为肝细胞癌武装 GPC3 CAR T 细胞:多少才足够,下一步是什么?
Armouring GPC3 CAR T cells for hepatocellular carcinoma: how much is enough and what comes next?
英文原题:A rapid method to assess the in vivo multi-functionality of adoptively transferred engineered TCR T cells.
我们证明,用特异性 HBV-TCR 所识别表位对应的肽段对全血进行简单脉冲刺激,仅在 HBV-TCR T 细胞治疗后、而非治疗前,可在这两名患者中诱导 Th1 细胞因子分泌。
引言:嵌合抗原受体和 T 细胞受体(TCR)T 细胞免疫疗法的临床疗效被认为源于其在体内增殖并持续存在的能力。由于工程化 T 细胞与靶肿瘤或其微环境的相互作用可能抑制其功能,因此不仅应在过继转移前表征其功能,也应在转移后进行评估。材料与方法:我们改造了一种近期开发的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)快速全血 T 细胞检测方法,使其能够在小体积全血(<1 ml)中刺激工程化 TCR T 细胞,无需体外纯化细胞。作为概念验证,我们利用该方法纵向研究了 2 例原发性乙型肝炎病毒(HBV)相关肝细胞癌患者;两人均接受了多次递增剂量的短暂功能性 mRNA 工程化 HBV-TCR T 细胞输注。结果:我们证明,只需在全血中加入与特定 HBV-TCR 识别表位对应的肽,即可诱导两名患者分泌 Th1 细胞因子;这种现象仅在 HBV-TCR T 细胞治疗后出现,治疗前未见。细胞因子分泌量也与输注剂量相关。讨论:这些发现支持使用全血细胞因子释放检测,监测过继转移后工程化 T 细胞产品在体内的功能和数量。
INTRODUCTION: The clinical efficacy of chimeric antigen and T cell receptor (TCR) T cell immunotherapies is attributed to their ability to proliferate and persist in vivo . Since the interaction of the engineered T cells with the targeted tumour or its environment might suppress their function, their functionality should be characterized not only before but also after adoptive transfer. MATERIALS AND METHODS: We sought to achieve this by adapting a recently developed Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) rapid whole blood T cell assay to stimulate engineered TCR T cells in small volumes of whole blood (<1 ml) without in vitro cellular purification. As a proof-of-concept, we used this method to longitudinally study two patients with primary Hepatitis B Virus (HBV)-related hepatocellular carcinoma who received multiple dose-escalating infusions of transiently functional mRNA-engineered HBV-TCR T cells. RESULTS: We demonstrated that a simple pulsing of whole blood with a peptide corresponding to the epitope recognized by the specific HBV-TCR elicited Th1 cytokine secretion in both patients only after HBV-TCR T cell treatment and not before. The amount of cytokines secreted also showed an infusion-dose-dependent association. DISCUSSIONS: These findings support the utility of the whole blood cytokine release assay in monitoring the in vivo function and quantity of engineered T cell products following adoptive transfer.
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