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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Preclinical Evaluation of Novel Folate Receptor 1-Directed CAR T Cells for Ovarian Cancer.
Preclinical Evaluation of Novel Folate Receptor 1-Directed CAR T Cells for Ovarian Cancer.
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卵巢癌患者的治疗选择有限,针对靶向、持久且高效药物的临床需求仍高度未满足。表达嵌合抗原受体(CAR)的基因修饰T细胞是有前景的新药,可导向明确靶点,并已在许多患者中显示出高效且持久的抗肿瘤反应。我们试图开发靶向卵巢癌的新型CAR-T 细胞,并在临床前评估这些候选药物。首先,我们在卵巢癌样本上鉴定了潜在的CAR靶点。我们确认肿瘤相关抗原FOLR1在原发卵巢癌样本中高表达且表达一致。随后,我们针对所鉴定的靶点设计了一系列CAR-T 细胞候选药物,并在体外针对卵巢癌细胞系以及体内异种移植模型中证明了它们的功能。最后,我们进行了额外的体外实验,重现实体瘤中存在的免疫抑制机制,并开发了我们的CAR-T 细胞候选药物的自动化生产流程。这些发现证明了抗FOLR1 CAR-T 细胞用于卵巢癌以及潜在其他表达FOLR1肿瘤的可行性。
Treatment options for ovarian cancer patients are limited, and a high unmet clinical need remains for targeted and long-lasting, efficient drugs. Genetically modified T cells expressing chimeric antigen receptors (CAR), are promising new drugs that can be directed towards a defined target and have shown efficient, as well as persisting, anti-tumor responses in many patients.
We sought to develop novel CAR T cells targeting ovarian cancer and to assess these candidates preclinically. First, we identified potential CAR targets on ovarian cancer samples.
We confirmed high and consistent expressions of the tumor-associated antigen FOLR1 on primary ovarian cancer samples. Subsequently, we designed a series of CAR T cell candidates against the identified target and demonstrated their functionality against ovarian cancer cell lines in vitro and in an in vivo xenograft model.
Finally, we performed additional in vitro assays recapitulating immune suppressive mechanisms present in solid tumors and developed a process for the automated manufacturing of our CAR T cell candidate.
These findings demonstrate the feasibility of anti-FOLR1 CAR T cells for ovarian cancer and potentially other FOLR1-expressing tumors.
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