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:Overexpressing Bcl-2 enhances murine chimeric antigen receptor T cell therapy against solid tumor.
Overexpressing Bcl-2 enhances murine chimeric antigen receptor T cell therapy against solid tumor.
我们的研究提供了证据,表明将Bcl-2引入mCART细胞可以增强其对抗实体瘤的治疗效果,同时确保安全性。
CAR-T(CART)细胞疗法在血液系统恶性肿瘤的治疗中已展现出良好的潜力。然而,由于肿瘤微环境的限制性,其在实体瘤中的应用受到局限,导致CART细胞功能衰竭和持久性差。已发现人CART细胞(hCART)中Bcl-2的过表达可在体外和体内显著增强其抗凋亡效应。然而,hCART细胞的临床前研究评估主要依赖于免疫缺陷小鼠异种移植肿瘤模型,使得评估hCART细胞对正常组织和免疫系统的影响变得困难。我们建立了一种过表达Bcl-2并靶向表皮生长因子受体变异体III(EGFRvIII)的鼠源CART(mCART),命名为EGFRvIII·mCART-Bcl2。其在体外表现出更优的增殖、细胞毒性和抗凋亡能力。在具有免疫能力的结直肠癌腹腔转移小鼠模型中,EGFRvIII·mCART-Bcl2表现出腹腔内CART存活改善、肿瘤清除增加,并显著延长了小鼠的总生存期。总之,我们的研究提供了证据,表明将Bcl-2引入mCART细胞可增强其对抗实体瘤的治疗疗效,同时确保安全性。
Chimeric antigen receptor T (CART) cell therapy has demonstrated promising potential in the treatment of hematologic malignancies. However, its application to solid tumors is limited due to the restrictive nature of the tumor microenvironment, resulting in functional failure and poor persistence of CART cells. Overexpression of Bcl-2 in human CART cells (hCART) has been found to significantly enhance their anti-apoptotic effects both in vitro and in vivo. Nevertheless, the evaluation of hCART cells in preclinical studies has predominantly relied on immunodeficient mice xenograft tumor models, making it challenging to assess the impact of hCART cells on normal tissues and the immune system. We established a murine CART (mCART) that overexpresses Bcl-2 and targets the epidermal growth factor receptor variant III (EGFRvIII), named EGFRvIII·mCART-Bcl2. It demonstrated superior proliferation, cytotoxicity, and anti-apoptotic capabilities in vitro. In an immunocompetent mouse model of abdominal metastasis of colorectal cancer, EGFRvIII·mCART-Bcl2 exhibited improved survival of CART in the abdomen, increased tumor clearance, and significantly prolonged overall mouse survival. In summary, our study provides evidence that the introduction of Bcl-2 into mCART cells can enhance their therapeutic efficacy against solid tumors while ensuring safety.
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