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:Novel immunotherapeutics against LGR5 to target multiple cancer types.
我们已开发并验证了一种高度特异、多用途的抗体,针对人LGR5的胞外域(-LGR5)。
我们开发并验证了一种针对人LGR5胞外域的高特异性、多用途抗体(-LGR5)。-LGR5可检测出>90%的结直肠癌(CRC)、肝细胞癌(HCC)和pre-B-ALL肿瘤细胞中LGR5的过表达,并用于生成抗体-药物偶联物(-LGR5-ADC)、双特异性T细胞衔接器(-LGR5-BiTE)和嵌合抗原受体(-LGR5-CAR)。-LGR5-ADC在体外是靶向LGR5+癌细胞最有效的模式,并在人NALM6 pre-B-ALL小鼠模型中表现出强效的抗肿瘤疗效,使肿瘤消减至对照治疗的不到1%。-LGR5-BiTE治疗在pre-B-ALL癌症模型中效果较差,但仍促使肿瘤负荷减少两倍。-LGR5-CAR-T细胞在体外也表现出对LGR5+癌细胞的特异性且强效的杀伤作用,并有效靶向肿瘤,使pre-B-ALL肿瘤负荷相对于对照组减少四倍。综上所述,我们表明-LGR5不仅可用作研究工具和生物标志物,还为针对一系列表达LGR5的癌细胞的高效免疫治疗组合提供了一个多用途的构建模块。
We have developed and validated a highly specific, versatile antibody to the extracellular domain of human LGR5 ( -LGR5). -LGR5 detects LGR5 overexpression in >90% of colorectal cancer (CRC), hepatocellular carcinoma (HCC) and pre-B-ALL tumour cells and was used to generate an Antibody-Drug Conjugate ( -LGR5-ADC), Bispecific T-cell Engager ( -LGR5-BiTE) and Chimeric Antigen Receptor ( -LGR5-CAR). -LGR5-ADC was the most effective modality for targeting LGR5 + cancer cells in vitro and demonstrated potent anti-tumour efficacy in a murine model of human NALM6 pre-B-ALL driving tumour attrition to less than 1% of control treatment. -LGR5-BiTE treatment was less effective in the pre-B-ALL cancer model yet promoted a twofold reduction in tumour burden. -LGR5-CAR-T cells also showed specific and potent LGR5 + cancer cell killing in vitro and effective tumour targeting with a fourfold decrease in pre-B-ALL tumour burden relative to controls. Taken together, we show that -LGR5 can not only be used as a research tool and a biomarker but also provides a versatile building block for a highly effective immune therapeutic portfolio targeting a range of LGR5-expressing cancer cells.
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