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:Subcutaneous biodegradable scaffolds for restimulating the antitumour activity of pre-administered CAR-T cells.
Subcutaneous biodegradable scaffolds for restimulating the antitumour activity of pre-administered CAR-T cells.
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嵌合抗原受体(CAR)介导的过继 T 细胞疗法,其疗效受到工程化 T 细胞增殖和持续存留能力不足的限制。本研究显示,皮下注射一种可生物降解支架,该支架可促进特定 T 细胞亚群浸润和迁出,并形成模拟生理性 T 细胞活化特征的微环境,可增强预先给予的 CAR-T 细胞抗肿瘤活性。支架中整合的结合型共刺激配体和可溶性分子驱动 CAR-T 细胞扩增、分化和细胞毒性;这些过程取决于共刺激分子的类型及其呈递环境。在侵袭性淋巴瘤小鼠中,非治愈性 CAR-T 给药后局部单次注射支架,可增加记忆样 T 细胞持续存留并延长动物生存期。优化配体呈递的可注射生物材料有望提升 CAR-T 细胞疗法的治疗效能。
The efficacy of adoptive T-cell therapies based on chimaeric antigen receptors (CARs) is limited by the poor proliferation and persistence of the engineered T cells.
Here we show that a subcutaneously injected biodegradable scaffold that facilitates the infiltration and egress of specific T-cell subpopulations, which forms a microenvironment mimicking features of physiological T-cell activation, enhances the antitumour activity of pre-administered CAR-T cells. CAR-T-cell expansion, differentiation and cytotoxicity were driven by the scaffold's incorporation of co-stimulatory bound ligands and soluble molecules, and depended on the types of co-stimulatory molecules and the context in which they were presented.
In mice with aggressive lymphoma, a single, local injection of the scaffold following non-curative CAR-T-cell dosing led to more persistent memory-like T cells and extended animal survival. Injectable biomaterials with optimized ligand presentation may boost the therapeutic performance of CAR-T-cell therapies.
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