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:Enhanced anti-tumor efficacy of "IL-15 and CCL19" -secreting CAR-T cells in human glioblastoma orthotopic xenograft model.
Enhanced anti-tumor efficacy of "IL-15 and CCL19" -secreting CAR-T cells in human glioblastoma orthotopic xenograft model.
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尽管 CAR-T 细胞疗法治疗血液系统恶性肿瘤取得显著成功,其在实体瘤中的进展仍缓慢。要成功用于实体瘤,关键是克服 CAR-T 细胞向肿瘤部位募集和浸润的障碍,以及其在恶劣肿瘤微环境中的存活问题。本研究工程化改造 CAR-T 细胞,使其同时分泌 IL-15 和 CCL19,并在人胶质母细胞瘤原位异种移植模型中评估疗效。结果显示,15 19 CAR-T 细胞体外增殖、趋化和表型特征均优于常规 CAR-T 细胞。体内实验中,15 19 CAR-T 细胞的肿瘤控制能力也更强。机制上,疗效改善部分归因于 IL-15 和 CCL19 增强 T 细胞在肿瘤部位的浸润,并提高其抵抗肿瘤微环境内耗竭的能力。总之,将 IL-15 和 CCL19 纳入 CAR-T 细胞,是提高 CAR-T 抗肿瘤疗效的一种有希望策略;15 19 CAR-T 细胞可能成为推动 CAR-T 应用于实体瘤的重要突破。
Despite the remarkable success of CAR-T cell therapy in hematologic malignancies, its progress in solid tumors has been slow. Overcoming challenges such as the recruitment and infiltration of CAR-T cells into the tumor site and the survival issues in the harsh tumor microenvironment are crucial for successful application in solid tumors.
In this study, CAR-T cells were engineered to secrete both IL-15 and CCL19, and their efficacy was evaluated in a human glioblastoma orthotopic xenograft model. The results reveal that 15 19 CAR-T cells exhibit superior proliferation, chemotaxis, and phenotypic characteristics compared to conventional CAR-T cells in vitro . In vivo , 15 19 CAR-T cells exhibit superior control over tumors compared to conventional counterparts.
Mechanistically, the improved efficacy can be attributed, in part, to IL-15 and CCL19 enhancing T-cell infiltration at the tumor site and fortifying resistance to exhaustion within the tumor microenvironment.
In conclusion, the incorporation of IL-15 and CCL19 into CAR-T cells emerges as a promising strategy to elevate the anti-tumor efficacy of CAR-T cell therapy, positioning 15 19 CAR-T cells as a potential breakthrough for enhancing the application of CAR-T therapy in solid tumors.
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