CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Scalable intracellular delivery via microfluidic vortex shedding enhances the function of chimeric antigen receptor T-cells.
Scalable intracellular delivery via microfluidic vortex shedding enhances the function of chimeric antigen receptor T-cells.
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过继性CAR-T 细胞疗法具有变革性意义,已获批用于血液系统恶性肿瘤。目前也正在开发用于实体瘤、自身免疫性疾病、心脏病和衰老的治疗。尽管取得了前所未有的临床结果,CAR-T 和其他工程化细胞疗法仍面临多种生产和安全性挑战。传统方法,如慢病毒转导和电穿孔,会导致随机整合或造成显著的细胞损伤,这可能限制工程化细胞疗法的安全性和有效性。我们提出水穿孔作为一种温和且有效的细胞内递送替代方法。与电穿孔相比,水穿孔使CAR-T 产量提高1.7至2倍,且细胞活力和回收率更优。水穿孔处理的细胞表现出快速增殖、强效的靶细胞裂解以及促炎性和调节性细胞因子分泌增加,此外在转染后第5天CAR-T 产量也有所提高。我们证明,放大规模的水穿孔可在不到10秒内处理5×10^8个细胞,展示该平台作为高产量CAR-T 生产的可行解决方案,并具有改善治疗结果的潜力。
Adoptive chimeric antigen receptor T-cell (CAR-T) therapy is transformative and approved for hematologic malignancies. It is also being developed for the treatment of solid tumors, autoimmune disorders, heart disease, and aging.
Despite unprecedented clinical outcomes, CAR-T and other engineered cell therapies face a variety of manufacturing and safety challenges. Traditional methods, such as lentivirus transduction and electroporation, result in random integration or cause significant cellular damage, which can limit the safety and efficacy of engineered cell therapies.
We present hydroporation as a gentle and effective alternative for intracellular delivery. Hydroporation resulted in 1. 7- to 2-fold higher CAR-T yields compared to electroporation with superior cell viability and recovery. Hydroporated cells exhibited rapid proliferation, robust target cell lysis, and increased pro-inflammatory and regulatory cytokine secretion in addition to improved CAR-T yield by day 5 post-transfection.
We demonstrate that scaled-up hydroporation can process 5 10 8 cells in less than 10 s, showcasing the platform as a viable solution for high-yield CAR-T manufacturing with the potential for improved therapeutic outcomes.
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