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:Grooved Microneedle Patch Augments Adoptive T Cell Therapy Against Solid Tumors via Diverting Regulatory T Cells.
Grooved Microneedle Patch Augments Adoptive T Cell Therapy Against Solid Tumors via Diverting Regulatory T Cells.
过继性T细胞疗法(ACT)治疗实体瘤的疗效仍面临挑战。
过继性 T 细胞疗法(ACT)治疗实体瘤的疗效仍面临挑战。除了受实体瘤周围物理屏障限制而导致的效应 T(Teff)细胞浸润不良外,另一个主要障碍是调节性 T(Treg)细胞——一种主要的免疫抑制性免疫细胞亚群——在肿瘤微环境中的广泛浸润。在此,本研究开发了一种用于增强 ACT 的沟槽微针贴片,旨在同时克服物理屏障和免疫抑制屏障。该微针通过冰模板法制备,以生成沟槽结构从而实现足够的 T 细胞负载。此外,通过趋化因子 CCL22 的表面修饰,该微针不仅能够通过物理穿透将肿瘤特异性 T 细胞直接递送至实体瘤内,还能通过细胞因子浓度梯度将 Treg 细胞从肿瘤微环境中特异性地引流至微针表面,从而在小鼠黑色素瘤模型中导致 Teff 细胞/Treg 细胞比值升高。因此,这种通过 CCL22 修饰的沟槽微针作为局部生态位递送 T 细胞受体 T 细胞和CAR-T 细胞的局部递送策略,可显著增强抗肿瘤疗效并降低 ACT 的靶向非肿瘤毒性。
The efficacy of adoptive T cell therapy (ACT) for the treatment of solid tumors remains challenging. In addition to the poor infiltration of effector T (Teff) cells limited by the physical barrier surrounding the solid tumor, another major obstacle is the extensive infiltration of regulatory T (Treg) cells, a major immunosuppressive immune cell subset, in the tumor microenvironment. Here, this work develops a grooved microneedle patch for augmenting ACT, aiming to simultaneously overcome physical and immunosuppressive barriers. The microneedles are engineered through an ice-templated method to generate the grooved structure for sufficient T-cell loading. In addition, with the surface modification of chemokine CCL22, the MNs could not only directly deliver tumor-specific T cells into solid tumors through physical penetration, but also specifically divert Treg cells from the tumor microenvironment to the surface of the microneedles via a cytokine concentration gradient, leading to an increase in the ratio of Teff cells/Treg cells in a mouse melanoma model. Consequently, this local delivery strategy of both T cell receptor T cells and chimeric antigen receptor T cells via the CCL22-modified grooved microneedles as a local niche could significantly enhance the antitumor efficacy and reduce the on-target off-tumor toxicity of ACT.
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