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:Generation and optimization of off-the-shelf immunotherapeutics targeting TCR-Vβ2+ T cell malignancy.
Generation and optimization of off-the-shelf immunotherapeutics targeting TCR-Vβ2+ T cell malignancy.
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目前针对T细胞恶性肿瘤的治疗面临疾病复发和脱靶毒性问题。以T细胞受体(TCR)Vδ2为模型,我们在此展示了一种即用型异体嵌合抗原受体(CAR)-T平台的快速制备,该平台靶向克隆特异性TCR Vδ链以杀伤恶性T细胞,同时限制对正常细胞的破坏。健康供者T细胞经CRISPR诱导的TRAC、B2M和CIITA敲除,以消除T细胞依赖性移植物抗宿主和宿主抗移植物反应性。含有高亲和力人源化抗Vδ单链可变片段(scFv)的第二代4-1BB/CD3zeta CAR通过慢病毒和腺相关病毒转导在供者T细胞上高效表达,且可检测到的预存免疫反应性有限。
我们优化的CAR-T 细胞在体外和体内均表现出对Vδ2+ Jurkat细胞和Vδ2+患者来源恶性T细胞的特异性且持久的杀伤作用,而不影响正常T细胞。与此同时,我们通过Fc工程化改造生成了具有增强抗体依赖性细胞介导的细胞毒性(ADCC)的人源化抗Vδ2抗体,用于NK细胞ADCC治疗。
Current treatments for T cell malignancies encounter issues of disease relapse and off-target toxicity. Using T cell receptor (TCR)V 2 as a model, here we demonstrate the rapid generation of an off-the-shelf allogeneic chimeric antigen receptor (CAR)-T platform targeting the clone-specific TCR V chain for malignant T cell killing while limiting normal cell destruction.
Healthy donor T cells undergo CRISPR-induced TRAC, B2M and CIITA knockout to eliminate T cell-dependent graft-versus-host and host-versus-graft reactivity. Second generation 4-1BB/CD3zeta CAR containing high affinity humanized anti-V scFv is expressed efficiently on donor T cells via both lentivirus and adeno-associated virus transduction with limited detectable pre-existing immunoreactivity.
Our optimized CAR-T cells demonstrate specific and persistent killing of V 2+ Jurkat cells and V 2+ patient derived malignant T cells, in vitro and in vivo, without affecting normal T cells. In parallel, we generate humanized anti-V 2 antibody with enhanced antibody-dependent cellular cytotoxicity (ADCC) by Fc-engineering for NK cell ADCC therapy.
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