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:Optimizing Ex Vivo CAR-T Cell-Mediated Cytotoxicity Assay through Multimodality Imaging.
基于CAR-T细胞的疗法在治疗恶性肿瘤,尤其是液体肿瘤方面已展现出显著疗效,并且正越来越多地在实体瘤的临床试验中接受评估。
基于CAR-T细胞的疗法在治疗恶性肿瘤,尤其是液体肿瘤方面已展现出显著疗效,并且正越来越多地在实体瘤的临床试验中接受评估。随着FDA推动药物发现与开发的替代方法,全人源离体试验对于精准CAR-T开发日益不可或缺。然而,现有的离体CAR-T细胞介导的细胞毒性试验受到诸多限制,包括使用放射性物质、缺乏实时测量、通量低以及无法自动化等。为解决这些局限性,我们采用多模态成像方法优化了该试验,包括生物发光、阻抗追踪、相差和荧光,以实时追踪与CD19、CD20和HER2荧光素酶报告基因癌细胞共培养的CAR-T细胞。此外,我们改变了CAR-T细胞与癌细胞的比例,以确定最佳的细胞毒性读数。我们的研究结果表明,CAR-T细胞组有效攻击了癌细胞,且优化后的试验为离体CAR-T杀伤癌细胞提供了优越的时间与空间精度测量,证实了优化后试验的可靠性、一致性和高通量。
CAR-T cell-based therapies have demonstrated remarkable efficacy in treating malignant cancers, especially liquid tumors, and are increasingly being evaluated in clinical trials for solid tumors. With the FDA's initiative to advance alternative methods for drug discovery and development, full human ex vivo assays are increasingly essential for precision CAR-T development. However, prevailing ex vivo CAR-T cell-mediated cytotoxicity assays are limited by their use of radioactive materials, lack of real-time measurement, low throughput, and inability to automate, among others. To address these limitations, we optimized the assay using multimodality imaging methods, including bioluminescence, impedance tracking, phase contrast, and fluorescence, to track CAR-T cells co-cultured with CD19, CD20, and HER2 luciferase reporter cancer cells in real-time. Additionally, we varied the ratio of CAR-T cells to cancer cells to determine optimal cytotoxicity readouts. Our findings demonstrated that the CAR-T cell group effectively attacked cancer cells, and the optimized assay provided superior temporal and spatial precision measurements of ex vivo CAR-T killing of cancer cells, confirming the reliability, consistency, and high throughput of the optimized assay.
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