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.
英文原题:Identification of a clinically efficacious CAR T cell subset in diffuse large B cell lymphoma by dynamic multidimensional single-cell profiling.
Identification of a clinically efficacious CAR T cell subset in diffuse large B cell lymphoma by dynamic multidimensional single-cell profiling.
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用于治疗 B 细胞恶性肿瘤的嵌合抗原受体(CAR)T 细胞可识别具有更强临床活性的 T 细胞亚群。本研究利用大 B 细胞淋巴瘤患者输注产品,结合纳米孔阵列延时成像显微术进行功能分析,并联合亚细胞特征分析和单细胞 RNA 测序,鉴定出多功能 CD8+ T 细胞特征(CD8-fit T 细胞)。CD8-fit T 细胞可迁移并连续杀伤靶细胞,且线粒体和溶酶体体积均衡。利用独立数据集验证发现,CD8-fit T 细胞:(1)在生产前已存在,并与接受阿基仑赛患者的临床应答相关;(2)在 CAR-T 治疗后患者体内纵向持续存在;(3)可迁移至肿瘤并具有细胞毒性,能在实体瘤中瘤内扩增。本研究证明,单细胞功能评估的多模态整合有助于发现并应用 CD8-fit T 细胞这一具有最佳治疗适应性的细胞治疗亚群。
Chimeric antigen receptor (CAR) T cells used for the treatment of B cell malignancies can identify T cell subsets with superior clinical activity.
Here, using infusion products of individuals with large B cell lymphoma, we integrated functional profiling using timelapse imaging microscopy in nanowell grids with subcellular profiling and single-cell RNA sequencing to identify a signature of multifunctional CD8 + T cells (CD8-fit T cells). CD8-fit T cells are capable of migration and serial killing and harbor balanced mitochondrial and lysosomal volumes.
Using independent datasets, we validate that CD8-fit T cells (1) are present premanufacture and are associated with clinical responses in individuals treated with axicabtagene ciloleucel, (2) longitudinally persist in individuals after treatment with CAR T cells and (3) are tumor migrating cytolytic cells capable of intratumoral expansion in solid tumors.
Our results demonstrate the power of multimodal integration of single-cell functional assessments for the discovery and application of CD8-fit T cells as a T cell subset with optimal fitness in cell therapy.
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