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:Controlled activation modulates T-cell expansion and phenotype in stirred-tank bioreactors.
Controlled activation modulates T-cell expansion and phenotype in stirred-tank bioreactors.
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该方法为 T 细胞疗法的可扩展且严格控制的生产提供了一种有前景的策略,特别关注 T 细胞激活步骤,同时尽量减少人工操作,从而有助于实现更有效且成本效益更高的免疫疗法。
使用嵌合抗原受体(CAR)T细胞的自体细胞疗法在血液系统恶性肿瘤中已显示出显著的临床成功。然而,当前的生产平台在扩大规模以生产足够数量的细胞以满足多剂量方案的需求方面面临挑战。此外,在细胞生产的各个不同阶段,需要对关键工艺参数进行严格控制,以最大化与改善临床反应相关的CAR-T 细胞产品的关键表型特征。为解决这些问题,我们提出了一种在搅拌罐生物反应器(STB)中进行受控T细胞激活和扩增的集成制造工艺。
通过调整STB(Ambr 15生物反应器;Sartorius,德国哥廷根)的搅拌曲线,用抗CD3/CD28抗体功能化的微珠能够控制T细胞激活的启动/终止,而无需额外的洗涤步骤来去除激活信号线索。
该策略使T细胞数量相比传统静态培养系统最多增加10倍,培养10天后最终细胞浓度达到2.5×10^7 cells/mL。重要的是,与静态培养相比,STBs中CD8+ T细胞比例更高,耗竭标志物程序性死亡受体 1、lymphocyte activation gene 3和T-cell immunoglobulin and mucin domain 3的表达更低(<8%)。此外,抗CD3/CD28功能化微珠在STBs中激活和扩增T细胞的效率与标准TransAct(Miltenyi Biotec, Bergisch Gladbach, Germany)刺激物相当。
By tailoring the stirring profile of STBs (Ambr 15 bioreactors; Sartorius, G ttingen, Germany), microbeads functionalized with anti-CD3/CD28 antibodies allow control over the initiation/termination of T-cell activation without requiring additional washing steps to remove the activation signaling cues.
This strategy resulted in up to a 10-fold increase in T-cell numbers compared with conventional static culture systems, resulting in a final cell concentration of 2.5 10 7 cells/mL after 10 days of culture. Importantly, a higher proportion of CD8 + T cells and lower expression of exhaustion markers programmed cell death protein 1, lymphocyte activation gene 3 and T-cell immunoglobulin and mucin domain 3 (<8%) were obtained in STBs relative to static cultures. Additionally, the anti-CD3/CD28-functionalized microbeads were as efficient as the standard TransAct (Miltenyi Biotec, Bergisch Gladbach, Germany) stimuli in activating and expanding T cells in STBs.
Overall, this approach presents a promising strategy for the scalable and tightly controlled manufacturing of T-cell therapies, particularly focusing on the T-cell activation step while minimizing manual operations, thus contributing towards more effective and cost-efficient immunotherapies.
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