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:Development of chimeric Nanobody-Granzyme B functionalized ferritin nanoparticles for precise tumor therapy.
T细胞淋巴瘤(TCL)是一组异质性恶性肿瘤,治疗选择有限,预后较差。
T细胞淋巴瘤(TCL)是一类异质性恶性肿瘤,治疗选择有限且预后较差。传统T细胞疗法(包括嵌合抗原受体(CAR)T细胞)的疗效常受免疫抑制因素和肿瘤微环境的限制。另一方面,尽管直接给予颗粒酶B(GrB)可有效诱导肿瘤细胞凋亡,但其缺乏通用肿瘤靶向性和高效细胞进入机制。为解决这些局限,我们开发了一种新型纳米颗粒疗法,用于精准靶向TCL肿瘤细胞并递送GrB。我们将靶向CD30和CD5的纳米抗体(Nb)与GrB融合,并利用Gv/Sd系统将其偶联至人铁蛋白(h-HFn),构建了一种新型治疗性纳米颗粒,命名为BiCD30/5-GF,其可特异性靶向TCL肿瘤细胞上的CD30和CD5受体。Nb-GrB偶联增强了肿瘤靶向性,而与h-HFn偶联的Gv/Sd连接子进一步改善了细胞转运和靶向性。此外,GrB的多聚化增强了其有效性。与传统治疗相比,这些纳米颗粒在体外表现出更优越的结合亲和力和细胞毒性。在荷瘤小鼠体内的研究表明,BiCD30/5-GF纳米颗粒治疗后可显著抑制肿瘤并延长生存期。我们还将类似的纳米颗粒策略扩展用于胃癌治疗,靶向表达FGFR4的肿瘤细胞。我们的研究结果凸显了工程化纳米颗粒作为跨多种肿瘤类型的有效靶向治疗剂的潜力,为癌症治疗中的临床转化提供了广阔前景。
T-cell lymphomas (TCLs) are heterogeneous malignancies with limited treatment options and poor outcomes. The efficacy of traditional T-cell therapies, including chimeric antigen receptor (CAR) T cells, is often constrained by immunosuppressive factors and the tumor microenvironment. On the other hand, although direct Granzyme B (GrB) administration can effectively induce tumor cell apoptosis, it lacks universal tumor targeting and efficient cellular entry mechanisms. To address these limitations, we developed a novel nanoparticle-based therapy for the precise targeting of TCL tumor cells and the delivery of GrB. We fused nanobody (Nb) targeting CD30 and CD5 with GrB and coupled them to human ferritin (h-HFn) using the Gv/Sd system, creating a novel therapeutic nanoparticle named BiCD30/5-GF, which specifically targets CD30 and CD5 receptors on TCL tumor cells. The Nb-GrB conjugation enhances tumor targeting, while a Gv/Sd linker coupled to h-HFn further improves cellular transport and targeting. Additionally, the multimerization of GrB enhances its effectiveness. These nanoparticles demonstrated superior binding affinity and cytotoxicity in vitro compared to conventional treatments. In vivo studies on tumor-bearing mice showed significant tumor suppression and prolonged survival following treatment with BiCD30/5-GF nanoparticles. We also extended similar nanoparticle strategies for gastric cancer therapy, targeting FGFR4-expressing tumor cells. Our findings highlight the potential of engineered nanoparticles as effective and targeted therapeutic agents across various tumor types, offering promising prospects for clinical translation in cancer treatment.
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