受体诱导IL-2转录激活的新型表达克隆技术,筛选了靶向人肺癌细胞表面Ag的CAR。所分离的CAR靶向脆性X智力低下1邻近基因(FMR1NB),这是一种癌-睾丸Ag,由恶性细胞和成人睾丸生殖细胞表达。抗FMR1NB CAR人T细胞表现出靶标特异性细胞毒性,并在肺癌小鼠异种移植模型中成功控制了肿瘤生长。此外,为保护CAR T细胞免受肿瘤微环境中存在的免疫抑制分子的影响,我们将抗FMR1NB CAR导入经2-脱氧葡萄糖(2DG)处理的人T细胞中。这些细胞与免疫抑制分子的结合亲和力降低,并通过阻断其受体的N-糖基化抵抗了这些分子的抑制作用。经2DG处理的人T细胞中的抗FMR1NB CAR在体外和体内均增强了靶标特异性细胞毒性。因此,我们的研究结果证明了利用经2DG处理的人T细胞根除肺癌细胞的可行性,这些细胞能够通过CAR靶向肿瘤特异性FMR1NB并在抑制性肿瘤微环境中存活。
The adaptive transfer of T cells redirected to cancer cells via chimeric Ag receptors (CARs) has produced clinical benefits for the treatment of hematologic diseases. To extend this approach to solid cancer, we screened CARs targeting surface Ags on human lung cancer cells using (to our knowledge) novel expression cloning based on the Ag receptor-induced transcriptional activation of IL-2. Isolated CARs were directed against fragile X mental retardation 1 neighbor (FMR1NB), a cancer-testis Ag that is expressed by malignant cells and adult testicular germ cells. Anti-FMR1NB CAR human T cells demonstrated target-specific cytotoxicity and successfully controlled tumor growth in mouse xenograft models of lung cancer. Furthermore, to protect CAR T cells from immune-inhibitory molecules, which are present in the tumor microenvironment, we introduced anti-FMR1NB CARs into 2-deoxy-glucose (2DG)-treated human T cells. These cells exhibited reduced binding affinity to immune-inhibitory molecules, and the suppressive effects of these molecules were resisted through blockade of the N-glycosylation of their receptors. Anti-FMR1NB CARs in 2DG-treated human T cells augmented target-specific cytotoxicity in vitro and in vivo. Thus, our findings demonstrated the feasibility of eradicating lung cancer cells using 2DG-treated human T cells, which are able to direct tumor-specific FMR1NB via CARs and survive in the suppressive tumor microenvironment.
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