CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:PTPRZ1-Targeting RNA CAR T Cells Exert Antigen-Specific and Bystander Antitumor Activity in Glioblastoma.
PTPRZ1-Targeting RNA CAR T Cells Exert Antigen-Specific and Bystander Antitumor Activity in Glioblastoma.
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嵌合抗原受体(CAR)T细胞疗法在B细胞恶性肿瘤患者治疗中的巨大成功,推动了其向实体瘤的转化。就胶质母细胞瘤(GBM)而言,临床试验已显示出适度的疗效,但开发更有效的抗GBM CAR-T 细胞的努力仍在继续。
在本研究中,我们选择蛋白酪氨酸磷酸酶受体Z型(PTPRZ1)作为GBM治疗的靶点。我们从人噬菌体展示库中分离出6个抗人PTPRZ1单链可变片段,并以RNA形式制备了第二代CAR-T 细胞。使用患者来源的GBM PTPRZ1敲入细胞系筛选出具有高细胞毒性且持续显示高CAR表达的CAR构建体(471_28z)。整合471_28z的CAR-T 细胞能够释放IFN、IL2、TNF、颗粒酶B、IL17A、IL6和可溶性FasL,并表现出低 tonic signaling。
此外,它们在体外杀伤后维持效应记忆表型。另外,471_28z CAR-T 细胞在被PTPRZ1阳性肿瘤细胞预激活后,对PTPRZ1阴性细胞系表现出强烈的旁观者杀伤作用,但不杀伤抗原阴性的非肿瘤细胞。在使用NOD/SCID小鼠的原位异种移植肿瘤模型中,单剂量的抗PTPRZ1 CAR-T 细胞显著延缓了肿瘤生长。
综上所述,这些结果验证了PTPRZ1作为GBM靶点,并推动抗PTPRZ1 CAR-T 细胞的临床转化。
The great success of chimeric antigen receptor (CAR) T-cell therapy in the treatment of patients with B-cell malignancies has prompted its translation to solid tumors. In the case of glioblastoma (GBM), clinical trials have shown modest efficacy, but efforts to develop more effective anti-GBM CAR T cells are ongoing. In this study, we selected protein tyrosine phosphatase receptor type Z (PTPRZ1) as a target for GBM treatment.
We isolated six anti-human PTPRZ1 single-chain variable fragments from a human phage display library and produced second-generation CAR T cells in an RNA format. Patient-derived GBM PTPRZ1-knockin cell lines were used to select the CAR construct that showed high cytotoxicity while consistently displaying high CAR expression (471_28z). CAR T cells incorporating 471_28z were able to release IFN , IL2, TNF , granzyme B, IL17A, IL6, and soluble FasL and displayed low tonic signaling.
Additionally, they maintained an effector memory phenotype after in vitro killing.
In addition, 471_28z CAR T cells displayed strong bystander killing against PTPRZ1-negative cell lines after preactivation by PTPRZ1-positive tumor cells but did not kill antigen-negative nontumor cells. In an orthotopic xenograft tumor model using NOD/SCID mice, a single dose of anti-PTPRZ1 CAR T cells significantly delayed tumor growth. Taken together, these results validate PTPRZ1 as a GBM target and prompt the clinical translation of anti-PTPRZ1 CAR T cells.
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