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.
英文原题:Engineering Improved CAR T Cell Products with A Multi-Cytokine Particle Platform for Hematologic and Solid Tumors.
Engineering Improved CAR T Cell Products with A Multi-Cytokine Particle Platform for Hematologic and Solid Tumors.
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尽管嵌合抗原受体(CAR)T细胞在血液系统恶性肿瘤中展现出显著的临床疗效,但仅有一部分患者能够实现持久完全缓解(dCR)。dCR与富含T细胞记忆表型的CAR-T 细胞产品相关。
因此,在CAR-T 细胞生产过程中能够持续促进记忆表型的试剂,有可能显著改善临床结局。开发了一种新型模块化多细胞因子颗粒(MCP)平台,将激活、共刺激和细胞因子支持所需的信号整合到单一“一体化”刺激试剂中,用于CAR-T 细胞生产。该平台允许组装和筛选组成多样的MCP文库,以高度灵活性识别旨在促进特定表型的定制配方。利用该方法识别出独特的MCP配方,可从弥漫性大B细胞患者中生产出记忆样表型比例增加的CAR-T 细胞产品。MCP生产的CAR-T 细胞通过增强持久性,在淋巴瘤和卵巢癌小鼠模型中展现出更优的抗肿瘤疗效。这些发现证明了MCP平台在识别“一体化”刺激试剂方面的强大实用性,可通过优化生产来提高细胞治疗产品的有效性。
Despite the remarkable clinical efficacy of chimeric antigen receptor (CAR) T cells in hematological malignancies, only a subset of patients achieves a durable complete response (dCR). DCR has been correlated with CAR T cell products enriched with T cells memory phenotypes.
Therefore, reagents that consistently promote memory phenotypes during the manufacturing of CAR T cells have the potential to significantly improve clinical outcomes. A novel modular multi-cytokine particle (MCP) platform is developed that combines the signals necessary for activation, costimulation, and cytokine support into a single "all-in-one" stimulation reagent for CAR T cell manufacturing.
This platform allows for the assembly and screening of compositionally diverse MCP libraries to identify formulations tailored to promote specific phenotypes with a high degree of flexibility. The approach is leveraged to identify unique MCP formulations that manufacture CAR T cell products from diffuse large B cell patients with increased proportions of memory-like phenotypes MCP-manufactured CAR T cells demonstrate superior anti-tumor efficacy in mouse models of lymphoma and ovarian cancer through enhanced persistence.
These findings serve as a proof-of-principle of the powerful utility of the MCP platform to identify "all-in-one" stimulation reagents that can improve the effectiveness of cell therapy products through optimal manufacturing.
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