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:Understanding the Interplay of CAR-NK Cells and Triple-Negative Breast Cancer: Insights from Computational Modeling.
Understanding the Interplay of CAR-NK Cells and Triple-Negative Breast Cancer: Insights from Computational Modeling.
嵌合抗原受体(CAR)工程化的自然杀伤(NK)细胞近来已成为靶向实体瘤的一种有前景且安全的CAR-T细胞替代方案。
嵌合抗原受体(CAR)工程化的自然杀伤(NK)细胞近年来已成为靶向实体瘤的一种有前景且安全的CAR-T细胞替代方案。就三阴性乳腺癌(TNBC)而言,传统癌症治疗和常见免疫疗法效果有限。然而,CAR-NK细胞已成功用于靶向TNBC细胞上的表皮生长因子受体(EGFR),从而增强免疫治疗的疗效。基于CAR-NK的免疫治疗的有效性受多种因素影响,包括接种剂量、接种模式以及微环境中的肿瘤免疫抑制因子。为了深入了解基于CAR-NK的免疫治疗的动态过程及其效果,我们提出了一种基于实验数据和免疫学理论的计算模型。该模型整合了一个描述肿瘤与免疫系统相互作用的个体化模型,以及一个捕捉炎性细胞因子变化的常微分方程模型。从所提出模型获得的计算结果揭示了启动有效抗肿瘤反应所需的条件。此外,全局敏感性分析突出了CAR-NK细胞在体内持久性低的问题,这对这些细胞成功的临床应用构成了重大挑战。利用该模型,我们确定了最大化治疗结果的最佳接种时间、接种剂量和注射间隔时间。
Chimeric antigen receptor (CAR)-engineered natural killer (NK) cells have recently emerged as a promising and safe alternative to CAR-T cells for targeting solid tumors. In the case of triple-negative breast cancer (TNBC), traditional cancer treatments and common immunotherapies have shown limited effectiveness. However, CAR-NK cells have been successfully employed to target epidermal growth factor receptor (EGFR) on TNBC cells, thereby enhancing the efficacy of immunotherapy. The effectiveness of CAR-NK-based immunotherapy is influenced by various factors, including the vaccination dose, vaccination pattern, and tumor immunosuppressive factors in the microenvironment. To gain insights into the dynamics and effects of CAR-NK-based immunotherapy, we propose a computational model based on experimental data and immunological theories. This model integrates an individual-based model that describes the interplay between the tumor and the immune system, along with an ordinary differential equation model that captures the variation of inflammatory cytokines. Computational results obtained from the proposed model shed light on the conditions necessary for initiating an effective anti-tumor response. Furthermore, global sensitivity analysis highlights the issue of low persistence of CAR-NK cells in vivo, which poses a significant challenge for the successful clinical application of these cells. Leveraging the model, we identify the optimal vaccination time, vaccination dose, and time interval between injections for maximizing therapeutic outcomes.
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