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:CD19 CAR-expressing iPSC-derived NK cells effectively enhance migration and cytotoxicity into glioblastoma by targeting to the pericytes in tumor microenvironment.
CD19 CAR-expressing iPSC-derived NK cells effectively enhance migration and cytotoxicity into glioblastoma by targeting to the pericytes in tumor microenvironment.
在癌症免疫治疗中,靶向特定抗原的嵌合抗原受体(CAR)已成为细胞治疗的强有力工具。
在癌症免疫治疗中,靶向特定抗原的嵌合抗原受体(CAR)已成为强效细胞治疗工具。与CAR-T相比,CAR自然杀伤(NK)细胞可选择性裂解癌细胞且肿瘤外毒性较低,这对肿瘤异质性较高的实体瘤有利。在胶质母细胞瘤(GBM)肿瘤微环境(TME)中,周细胞不仅支持肿瘤生长,也参与免疫逃逸,因此可能成为治疗靶点。基于此,本研究聚焦GBM TME,尤其是表达CD19的周细胞,评估CD19 CAR-iNK细胞治疗GBM的潜力。研究将CD19 CAR转导入诱导多能干细胞来源NK(iNK)细胞。为确定CD19 CAR是否靶向GBM微环境周细胞,研究者将GBM球体与血管类器官融合,建立GBM-血管组装类器官(GBVA)。与GBVA共培养时,CD19 CAR-iNK细胞向GBM周围的周细胞迁移。微流控芯片实验显示,CD19 CAR-iNK在类似灌流环境中具有靶向作用和细胞毒性。GBVA异种移植瘤重现了包括人CD19阳性周细胞在内的TME,使研究者可在体内验证CD19 CAR-iNK治疗GBM的疗效。与单独GBM球体相比,周细胞显著增强CD19 CAR-iNK向GBM迁移,同时降低其增殖。这些结果凸显CD19 CAR-iNK靶向GBM微环境周细胞的效果,提示其在GBM治疗中的潜在价值。
In cancer immunotherapy, chimeric antigen receptors (CARs) targeting specific antigens have become a powerful tool for cell-based therapy. CAR-natural killer (NK) cells offer selective anticancer lysis with reduced off-tumor toxicity compared to CAR-T cells, which is beneficial in the heterogeneous milieu of solid tumors. In the tumor microenvironment (TME) of glioblastoma (GBM), pericytes not only support tumor growth but also contribute to immune evasion, underscoring their potential as therapeutic targets in GBM treatment. Given this context, our study aimed to target the GBM TME, with a special focus on pericytes expressing CD19, to evaluate the potential effectiveness of CD19 CAR-iNK cells against GBM. We performed CD19 CAR transduction in induced pluripotent stem cell-derived NK (iNK) cells. To determine whether CD19 CAR targets the TME pericytes in GBM, we developed GBM-blood vessel assembloids (GBVA) by fusing GBM spheroids with blood vessel organoids. When co-cultured with GBVA, CD19 CAR-iNK cells migrated towards the pericytes surrounding the GBM. Using a microfluidic chip, we demonstrated CD19 CAR-iNK cells' targeted action and cytotoxic effects in a perfusion-like environment. GBVA xenografts recapitulated the TME including human CD19-positive pericytes, thereby enabling the application of an in vivo model for validating the efficacy of CD19 CAR-iNK cells against GBM. Compared to GBM spheroids, the presence of pericytes significantly enhanced CD19 CAR-iNK cell migration towards GBM and reduced proliferation. These results underline the efficacy of CD19 CAR-iNK cells in targeting pericytes within the GBM TME, suggesting their potential therapeutic value for GBM treatment.
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