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.
英文原题:Monovalent Anti-CD3 Antibodies Effectively Eliminate the TCR-Positive Fraction of TCR-Deleted Allogeneic CAR-T Cells to Prevent GVHD.
Monovalent Anti-CD3 Antibodies Effectively Eliminate the TCR-Positive Fraction of TCR-Deleted Allogeneic CAR-T Cells to Prevent GVHD.
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嵌合抗原受体转导T(CAR-T)细胞疗法是一种针对晚期血液系统肿瘤的有效细胞疗法。然而,使用自体T细胞限制了其及时和普遍制备。异体CAR-T 细胞疗法作为一种即用型治疗可能是一个很好的替代方案。移植物抗宿主病(GVHD)是异体CAR-T 细胞的障碍,但可以通过基因组编辑删除TCR来预防。然而,剩余的TCR阳性细胞必须通过昂贵的大规模磁性细胞分选来清除。因此,需要一种替代方法来去除TCR阳性细胞。在本研究中,我们发现单价抗CD3抗体如Fab和单链可变片段(scFv),而非完整IgG,可诱导体外扩增T细胞凋亡,从而在TCR缺失CAR-T 细胞制备过程中有效清除残留的TCR阳性T细胞,并最终在体内预防异种GVHD。因此,在异体CAR-T 细胞制造过程中进行单价抗CD3处理将是预防GVHD的一种有效方法。
Chimeric antigen receptor-transduced T (CAR-T) cell therapy is an effective cell therapy against advanced hematological tumors.
However, the use of autologous T cells limits its timely and universal generation. Allogeneic CAR-T cell therapy may be a good alternative as a ready-to-use therapeutic. Graft-versus-host disease (GVHD) is an obstacle for allogeneic CAR-T cells, but can be prevented by TCR deletion through genome editing.
However, the remaining TCR-positive cells must be eliminated by costly, large-scale magnetic cell separation.
Therefore, an alternative method for removing TCR-positive cells is needed. In this study, we found that monovalent anti-CD3 Abs such as Fab and single-chain variable fragment (scFv), but not whole IgG, induce apoptosis of in vitro expanded T cells, thereby effectively depleting residual TCR-positive T cells during TCR-deleted CAR-T cell generation and ultimately preventing xenogeneic GVHD in vivo .
Thus, monovalent anti-CD3 treatment during allogeneic CAR-T cell manufacturing would be an efficient method to prevent GVHD.
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