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:Oxidized mRNA Lipid Nanoparticles for In Situ Chimeric Antigen Receptor Monocyte Engineering.
在一项概念验证研究中,C14-O2 LNP 被用于在健康小鼠体内原位工程化功能性 CD19-CAR 单核细胞,以实现显著的 B 细胞缺失(45%)。
嵌合抗原受体(CAR)单核细胞和巨噬细胞疗法是有前景的实体瘤免疫疗法,可克服传统CAR-T细胞疗法面临的挑战。mRNA脂质纳米颗粒(mRNA-LNP)提供了一种可行平台,可在体内对CAR单核细胞进行工程改造,使CAR短暂且可调控地表达,以降低肿瘤外毒性并简化细胞制备。然而,传统筛选技术难以鉴定具有单核细胞趋向性和胞内递送能力的LNP。本研究通过可电离脂质设计和高通量体内筛选,鉴定出一类具有天然单核细胞趋向性、可向单核细胞递送mRNA的氧化型LNP。研究合成氧化型LNP(oLNP)和未氧化型LNP(uLNP)文库,评估其向免疫细胞递送mRNA的能力。oLNP在形态、离子化能和pKa方面具有显著差异,因此可提高向人巨噬细胞的递送,但对T细胞并无此效应。随后,利用DNA条形码进行体内文库筛选,鉴定出一种具有天然单核细胞趋向性的oLNP配方C14-O2。在概念验证研究中,使用C14-O2 LNP在健康小鼠体内原位工程改造功能性CD19-CAR单核细胞,诱导显著B细胞再生障碍(45%)。本研究突显氧化型LNP作为工程化CAR巨噬细胞/单核细胞平台的潜力,可用于实体瘤CAR单核细胞疗法。
Chimeric antigen receptor (CAR) monocyte and macrophage therapies are promising solid tumor immunotherapies that can overcome the challenges facing conventional CAR T cell therapy. mRNA lipid nanoparticles (mRNA-LNPs) offer a viable platform for in situ engineering of CAR monocytes with transient and tunable CAR expression to reduce off-tumor toxicity and streamline cell manufacturing. However, identifying LNPs with monocyte tropism and intracellular delivery potency is difficult using traditional screening techniques. Here, ionizable lipid design and high-throughput in vivo screening are utilized to identify a new class of oxidized LNPs with innate tropism and mRNA delivery to monocytes. A library of oxidized (oLNPs) and unoxidized LNPs (uLNPs) is synthesized to evaluate mRNA delivery to immune cells. oLNPs demonstrate notable differences in morphology, ionization energy, and p Ka , therefore enhancing delivery to human macrophages, but not T cells. Subsequently, in vivo library screening with DNA barcodes identifies an oLNP formulation, C14-O2, with innate tropism to monocytes. In a proof-of-concept study, the C14-O2 LNP is used to engineer functional CD19-CAR monocytes in situ for robust B cell aplasia (45%) in healthy mice. This work highlights the utility of oxidized LNPs as a promising platform for engineering CAR macrophages/monocytes for solid tumor CAR monocyte therapy.
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