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:Supramolecular peptide hydrogel epitope vaccine functionalized with CAR-T cells for the treatment of solid tumors.
CAR-T 细胞疗法得益于基因编辑技术与抗体工程的完美结合,在血液系统恶性肿瘤中展现出卓越的临床疗效。
CAR-T 细胞疗法得益于基因编辑技术与抗体工程的完美结合,在血液系统恶性肿瘤中已展现出卓越的临床疗效。实体瘤因其极其复杂的微环境和结构特征,成为下一个挑战。靶向效率与持久性是目前CAR-T临床治疗的瓶颈问题。除药物和细胞因子外,生物材料可调节免疫应答,协助过继性CAR-T细胞发挥功能。本研究设计了一种超分子肽水凝胶表位疫苗,既可作为CAR-T细胞的制备介质,也可作为其储库。自组装肽通过两亲性氨基酸与离子稳定剂的非共价相互作用形成纳米纤维支架。首先,互补肽偶联的疫苗表位与CAR-T靶位点分别来源于HER2蛋白的不同胞外结构域,联合治疗改善了肿瘤抗原扩散和靶向效率。表位水凝胶促进了CAR-T细胞增殖、细胞毒活性及淋巴细胞亚群转化。此外,超分子肽表位疫苗包裹CAR-T(SPEV-CAR-T)通过水凝胶和CAR-T细胞的持续释放,诱导了内源性体液免疫和细胞免疫应答,在体内小鼠模型中展现出更优的抗肿瘤效果。最重要的是,SPEV-CAR-T在全身免疫组织中诱导了中央记忆细胞,解决了单一CAR-T疗法持久性差的问题。这种一体化水凝胶表位疫苗与CAR-T系统对主动和被动免疫应答的整合与互补,促进了内源性和外源性免疫应答的序贯接替,推动了对肿瘤的持久且特异性攻击。SPEV-CAR-T在实体瘤中显示出更优的治疗效果。
Chimeric antigen receptor T-cell (CAR-T) therapy, which benefits from the perfect combination of gene editing techniques and antibody engineering, has shown outstanding clinical efficacy in hematological malignancies. Solid tumors present the next challenge due to their extremely complicated microenvironment and structural characteristics. Targeting efficiency and persistence are currently bottleneck issues in the clinical treatment of CAR-T. Beyond drugs and cytokines, biomaterials can modulate the immune response, assisting adoptive CAR-T cells in exerting their function. In this study, a supramolecular peptide hydrogel epitope vaccine was designed to serve as both a preparation medium and a reservoir for CAR-T cells. The self-assembling peptide formed a nanofiber scaffold through non-covalent interactions of amphiphilic amino acids and ion stabilizers. Firstly, the complementary peptide conjugated vaccine epitopes and CAR-T target sites were derived from different extracellular domains of the HER2 protein, and the combination treatment improved tumor antigen spreading and targeting efficiency. The epitope hydrogel promoted CAR-T cell proliferation, cytotoxic activity, and lymphocyte subpopulation transformation. Furthermore, the supramolecular peptide epitope vaccine encapsulated CAR-T (SPEV-CAR-T) induced endogenous humoral and cellular immune responses through a sustained release of the hydrogel and CAR-T cells, demonstrating superior anti-tumor effects in an in vivo mouse model. Most importantly, SPEV-CAR-T induced central memory cells in systemic immune tissues, addressing the poor persistence of single CAR-T therapy. The integration and complementation of active and passive immune responses in this all-in-one hydrogel epitope vaccine and CAR-T system facilitated a sequential succession of endogenous and exogenous immune responses, promoting persistent and specific tumor attack. SPEV-CAR-T showed superior therapeutic effects in solid tumors.
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