借力推动前列腺癌 CAR-T 细胞治疗进展
Piggybacking toward Progress for CAR T-Cell Therapy in Prostate Cancer.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Individualized tumor-reactive T cells exhibit a potent anti-tumor response in prostate cancer.
Individualized tumor-reactive T cells exhibit a potent anti-tumor response in prostate cancer.
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在本研究中,我们为前列腺癌患者开发了一种基于自体肿瘤抗原生成肿瘤反应性 T 细胞的方案。该平台具有多靶点、个体化、经济实惠且不良反应轻微的特点,在前列腺癌及其他实体瘤的治疗中具有重要前景。
细胞免疫治疗在治疗血液肿瘤方面展现出前景。然而,其在实体瘤中的应用受到肿瘤异质性和复杂微环境的阻碍。个体化多靶点疗法的开发可能是克服肿瘤异质性挑战的关键。
为生成肿瘤反应性T细胞,我们改良了条件重编程原代细胞培养方法,建立了一种原代前列腺癌细胞培养方法,称为eCR(增强型条件重编程)。随后,将肿瘤组织来源的原代细胞进行物理裂解并负载至树突状细胞,再将其与外周血T细胞共培养,以诱导个体化肿瘤反应性T细胞。
我们改进的培养方法可以使用少量新鲜或冷冻的肿瘤标本(包括活检标本),这些标本可以在体外扩增,同时保持其原有特性,且不会被异源抗原污染。此外,一系列体外和体内实验显示,这些肿瘤反应性T细胞通过识别癌症中的新抗原,表现出对肿瘤细胞的特异性和有效杀伤能力。
Cellular immunotherapy exhibits promise in treating blood tumors. However, its application for solid tumors is impeded by their heterogeneity and complex microenvironments. The development of individualized multitarget therapy may be the key to overcoming the challenge of tumor heterogeneity.
To generate tumor-reactive T cells, we modified the conditional reprogramming primary cell culture method by to establish a primary prostate cancer cell culture approach, refer to as eCR (enhanced conditional reprogramming). Then, Tumor tissue-derived primary cells were physically lysed and loaded into dendric cells, which, in turn, were co-cultured with peripheral blood T cells to induced individualized tumor-reactive T cells.
Our improved culture method could use a small amount of fresh or frozen tumor specimens (including biopsy specimens), which can be amplified in vitro while maintaining their original characteristics, without contamination by heterologous antigens. Furthermore, a series of in vitro and in vivo experiments revealed these tumor-reactive T cells exhibited specific and effective killing of tumor cells through their ability to recognize neoantigens in cancer.
In this study, we developed a protocol for the generation of tumor-responsive T cells based on autologous tumor antigens in patients with prostate cancer. This platform is characterized by its multitargeted, individualized, affordability, and minimal adverse effects, holding significant promise in the treatment of prostate cancer as well as other solid tumors.
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