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:Rational Design and Organoid-Based Evaluation of a Cocktail CAR-γδ T Cell Therapy for Heterogeneous Glioblastoma.
Rational Design and Organoid-Based Evaluation of a Cocktail CAR-γδ T Cell Therapy for Heterogeneous Glioblastoma.
肿瘤异质性和 T 细胞浸润不足等多种挑战阻碍了CAR-T 细胞治疗胶质母细胞瘤(GBM)的进展。
肿瘤异质性及 T 细胞浸润不足等多重挑战阻碍了CAR-T 细胞治疗胶质母细胞瘤(GBM)的发展。为应对这些障碍,研究者设计了多步骤策略。首先通过文献综述和生物信息学分析,筛选出一组在 GBM 中表达异质的抗原,称为靶抗原库。随后依据每位患者肿瘤样本的多重免疫组化结果,从靶抗原库中选择个体化抗原组合,遵循的原则是尽可能覆盖肿瘤组织中的大多数癌细胞。为靶向这些抗原,研究者选择 Vδ1 T 细胞作为 CAR 载体,因为其组织浸润能力强且可作为现货型产品;同时建立优化流程,以制备纯度和细胞毒性高、耗竭程度低、细胞因子释放受控的 CAR-Vδ1 T 细胞。之后,在直接来源于同一患者肿瘤的 GBM 类器官中测试特定的混合 CAR-Vδ1 T 细胞组合。研究者将该方案称为“prof”混合疗法,意指精准、合理地组合肿瘤抗原,采用类器官评估,并利用 Vδ1 T 细胞的适用特性。这一策略可能加速针对异质性实体瘤的有效 CAR-T 药物开发。
Various challenges, including tumor heterogeneity and inadequate T cell infiltration, impede the progress of chimeric antigen receptor T cell (CAR-T) therapy for glioblastoma (GBM). To address these obstacles, a multiple step strategy is designed. Initially, literature review and bioinformatics analysis to screen a set of antigens that are heterogeneously expressed in GBM, which are designated as the target-bank, are leveraged. Then, according to the multiplex immunohistochemistry results of each patient's tumor sample, a personalized panel of antigens based on the principle that most cancer cells in tumor tissues can be covered from the target-bank is selected. To target these antigens, V 1 T cells are chosen as CAR vehicles because of its high tissue infiltration and off-the-shelf properties, and an optimized protocol for engineering CAR-V 1 T cells with high purity and cytotoxicity, low exhaustion, and cytokine release is developed. Next, the specific panel of cocktail CAR-V 1 T cells in the GBM organoids that are directly derived from the same patient's tumor is tested. The term "prof" cocktail therapy is coined to describe the approach using precise and rational combination of tumor antigens, organoid-based evaluation, and fitness of V 1 T cells. It may accelerate development of effective CAR-T drugs for heterogeneous solid tumors.
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