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:A Nonviral Approach to Generate Transient Chimeric Antigen Receptor T Cells Using mRNA for Cancer Immunotherapy.
A Nonviral Approach to Generate Transient Chimeric Antigen Receptor T Cells Using mRNA for Cancer Immunotherapy.
嵌合抗原受体(CAR)T细胞疗法已成为一种开创性的癌症治疗方法,在治疗某些血液系统恶性肿瘤如淋巴瘤和白血病方面取得了前所未有的成功。
嵌合抗原受体(CAR)T细胞疗法已成为一种开创性的癌症治疗方法,在治疗某些血液系统恶性肿瘤如淋巴瘤和白血病方面取得了前所未有的成功。然而,随着越来越多的癌症患者接受CAR-T细胞疗法,与治疗相关的第二原发恶性肿瘤的报道日益增多,部分原因是意外的CAR转基因插入,这引发了严重的安全性担忧。为了解决这一问题,我们在此描述了一种利用mRNA生成非病毒、非整合的瞬时CAR-T细胞的方法。我们用编码人表皮生长因子受体2(HER2)特异性CAR的修饰mRNA电转染T细胞,生成了瞬时的HER2靶向CAR-T细胞。电转染后第1天,CAR在T细胞表面高效表达,第2天表达增加,第5天显著下降。这些瞬时CAR-T细胞对HER2阳性的SKOV-3卵巢癌细胞表现出强效的细胞毒性,并分泌高水平的IFN-。本方案提供了开发无需永久性CAR转基因整合的小规模瞬时CAR-T细胞的分步指南,详细描述了CAR mRNA的制备、T细胞的激活和转染、CAR表达的评估以及CAR-T细胞功能的体外分析等程序。该方法适用于临床前和临床研究中的瞬时CAR-T细胞生成。
Chimeric antigen receptor (CAR) T cell therapy has emerged as a pioneering cancer treatment, achieving unprecedented success in treating certain hematological malignancies such as lymphomas and leukemias. However, as more cancer patients receive CAR-T cell therapies, treatment-associated secondary primary malignancies are increasingly being reported partly due to unexpected CAR transgene insertion, raising serious safety concerns. To address this issue, we describe here a nonviral, non-integrating approach to generate transient CAR-T cells using mRNA. We electroporated T cells with modified mRNA encoding a human epidermal growth factor receptor 2 (HER2)-specific CAR and generated transient HER2-targeted CAR-T cells. The CAR was efficiently expressed on the T cell surface 1 day after electroporation, increased by day 2, and dramatically declined by day 5. The transient CAR-T cells exhibited potent cytotoxicity against HER2-positive SKOV-3 ovarian cancer cells and secreted high levels of IFN- . This protocol provides a step-by-step guide for developing small-scale transient CAR-T cells without permanent CAR transgene integration, describing detailed procedures for preparation of CAR mRNA, activation and transfection of T cells, assessment of CAR expression, and in vitro analysis of CAR-T cell function. This method is suitable for transient CAR-T cell generation in both preclinical and clinical studies.
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