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产生具有强效抗白血病活性的供者来源细胞毒性 T 淋巴细胞,用于高危儿科患者接受单倍体造血干细胞移植后的过继性免疫治疗

英文原题:Production of donor-derived cytotoxic T lymphocytes with potent anti-leukemia activity for adoptive immunotherapy in high-risk pediatric patients given haploidentical hematopoietic stem cell transplantation.

查看英文原题

Production of donor-derived cytotoxic T lymphocytes with potent anti-leukemia activity for adoptive immunotherapy in high-risk pediatric patients given haploidentical hematopoietic stem cell transplantation.

PubMed 2024/04/20(内容时间) Cytotherapy Q1 · IF 4.5(JCR 2025)

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研究概要

这些结果表明,我们的方案具有高度可重复性,并允许在高度标准化的水平上生成大量免疫安全且具有抗白血病功能的 CTL。

研究思路结论见上方概要

基于输注能够识别患者白血病原始细胞(LB)的供者来源细胞毒性T淋巴细胞(CTL)的体细胞疗法,是控制异基因HSCT后白血病复发的一种有前景的方法。该方法的成功在很大程度上取决于在符合药品生产质量管理规范(GMP)的条件下,体外生成高质量的供者来源抗白血病CTL。我们此前描述了一种方法,通过在白细胞介素(IL)-12、IL-7和IL-15存在下,用负载凋亡LB的树突状细胞(DC)刺激CD8富集淋巴细胞,从而生成大量供者来源抗白血病CTL。在此我们报告,使用IFN-DC并在启动阶段加入IFNα2b,可显著改善体外高效抗白血病T细胞应答的生成。

采用该方法,纳入20例因高危急性白血病接受单倍体HSCT的高危儿科患者,并生产了51批先进治疗医疗产品(ATMP),即抗白血病CTL。

质量控制表明,所有批次均无菌、无支原体,且内毒素水平符合可接受标准。基因型分析基于生产所用起始生物材料,确认了 ATMP 的分子身份。大多数 ATMP 为 CD3+/CD8+ 细胞,呈记忆/终末活化表型,包括 T-中央记忆细胞群。ATMP 解冻后具有活力,且大多数 ATMP 批次显示出高效裂解患者 LB 以及分泌 interferon-γ 和 肿瘤坏死因子-α 的能力。

展开英文摘要原文

Using this approach, 20 high-risk pediatric patients given haploidentical HSCT for high-risk acute leukemia were enrolled and 51 batches of advanced therapy medical products (ATMP), anti-leukemia CTL, were produced.

Quality controls demonstrated that all batches were sterile, free of mycoplasma and conformed to acceptable endotoxin levels. Genotype analysis confirmed the molecular identity of the ATMP based on the starting biological material used for their production. The majority of ATMP were CD3+/CD8+ cells, with a memory/terminal activated phenotype, including T-central memory populations. ATMP were viable after thawing, and most ATMP batches displayed efficient capacity to lyse patients' LB and to secrete interferon-γ and tumor necrosis factor-α.

These results demonstrated that our protocol is highly reproducible and allows the generation of large numbers of immunologically safe and functional anti-leukemia CTL with a high level of standardization.

论文信息

作者
Tanzi M、Montini E、Rumolo A、Moretta A、Comoli P、Acquafredda G、Rotella J、Taurino G
第一作者单位
Cell Factory, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Pediatric Hematology/Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.Italy
通讯作者单位
Cell Factory, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Sciences Clinic-Surgical, Diagnostic and Pediatric, University of Pavia, Pavia, Italy. Electronic address: d.montagna@smatteo.pv.it.Italy
期刊
Cytotherapy2024 Aug
原文标识
PubMed 38703155 · DOI 10.1016/j.jcyt.2024.04.005