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:Non-viral expression of chimeric antigen receptors with multiplex gene editing in primary T cells.
高效改造 T 细胞以表达外源性肿瘤靶向受体,如嵌合抗原受体(CAR)或 T 细胞受体(TCR),是有效的肿瘤过继细胞治疗的关键要求。
通过工程化改造 T 细胞,使其表达外源肿瘤靶向受体(如嵌合抗原受体[CAR]或 T 细胞受体[TCR]),是有效癌症过继细胞疗法的关键要求。CRISPR/Cas9 等基因组编辑技术可敲除感兴趣基因,同时敲入能够识别癌细胞的合成受体,从而进一步改变治疗性 T 细胞的功能特征。进行多轮基因转移和精确基因组编辑(称为多重编辑)仍是一项关键挑战,尤其对于非病毒递送平台。本研究展示了高效制备原代人 T 细胞的方法,同时敲除 3 个具有临床相关性的基因(B2M、TRAC 和 PD1),并通过非病毒转染导入靶向双唾液酸神经节苷脂 GD2 的 CAR。多重敲除使三个基因均实现高比例靶向缺失,同时脱靶编辑和染色体改变较少。通过非病毒递送敲入 GD2-CAR 后,获得 TRAC-B2M-PD1 缺陷型 GD2 CAR T 细胞产品,其具有中央记忆细胞表型,并对表达 GD2 的神经母细胞瘤靶细胞具备较强细胞毒性。CRISPR/Cas9 结合非病毒递送实现多重基因编辑具有可行性和安全性,有望快速、高效地制备高效异基因 CAR T 细胞产品。
Efficient engineering of T cells to express exogenous tumor-targeting receptors such as chimeric antigen receptors (CARs) or T-cell receptors (TCRs) is a key requirement of effective adoptive cell therapy for cancer. Genome editing technologies, such as CRISPR/Cas9, can further alter the functional characteristics of therapeutic T cells through the knockout of genes of interest while knocking in synthetic receptors that can recognize cancer cells. Performing multiple rounds of gene transfer with precise genome editing, termed multiplexing, remains a key challenge, especially for non-viral delivery platforms. Here, we demonstrate the efficient production of primary human T cells incorporating the knockout of three clinically relevant genes ( B2M , TRAC , and PD1 ) along with the non-viral transfection of a CAR targeting disialoganglioside GD2. Multiplexed knockout results in high on-target deletion for all three genes, with low off-target editing and chromosome alterations. Incorporating non-viral delivery to knock in a GD2-CAR resulted in a TRAC-B2M-PD1-deficient GD2 CAR T-cell product with a central memory cell phenotype and high cytotoxicity against GD2-expressing neuroblastoma target cells. Multiplexed gene-editing with non-viral delivery by CRISPR/Cas9 is feasible and safe, with a high potential for rapid and efficient manufacturing of highly potent allogeneic CAR T-cell products.
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