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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Identification and characterisation of novel CAR-T cells to target IL13Rα2 positive human glioma in vitro and in vivo.
Identification and characterisation of novel CAR-T cells to target IL13Rα2 positive human glioma in vitro and in vivo.
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我们由此得出结论:在精心设计临床前和临床研究后,新型 scFv-IL-13Rα2 CAR-T 细胞治疗可能提供一种有效的治疗选择。
我们此前发现,人体实体瘤而非正常组织优先高表达白细胞介素-13 受体 α2(IL-13Rα2),该受体对 IL-13 具有高亲和力。为开发新型抗癌策略,我们构建嵌合抗原受体(CAR),使用高亲和力、密码子优化的 scFv-IL-13Rα2 片段,并将其与 CD3、CD28 和 4-1BB 的共刺激胞内结构域融合。
研究者以人 IL-13Rα2-Fc 嵌合蛋白对结合的 scFv 噬菌体进行生物淘选,获得名为 14-1 的 scFv 克隆,并与先前报道的 4-1 克隆比较结合能力。通过生物信息学分析轻链和重链的互补决定区(CDR)、框架及氨基酸残基。将该构建体与辅助质粒包装制备 CAR 慢病毒,并转导人 Jurkat T 细胞或外周血单个核细胞(PBMC)来源活化 T 细胞,制备 CAR-T 细胞,体外和体内评估其质量属性。通过检测非荷瘤小鼠血清酶及体重评估 CAR-T 的一般毒性。
14-1 克隆与 IL-13Rα2-Fc 嵌合蛋白的结合能力是既往 4-1 克隆的 5 倍。存在细胞因子时,14-1-CAR-T 细胞呈指数级生长,并维持细胞活性、效力、迁移和 T 细胞活化等表型与生物学属性。在趋化实验中,14-1 克隆仅向 IL-13Rα2 阳性融合蛋白,以及 IL-13Rα2 阳性汇合胶质瘤细胞的无细胞上清迁移。scFv-IL-13Rα2-CAR-T 细胞可在体外特异性杀伤 IL-13Rα2 阳性、但不杀伤 IL-13Rα2 阴性肿瘤细胞,并且仅在 IL-13Rα2 阳性共培养中选择性诱导显著 IFN-γ 释放。这些 CAR-T 细胞可在体内使 IL-13Rα2 阳性胶质瘤异种移植瘤消退,且未见一般毒性。相反,IL-13Rα2 基因敲低的 U251 和 U87 异种移植瘤对 CAR-T 治疗无应答。
综上,经过审慎的临床前和临床研究设计,新型 scFv-IL-13Rα2 CAR-T 疗法可能成为有效治疗选择。
Previously, we discovered that human solid tumours, but not normal human tissues, preferentially overexpress interleukin-13Receptor alpha2, a high binding receptor for IL-13. To develop novel anti-cancer approaches, we constructed a chimeric antigen receptor construct using a high binding and codon optimised scFv-IL-13R 2 fragment fused with CD3 and co-stimulatory cytoplasmic domains of CD28 and 4-1BB.
We developed a scFv clone, designated 14-1, by biopanning the bound scFv phages using huIL-13R 2Fc chimeric protein and compared its binding with our previously published clone 4-1. We performed bioinformatic analyses for complementary determining regions (CDR) framework and residue analyses of the light and heavy chains. This construct was packaged with helper plasmids to produce CAR-lentivirus and transduced human Jurkat T or activated T cells from peripheral blood mononuclear cells (PBMCs) to produce CAR-T cells and tested for their quality attributes in vitro and in vivo. Serum enzymes including body weight from non-tumour bearing mice were tested for assessing general toxicity of CAR-T cells.
The binding of 14-1 clone is to IL-13R 2Fc-chimeric protein is 5 times higher than our previous clone 4-1. The 14-1-CAR-T cells grew exponentially in the presence of cytokines and maintained phenotype and biological attributes such as cell viability, potency, migration and T cell activation. Clone 14-1 migrated to IL-13R 2Fc and cell free supernatants only from IL-13R 2+ve confluent glioma tumour cells in a chemotaxis assay. scFv-IL-13R 2-CAR-T cells specifically killed IL-13R 2+ve but not IL-13R 2-ve tumour cells in vitro and selectively caused significant release of IFN- only from IL-13R 2+ve co-cultures. These CAR-T cells regressed IL-13R 2+ve glioma xenografts in vivo without any general toxicity. In contrast, the IL-13R 2 gene knocked-down U251 and U87 xenografts failed to respond to the CAR-T therapy.
Taken together, we conclude that the novel scFv-IL-13R 2 CAR-T cell therapy may offer an effective therapeutic option after designing a careful pre-clinical and clinical study.
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