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:mRNA-laden lipid nanoparticle-enabled humanized CD19 CAR-T-cell engineering for the eradication of leukaemic cells.
CAR-T 细胞疗法在治疗恶性肿瘤方面展现出变革性潜力,全球获批的 CAR-T 产品日益增多。
CAR-T 细胞疗法在恶性肿瘤治疗中展现出变革性潜力,全球获批CAR-T产品不断增加。然而,生产成本高昂,以及病毒载体CAR-T细胞相关风险(如插入突变和继发肿瘤形成)仍是挑战。本研究介绍一种创新CAR-T工程化方法,利用脂质纳米颗粒(LNP)递送mRNA,旨在降低成本、提高安全性,同时维持强效抗肿瘤活性。研究者开发了基于LNP的转染方案,高效递送编码全人源CAR构建体的mRNA,实现高水平CAR表达,并在体外显著增强对白血病细胞的细胞毒作用。与Raji细胞共培养显示,mRNA-LNP CAR-T细胞的细胞因子分泌和肿瘤细胞杀伤均增加。在Raji细胞植入的NOD-scid-IL2R缺失(NSG)小鼠模型中,治疗效果得到进一步验证:治疗组小鼠肿瘤显著消退,生存期延长。这些发现凸显了mRNA-LNP作为非病毒、高效CAR-T工程平台的潜力,有望成为传统方法的替代方案,改善临床癌症免疫治疗中CAR-T疗法的安全性、疗效和可及性。
Chimeric antigen receptor T-cell (CAR-T) therapy has shown transformative potential in treating malignant tumours, with increasing global approval of CAR-T products. However, high-production costs and risks associated with viral vector-based CAR-T cells-such as insertional mutagenesis and secondary tumour formation-remain challenges. Our study introduces an innovative CAR-T engineering approach using mRNA delivered via lipid nanoparticles (LNPs), aiming to reduce costs and enhance safety while maintaining strong anti-tumour efficacy. We developed an LNP-based transfection protocol for efficient delivery of mRNA encoding full-human CAR constructs, achieving high CAR expression and significant cytotoxicity against leukaemic cells in vitro. Co-culture with Raji cells showed increased cytokine secretion and tumour cell killing by mRNA-LNP CAR-T cells. Therapeutic efficacy was further demonstrated in an NOD-scid-IL2R null (NSG) mouse model with Raji engraftment, where treated mice exhibited marked tumour regression and extended survival. These findings underscore the potential of mRNA-LNPs as a non-viral, effective CAR-T engineering platform, offering a promising alternative to traditional methods that could improve CAR-T safety, efficacy and accessibility in clinical cancer immunotherapy.
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