不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Redirecting NK cells to the lymph nodes to augment their lymphoma-targeting capacity.
Redirecting NK cells to the lymph nodes to augment their lymphoma-targeting capacity.
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CAR-NK 细胞可诱导淋巴瘤患者缓解。我们推测,过继 NK 细胞免疫疗法抗淋巴瘤的潜力受到其淋巴结(LN)归巢能力较差的限制。本研究采用临床已获批的转染方法,旨在引导 NK 细胞归巢至淋巴结。将编码 CCR7、CXCR5 和 CD62L 的 mRNA 电转入体外扩增的 NK 细胞后,其向趋化因子及小鼠淋巴结来源上清液迁移的能力在体外增强。输注至 SCID/Beige 小鼠后,改造的 NK 细胞显示出增强的淋巴结归巢能力。值得注意的是,淋巴瘤患者来源的 NK 细胞与健康供者 NK 细胞同样能够有效扩增和基因改造,凸显其转化应用潜力。此外,在导入归巢分子的同时表达高亲和力 CD16,也增强了其对自体淋巴瘤细胞的抗体依赖性细胞介导的细胞毒作用(ADCC)。因此,可通过基因工程增强 NK 细胞的淋巴结归巢能力。这一归巢策略有望与 CAR 或单克隆、双特异性及三特异性抗体方案协同发挥作用。
CAR-NK cells can induce remission in lymphoma patients. We speculate that the full potential of adoptive NK cell immunotherapy against lymphoma is restricted by their poor lymph node (LN) homing capacity.
Here, we have utilized a clinically approved transfection method with the aim of redirecting NK cells to LNs. Electroporation of ex vivo expanded NK cells with mRNAs coding for CCR7, CXCR5, and CD62L resulted in increased in vitro migration towards chemokines and mouse LN-derived supernatant. Following infusion into SCID/Beige mice, modified NK cells showed enhanced LN homing.
Importantly, lymphoma patient-derived NK cells were equally well expanded and engineered as healthy donor NK cells, highlighting their translational potential.
Additionally, the introduction of high-affinity CD16, together with the homing molecules, also augmented their ADCC capacity against autologous lymphoma cells. Hence, genetic engineering can be utilized to enhance NK cell LN homing. The homing concept may synergize with CAR- or monoclonal/bi-/tri-specific antibody-based approaches.
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