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:Novel CAR-T cells targeting TRKB for the treatment of solid cancer.
我们的研究结果表明,靶向TRKB的CAR-T可能成为开发治疗实体癌新疗法的有前景的方法。
嵌合抗原受体(CAR)T细胞疗法在治疗血液系统恶性肿瘤(如B细胞恶性肿瘤)方面非常有效,但其作为治疗实体瘤方法的有效性仍有待进一步探索。在此,我们聚焦于开发靶向原肌球蛋白相关激酶受体B(TRKB)的CAR-T细胞疗法,TRKB是一种高表达蛋白,与多种侵袭性实体瘤的肿瘤进展、恶性程度和耐药性显著相关。为实现这一目标,我们筛选了基于脑源性神经营养因子(BDNF)和神经营养因子4(NTF4)配体的CAR-T细胞,评估其在实体瘤背景下靶向TRKB受体的效率,特别是肝细胞癌和胰腺癌。我们证明,TRKB不仅在肝细胞癌和胰腺癌细胞系中过表达,而且在癌症干细胞样细胞(CSCs)中也过表达。值得注意的是,BDNF-CAR T和NTF4-CAR T细胞不仅能以剂量依赖性方式有效靶向并杀伤表达TRKB的泛癌细胞系,还能有效杀伤CSCs。我们还进行了体内研究,表明与BDNF-CAR T细胞相比,NTF4-CAR T细胞在小鼠中抑制肝细胞癌异种移植瘤生长的潜力更好。综上所述,我们的研究结果表明,靶向TRKB的CAR-T可能是开发治疗实体癌新疗法的一种有前景的方法。
Chimeric antigen receptor (CAR) T-cell therapy is highly effective for treating blood cancers such as B-cell malignancies, however, its effectiveness as an approach to treat solid tumors remains to be further explored. Here, we focused on the development of CAR-T cell therapies targeting tropomyosin-related kinase receptor B (TRKB), a highly expressed protein that is significantly associated with tumor progression, malignancy, and drug resistance in multiple forms of aggressive solid tumors. To achieve this, we screened brain-derived neurotrophic factor (BDNF) and neurotrophin 4 (NTF4) ligand-based CAR-T cells for their efficiency in targeting the TRKB receptor in the context of solid tumors, particularly hepatocellular carcinoma and pancreatic cancer. We demonstrated that TRKB is overexpressed not only in hepatocellular carcinoma and pancreatic carcinoma cell lines but also in cancer stem-like cells (CSCs). Notably, BDNF-CAR T and NTF4-CAR T cells could not only effectively target and kill TRKB-expressing pan-cancer cell lines in a dose-dependent manner but also effectively kill CSCs. We also performed in vivo studies to show that NTF4-CAR T cells have a better potential to inhibit the tumor growth of hepatocellular carcinoma xenografts in mice, compared with BDNF-CAR T cells. Taken together, our findings suggest that CAR-T targeting TRKB may be a promising approach for developing novel therapies to treat solid cancers.
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