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携带 CD19 作为 CAR 靶点的泡沫病毒所致阴燃性溶瘤通过基因组修饰逃逸 CAR T 检测

英文原题:Smoldering oncolysis by foamy virus carrying CD19 as a CAR target escapes CAR T detection by genomic modification.

PubMed 2024/07/25(内容时间) Mol Ther Oncol Q1 · IF 8.5(JCR 2025)

研究概要

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。

中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Tonne JM、Budzik K、Carrasco TF、Ebbert L、Thompson J、Nace R、Kendall B、Diaz RM
单位
Department of Molecular Medicine, Mayo Clinic, Rochester, MN 55905, USA.United States
期刊
Molecular therapy. Oncology2024 Sep 19
原文标识
PubMed 39220111 · DOI 10.1016/j.omton.2024.200852