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:Increased functional potency of multi-edited CAR-T cells manufactured by a non-viral transfection system.
嵌合抗原受体(CAR)-T细胞疗法是治疗血液系统恶性肿瘤的一项突破。
嵌合抗原受体(CAR)-T细胞疗法是血液系统恶性肿瘤治疗的一项突破。然而,要治疗实体瘤和某些血液系统癌症,下一代CAR-T细胞需要进一步的基因修饰,以克服当前的一些局限性。改进生产工艺以保持编辑后T细胞的细胞健康和功能同样至关重要。在此,我们报道Solupore——一种符合良好生产规范的非病毒物理化学转染系统——可用于利用CRISPR-Cas9核糖核蛋白制造多基因编辑的CAR-T细胞,同时保持稳健的细胞功能。与行业标准电穿孔相比,使用Solupore进行三重编辑的T细胞凋亡水平降低,并维持了相似比例的干细胞记忆T细胞,且氧化磷酸化水平更高。在采用CD19 CAR进行慢病毒转导并随后冷冻保存后,与电穿孔的CAR-T细胞相比,使用Solupore制造的三重编辑CAR-T细胞表现出更强的针对CD19+ Raji细胞的免疫突触强度以及增强的细胞毒性。在体内小鼠模型(NSG)中,与电穿孔细胞相比,Solupore三重编辑CAR-T细胞将肿瘤生长抑制增强了30倍以上。
Chimeric antigen receptor (CAR)-T cell therapy represents a breakthrough for the treatment of hematological malignancies. However, to treat solid tumors and certain hematologic cancers, next-generation CAR-T cells require further genetic modifications to overcome some of the current limitations. Improving manufacturing processes to preserve cell health and function of edited T cells is equally critical. Here, we report that Solupore, a Good Manufacturing Practice-aligned, non-viral physicochemical transfection system, can be used to manufacture multi-edited CAR-T cells using CRISPR-Cas9 ribonucleoproteins while maintaining robust cell functionality. When compared to electroporation, an industry standard, T cells that were triple edited using Solupore had reduced levels of apoptosis and maintained similar proportions of stem cell memory T cells with higher oxidative phosphorylation levels. Following lentiviral transduction with a CD19 CAR, and subsequent cryopreservation, triple-edited CAR-T cells manufactured using Solupore demonstrated improved immunological synapse strength to target CD19 + Raji cells and enhanced cellular cytotoxicity compared with electroporated CAR-T cells. In an in vivo mouse model (NSG), Solupore triple-edited CAR-T cells enhanced tumor growth inhibition by more than 30-fold compared to electroporated cells.
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