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:Intrinsic ADRB2 inhibition improves CAR-T cell therapy efficacy against prostate cancer.
嵌合抗原受体(CAR)-T细胞疗法在实体瘤患者中的成功有限。
嵌合抗原受体(CAR)-T细胞疗法在实体瘤患者中显示出有限的成功。最近的体外和体内数据表明,肾上腺素能受体beta-2(ADRB2)是一种新型检查点受体,可抑制T细胞介导的抗肿瘤反应。为了抑制ADRB2介导的抑制信号,我们通过RNA干扰下调CAR-T(sh 2 -CAR-T)细胞中的ADRB2,评估了不同参数,并将其与常规第二代CAR-T细胞进行比较。ADRB2敲低CAR-T细胞在体外对前列腺癌细胞系表现出增强的细胞毒性,通过增加CD69、CD107a、GzmB、IFN-、T-bet和GLUT-1。此外,ADRB2缺陷导致CAR-T细胞增殖改善、CD8/CD4 T细胞比例增加和凋亡减少。sh 2 -CAR-T细胞表达更多Bcl-2,并导致产生更显著比例的T中央记忆细胞。最后,ZAP-70/NF- B信号轴被证明是新型CAR-T细胞功能改善的原因。在荷瘤小鼠中,sh 2 -CAR-T细胞在根除前列腺肿瘤方面比常规CAR-T细胞表现更好。该研究为未来临床和转化CAR-T细胞研究提供了基础,以关注应激肿瘤微环境中肾上腺素能应激介导的挑战。
Chimeric antigen receptor (CAR)-T cell therapy has shown limited success in patients with solid tumors. Recent in vitro and in vivo data have shown that adrenoceptor beta-2 (ADRB2) is a novel checkpoint receptor that inhibits T cell-mediated anti-tumor responses. To inhibit ADRB2-mediated inhibitory signaling, we downregulated ADRB2 in CAR-T (sh 2 -CAR-T) cells via RNA interference, assessed different parameters, and compared them with conventional second-generation CAR-T cells. ADRB2 knockdown CAR-T cells exhibited enhanced cytotoxicity against prostate cancer cell lines in vitro, by increasing CD69, CD107a, GzmB, IFN- , T-bet, and GLUT-1. In addition, ADRB2 deficiency led to improved proliferation, increased CD8/CD4 T cell ratio, and decreased apoptosis in CAR-T cells. sh 2 -CAR-T cells expressed more Bcl-2 and led to the generation of more significant proportions of T central memory cells. Finally, the ZAP-70/NF- B signaling axis was shown to be responsible for the improved functions of novel CAR-T cells. In tumor-bearing mice, sh 2 -CAR-T cells performed better than conventional CAR-T cells in eradicating prostate tumors. The study provides the basis for future clinical and translational CAR-T cell research to focus on adrenergic stress-mediated challenges in the tumor microenvironment of stressed tumors.
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