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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Off-the-shelf invariant NKT cells expressing anti-PSCA CAR and IL-15 promote pancreatic cancer regression in mice.
Off-the-shelf invariant NKT cells expressing anti-PSCA CAR and IL-15 promote pancreatic cancer regression in mice.
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胰腺导管腺癌(PDAC)仍带来重大健康负担,5年生存率仅10%。多数PDAC患者的肿瘤细胞表面高表达前列腺干细胞抗原(PSCA),而大多数正常组织中表达极低。
本研究以人外周血单个核细胞为细胞来源,制备冷冻保存、现货型异体PSCA嵌合抗原受体(CAR)不变型自然杀伤T(iNKT)细胞。在多个体外和体内PDAC模型中,新鲜制备的PSCA CAR_sIL-15 iNKT细胞与冻融后的现货型细胞疗效相当,二者均显著抑制PSCA阳性及吉西他滨耐药PDAC。
重要的是,在相同PDAC模型中,现货型冷冻保存的PSCA CAR_sIL-15 iNKT细胞疗效与采用相同PSCA CAR的CAR-T 细胞相当;但PSCA CAR_sIL-15 iNKT细胞未见明显全身毒性或移植物抗宿主病,因此可多次输注以控制复发疾病。
综上,本研究提示PSCA CAR_sIL-15 iNKT细胞值得在PSCA阳性PDAC患者中开展临床研究。该疗法可单独使用,也可与PDAC既有治疗方式联合。
Pancreatic ductal adenocarcinoma cancer (PDAC) continues to pose a significant health burden, with a 5-year survival rate of only 10%. Prostate stem cell antigen (PSCA) is highly expressed on the surface of tumor cells of most PDAC patients, with minimum expression in most normal tissues.
Here, we generated cryopreserved, off-the-shelf, allogeneic PSCA chimeric antigen receptor (CAR) invariant NKT (iNKT) cells using human peripheral blood mononuclear cells as a cell source. In multiple in vitro and in vivo PDAC models, freshly manufactured PSCA CAR_sIL-15 iNKT cells and frozen-thawed, off-the-shelf PSCA CAR_sIL-15 iNKT cells demonstrate comparable efficacies, and both show remarkable suppression of PSCA-positive and gemcitabine-resistant PDAC.
Importantly, off-the-shelf cryopreserved PSCA CAR_sIL-15 iNKT cells show equivalent efficacy when compared with PSCA CAR T cells using the same PSCA CAR and in the same PDAC model; however, PSCA CAR_sIL-15 iNKT cells do not appear to induce systemic toxicity or graft-versus-host disease, thus allowing for multiple infusions to control recurrent disease.
Collectively, our study suggests that PSCA CAR_sIL-15 iNKT cells merit clinical investigation for PDAC patients exhibiting positive PSCA expression. The therapy could be given as a single agent or in combination with established therapeutic modalities for PDAC.
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