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:Efficacy of natural killer T and gammadelta T cells in mesothelin-targeted immunotherapy of pancreatic cancer.
当前胰腺癌免疫治疗聚焦于αβ T细胞,通过CD3参与的双特异性抗体或CAR-T实现。
当前胰腺癌免疫治疗主要聚焦于αβ T细胞,通过CD3参与的双特异性抗体或CAR-T实现。尽管前景可观,剂量限制性毒性(DLT)在临床实践中仍是一大挑战。鉴于这些顾虑,探索替代性T细胞类型——自然杀伤T(NKT)细胞和γδ T细胞——的兴趣日益增长,这些细胞具有裂解肿瘤的能力,同时可能提供更安全的治疗特征和更少的副作用。这些细胞呈现出一种引人注目的替代方案,值得对其治疗潜力和安全性特征进行全面评估。本研究采用MSLN/CD3双特异性抗体,以外周血单核细胞(PBMCs)作为对照,在体外和体内比较NKT和T细胞的抗肿瘤活性。本研究表明,MSLN/CD3 BsAb有效激活并招募了PBMCs、NKT和T细胞。此外,在MSLN/CD3 BsAb的作用下,T细胞和NKT细胞在体外和体内均表现出显著优于PBMCs的抗肿瘤活性,同时显示出低细胞因子释放。T细胞显示出几乎可忽略的毒副作用。此外,全身给予NKT和T细胞激活剂——α-半乳糖神经酰胺(α-GalCer)和唑来膦酸——可增强MSLN/CD3 bsAb的抗肿瘤效果,且无明显毒性。NKT和T细胞是有前景的协同治疗细胞类型,可能克服CD3双特异性抗体在胰腺肿瘤治疗中的局限性,为免疫治疗的临床应用提供了新视角。
Current pancreatic cancer immunotherapy focused on alphabeta ( ) T cells, either through CD3-engaged bispecific antibodies or CAR-T. Despite their promise, dose-limited toxicity (DLT) remains a challenge in clinical practice. In light of these concerns, there is a growing interest in exploring alternative T cell types, natural killer T (NKT) cells and gammadelta ( ) T cells, that possess the capacity to lyse tumors while potentially offering a safer therapeutic profile with fewer side effects. These cells present a compelling alternative that warrants a comprehensive evaluation of their therapeutic potential and safety profile. This study employed a MSLN/CD3 bispecific antibody to compare the anti-tumor activity of NKT and T cells with peripheral blood mononuclear cells (PBMCs) as controls, both in vitro and in vivo . This study demonstrated that MSLN/CD3 BsAb effectively activated and recruited PBMCs, NKT and T. Furthermore, under the influence of MSLN/CD3 BsAb, T and NKT cells exhibited notably superior anti-tumor activity compared to PBMCs, both in vitro and in vivo , while demonstrating low cytokine release. T cells showed almost negligible toxic side effects. In addition, the systemic administration of NKT and T cells activators, -galactosylceramide ( -GalCer) and Zoledronate, could enhance the anti-tumor effect of MSLN/CD3 bsAb, with no apparent toxicity. NKT and T cells are promising synergistic therapeutic cell types that may overcome the limitations of CD3 bispecific antibodies in pancreatic tumor treatments, offering a new perspective for clinical applications in immunotherapy.
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