体内 CAR 基因治疗的前景与潜在陷阱
Promises and potential pitfalls of in vivo CAR gene therapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Discovery of tumor-reactive T cell receptors by massively parallel library synthesis and screening.
Discovery of tumor-reactive T cell receptors by massively parallel library synthesis and screening.
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T 细胞受体(TCR)基因疗法是一种强效细胞免疫疗法,通过基因工程使患者 T 细胞表达具有明确肿瘤反应性的 TCR。然而,治疗性 TCR 的分离较为困难,原因包括患者 T 细胞库中肿瘤特异性 T 细胞总体稀少,以及肿瘤表达的 T 细胞表位具有患者个体特异性。本文介绍一套高通量、个体化 TCR 发现流程:通过一锅反应组装复杂的合成 TCR 文库,在报告 T 细胞中进行混合表达,并利用患者来源的肿瘤细胞或抗原呈递细胞开展功能性遗传筛选。研究利用该方法筛选了多名患者TIL(肿瘤浸润淋巴细胞)来源的数千个 TCR,并发现数十个分别来源于 CD4+ 和 CD8+ T 细胞、具有强肿瘤反应性的 TCR,其中包括可识别患者特异性新抗原的 TCR。
T cell receptor (TCR) gene therapy is a potent form of cellular immunotherapy in which patient T cells are genetically engineered to express TCRs with defined tumor reactivity.
However, the isolation of therapeutic TCRs is complicated by both the general scarcity of tumor-specific T cells among patient T cell repertoires and the patient-specific nature of T cell epitopes expressed on tumors.
Here we describe a high-throughput, personalized TCR discovery pipeline that enables the assembly of complex synthetic TCR libraries in a one-pot reaction, followed by pooled expression in reporter T cells and functional genetic screening against patient-derived tumor or antigen-presenting cells.
We applied the method to screen thousands of tumor-infiltrating lymphocyte (TIL)-derived TCRs from multiple patients and identified dozens of CD4 + and CD8 + T-cell-derived TCRs with potent tumor reactivity, including TCRs that recognized patient-specific neoantigens.
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