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:Smoldering oncolysis by foamy virus carrying CD19 as a CAR target escapes CAR T detection by genomic modification.
这些结果表明,进一步开发该溶瘤平台,并加入额外的免疫治疗武装,可能实现与慢性溶瘤的有效联合。
嵌合抗原受体(CAR)T细胞治疗实体瘤的成功有限。本研究利用溶瘤泡沫病毒(oFV)在肿瘤上展示模型CAR靶抗原CD19,并联合抗CD19 CAR-T细胞。研究者构建oFV-bel2和oFV-bel2病毒载体,以测试病毒及CD19扩散的效率和稳定性。体外两种病毒介导的CAR-T杀伤效果相当,但oFV-bel2病毒出现G至A突变,而oFV-bel2病毒则发生基因组缺失。在皮下肿瘤体内模型中,CAR-T细胞使oFV特异性生物发光显著降低,证实其清除了感染oFV的肿瘤细胞。然而,最有效的治疗是单独使用高剂量oFV、不加CAR-T,提示CAR-T清除oFV反而不利。此外,在逃脱CAR-T治疗的肿瘤中,复苏病毒的oFV-CD19转基因发生缺失,使其逃脱CAR-T清除。因此,oFV是一种缓慢、持续扩散型溶瘤病毒,其在肿瘤中的慢性扩散能够产生抗肿瘤治疗作用,而CAR-T治疗会消除这一作用。结果提示,进一步开发这一溶瘤平台并加入其他免疫治疗组件,可能实现有效的慢性溶瘤联合疗法。
Chimeric antigen receptor (CAR) T cells have had limited success against solid tumors. Here, we used an oncolytic foamy virus (oFV) to display a model CAR target antigen (CD19) on tumors in combination with anti-CD19 CAR T cells. We generated oFV- bel2 and oFV- bel2 vectors to test the efficiency and stability of viral/CD19 spread. While both viruses conferred equal CAR T killing in vitro , the oFV- bel2 virus acquired G-to-A mutations, whereas oFV- bel2 virus had genome deletions. In subcutaneous tumor models in vivo , CAR T cells led to a significant decrease in oFV-specific bioluminescence, confirming clearance of oFV-infected tumor cells. However, the most effective therapy was with high-dose oFV in the absence of CAR T cells, indicating that CAR T clearance of oFV was detrimental. Moreover, in tumors that escaped CAR T cell treatment, resurgent virus contained deletions within the oFV-CD19 transgene, allowing the virus to escape CAR T elimination. Therefore, oFV represents a slow smoldering type of oncolytic virus, whose chronic spread through tumors generates anti-tumor therapy, which is abolished by CAR T therapy. These results suggest that further development of this oncolytic platform, with additional immunotherapeutic arming, may allow for an effective combination of chronic oncolysis.
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