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:Liposome-based in situ antigen-modification strategy for "universal" T-cell-receptor engineered T cell in cancer immunotherapy.
NY-ESO-1 Lips 通过使肿瘤细胞表面表达抗原靶点而对其“施咒”。
与CAR-T不同,T细胞受体(TCR)工程化T细胞疗法依靠TCR固有能力识别更广泛抗原表位,如细胞内外的蛋白片段,因此为实体瘤治疗提供更多可能。但识别特异抗原肽流程复杂,其临床应用仍面临重大挑战。本研究旨在建立一种新型“通用”TCR-T“人工抗原表达”技术,使用DSPE-PEG-NY-ESO-1 157-165脂质体(NY-ESO-1 Lips)将抗原递送至肿瘤细胞,使其表达TCR-T特异识别的靶标。体内外研究显示,脂质体可有效在肿瘤区域蓄积并递送靶抗原,激活肿瘤特异性细胞毒性T细胞免疫应答。联合NY-ESO-1 TCR-T治疗显著抑制肿瘤进展并延长小鼠生存。此外,PD-1阻断增强了上述治疗效果。总之,NY-ESO-1 Lips通过使肿瘤细胞表面表达抗原靶标,“标记”肿瘤细胞。该创新技术为TCR-T广泛用于实体瘤治疗提供了突破性策略。
T-cell receptor (TCR) engineered T-cell therapy, unlike chimeric antigen receptor T-cell therapy, relies on the inherent ability of TCRs to detect a wider variety of antigenic epitopes, such as protein fragments found internally or externally on cells. Hence, TCR-T-cell therapy offers broader possibilities for treating solid tumors. However, because of the complicated process of identifying specific antigenic peptides, their clinical application still encounters significant challenges. Thus, we aimed to establish a novel "universal" TCR-T "artificial antigen expression" technique that involves the delivery of the antigen to tumor cells using DSPE-PEG-NY-ESO-1 157-165 liposomes (NY-ESO-1 Lips) to express TCR-T-cell-specific recognition targets. In vitro as well as in vivo studies revealed that they could accumulate efficiently in the tumor area and deliver target antigens to activate the tumor-specific cytotoxic T-cell immune response. NY-ESO-1 TCR-T therapy, when used in combination, dramatically curbed tumor progression and extended the longevity of mice. Additionally, PD-1 blockage enhanced the therapeutic effect of the aforementioned therapy. In conclusion, NY-ESO-1 Lips "cursed" tumor cells by enabling antigenic target expression on their surface. This innovative technique presents a groundbreaking approach for the widespread utilization of TCR-T in solid tumor treatment.
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