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:Novel mRNA-Engineered Fully Human CAR-T Cells Targeting AXL in Solid Tumors.
结果:流式细胞术证实 CAR 呈短暂但高表达(24 h 时 >90%),且 T 细胞活力保持(>90%)。
背景与目的:AXL受体酪氨酸激酶是实体瘤中有前景的治疗靶点,但传统病毒载体工程化CAR-T细胞存在关键局限,包括插入突变风险及鼠源单链可变片段(scFv)引起的免疫原性。本研究旨在开发并评估mRNA工程化的全人源AXL CAR-T(mfh AXL CAR-T)细胞,作为更安全、可规模化的实体瘤免疫疗法替代方案。方法:通过电穿孔递送编码全人源AXL特异性CAR的体外转录mRNA,制备mfh AXL CAR-T细胞。采用流式细胞术定量分析CAR表达动力学和T细胞活力;通过与AXL阳性肺癌及胰腺癌细胞体外共培养,评估细胞毒性、细胞因子分泌和特异性;在肺癌异种移植小鼠模型中评估体内疗效,并连续14天监测肿瘤体积和体重。结果:流式细胞术证实CAR表达短暂但水平较高(24小时超过90%),T细胞活力得以保持(超过90%)。体外mfh AXL CAR-T细胞表现出剂量依赖的细胞毒性及抗原特异性细胞因子分泌。体内给予4次mfh AXL CAR-T细胞可抑制肿瘤生长,且未造成体重下降。结论:mRNA电穿孔mfh AXL CAR-T平台可实现经济、高规模生产,并通过避免插入突变和免疫原性风险,提供比病毒载体方案更安全的替代选择。
Background/Objectives: The AXL receptor tyrosine kinase is a promising therapeutic target in solid tumors, yet conventional viral vector-engineered CAR-T cells face critical limitations, including risks of insertional mutagenesis and immunogenicity from murine-derived single-chain variable fragments (scFvs). This study aimed to develop and evaluate mRNA-engineered fully human AXL CAR-T ( mfh AXL CAR-T) cells as a safer, scalable alternative for solid tumor immunotherapy. Methods: mfh AXL CAR-T cells were generated via electroporation-mediated delivery of in vitro transcribed mRNA encoding a fully human AXL-specific CAR. CAR expression kinetics and T-cell viability were quantified by flow cytometry. Antitumor activity was assessed through in vitro co-cultures with AXL-positive lung and pancreatic cancer cells, measuring cytotoxicity, cytokine secretion, and specificity. In vivo efficacy was evaluated in a lung cancer xenograft mouse model, with tumor volume and body weight monitored over 14 days. Results: Flow cytometry confirmed transient but high CAR expression (>90% at 24 h) with preserved T-cell viability (>90%). In vitro, mfh AXL CAR-T cells exhibited dose-dependent cytotoxicity and antigen-specific cytokine secretion. In vivo, four administrations of mfh AXL CAR-T cells suppressed tumor growth without body weight loss. Conclusions: The mRNA-electroporated mfh AXL CAR-T platform enables cost-effective, large-scale production, offering a safer alternative to viral vector-based approaches by eliminating risks of insertional mutagenesis and immunogenicity.
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