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:Tailoring capsid-directed evolution technology for improved AAV-mediated CAR-T generation.
嵌合抗原受体(CAR)T 细胞(CAR-T)疗法为确诊某些白血病的患者提供了治疗选择。
嵌合抗原受体(CAR)T细胞疗法为部分白血病患者提供了治疗选择。该技术近期一项进展是在T细胞受体α恒定区(TRAC)位点整合CAR,从而利用内源性启动子和调控元件表达CAR。此前方法使用基于AAV6的腺相关病毒(AAV)载体递送编码CAR构建体的供体模板。自最初发表以来,这种靶向CAR整合技术已有改进,但尚无技术专门改进递送治疗载荷所用的AAV载体。本研究开发了一种新型AAV衣壳定向进化平台,可专门筛选新的AAV衣壳变体,以提升原代T细胞中由靶向基因编辑介导的CAR构建体TRAC位点整合效率。利用新平台,研究者筛选出多种在T细胞中编辑效率高于AAV6的新AAV。其中两种新型衣壳AAV-T1和AAV-T2可使靶位点敲入效率提高5倍,因此将产生针对脑肿瘤细胞系、具有高度细胞毒性T细胞所需的载体剂量降低5倍。
Chimeric antigen receptor (CAR) T cell (CAR-T) therapies present options for patients diagnosed with certain leukemias. Recent advances of the technology included a method to integrate the CAR into the T cell receptor alpha constant (TRAC) locus to take advantage of the endogenous promoter and regulatory elements for CAR expression. This method used adeno-associated viral (AAV) vectors based on AAV6 to deliver the donor template encoding the CAR construct. Since the original publication, improvements have been made to this targeted CAR integration technique; however, none of those techniques focused on improving the AAV vector used to deliver the therapeutic cargo. The herein presented study developed a novel AAV capsid directed evolution platform that allows for specifically selecting for novel AAV capsid variants that enable more efficient targeted gene editing-mediated CAR construct integration into the TRAC locus in primary T cells. Using this new platform, we selected several novel AAVs that enable more efficient editing in T cells than AAV6. Two novel capsids, AAV-T1 and AAV-T2, were able to mediate 5-fold improvement for on-target knockin, which resulted in 5-fold reduction of the vector dose to produce highly cytolytic T cells against a brain tumor cell line.
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