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:Chimeric antigen receptor with novel intracellular modules improves antitumor performance of T cells.
Chimeric antigen receptor with novel intracellular modules improves antitumor performance of T cells.
过度的细胞因子释放和有限的持久性,是CAR-T(CAR-T)细胞疗法在多种肿瘤中面临的主要挑战。
过度细胞因子释放和有限的持久性代表了CAR-T(CAR-T)细胞疗法在多种肿瘤中的主要挑战。传统 CAR 采用来自 CD3 亚基的细胞内结构域(ICD)作为信号模块,而其他 CD3 链如何可能有助于 CAR 设计在很大程度上仍不清楚。在此,我们使用包含来自不同 CD3 亚基的单个免疫受体酪氨酸基激活基序的结构域作为 CAR 的 ICD,获得了一系列针对 HER2 和间皮素的 CAR-T 细胞。虽然这些重建的 CAR 赋予所装备的 T 细胞足够的抗原特异性溶细胞活性,但它们引发了低强直信号,减轻了耗竭并促进了这些细胞的记忆分化。有趣的是,CD3 -衍生的 ICD 在生成产生最少细胞因子的 CAR-T 细胞方面优于其他 ICD。机制上,基于 CD3 的 CAR 在工程化 T 细胞上表现出受限的细胞膜表达,这归因于羧基末端碱性残基介导的内质网滞留。本研究证明了使用来自不同 CD3 亚基的信号模块进行 CAR 重建的适用性,并描绘了一种减少细胞因子释放的新型 CAR 表达模式,从而为制备针对多种肿瘤抗原表现出改善的安全性和持久性的 CAR-T 细胞铺平了道路。
The excessive cytokine release and limited persistence represent major challenges for chimeric antigen receptor T (CAR-T) cell therapy in diverse tumors. Conventional CARs employ an intracellular domain (ICD) from the subunit of CD3 as a signaling module, and it is largely unknown how alternative CD3 chains potentially contribute to CAR design. Here, we obtained a series of CAR-T cells against HER2 and mesothelin using a domain comprising a single immunoreceptor tyrosine-based activation motif from different CD3 subunits as the ICD of CARs. While these reconstituted CARs conferred sufficient antigen-specific cytolytic activity on equipped T cells, they elicited low tonic signal, ameliorated the exhaustion and promoted memory differentiation of these cells. Intriguingly, the CD3 -derived ICD outperformed others in generation of CAR-T cells that produced minimized cytokines. Mechanistically, CD3 -based CARs displayed a restrained cytomembrane expression on engineered T cells, which was ascribed to endoplasmic reticulum retention mediated by the carboxyl terminal basic residues. The present study demonstrated the applicability of CAR reconstitution using signaling modules from different CD3 subunits, and depicted a novel pattern of CAR expression that reduces cytokine release, thus paving a way for preparation of CAR-T cells displaying improved safety and persistence against diverse tumor antigens.
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