体内 CAR 基因治疗的前景与潜在陷阱
Promises and potential pitfalls of in vivo CAR gene therapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:An Implantable Double-Layered Spherical Scaffold Depositing Gene and Cell Agents to Facilitate Collaborative Cancer Immunotherapy.
An Implantable Double-Layered Spherical Scaffold Depositing Gene and Cell Agents to Facilitate Collaborative Cancer Immunotherapy.
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基因治疗和过继性细胞治疗(ACT)是癌症免疫治疗中具有前景的策略。鉴于二者机制不同,将这两种方法联合可能形成一种具有潜在协同和补偿效应的策略。
然而,以恰当的合理顺序联合基因治疗和ACT具有挑战性。在此,我们开发了一种双层球形支架(DLS),用于共递送mRNA和T细胞,并构建了一种可植入的水凝胶制剂,命名为GD-920支架。该支架直径为7 mm,内层负载原代T细胞,外层负载Bim mRNA纳米复合物。在保持其生物活性的同时,GD-920以可控且顺序化的方式释放基因和细胞载荷。外层的mRNA复合物首先释放并诱导免疫原性肿瘤细胞死亡。产生的抗原随后与树突状细胞一起迁移进入支架,触发肿瘤特异性免疫应答。
最后,内层释放的活化T细胞通过大量浸润攻击肿瘤组织。我们表明,原位植入GD-920支架能够有效抑制肿瘤生长,并且远比含有单一载荷的对照支架更为有效。
我们的结果证明了这种DLS在将基因和细胞治疗方法联合用于癌症免疫治疗方面的卓越潜力。
Gene therapies and adoptive cell therapy (ACT) are promising strategies for cancer immunotherapy. Referring to their different mechanisms, the combination of these two might result in a strategy with potential collaborative and compensatory effects.
However, it is challenging to combine gene therapies and ACT that work in a proper logical order.
Here, we developed a double-layered spherical scaffold (DLS) to codeliver mRNA and T cells and constructed an implantable hydrogel formulation, named the GD-920 scaffold. With a diameter of 7 mm, this scaffold loaded primary T cells in the inner layer and the Bim mRNA nanocomplex in the outer layer.
While maintaining their bioactivities, GD-920 released gene and cell payloads in a controllable and sequential manner. The mRNA complex from the outer layer was first released and induced immunogenic tumor cell death. The produced antigens then migrated into the scaffold with dendritic cells, triggering a tumor-specific immune response.
Finally, activated T cells released by the inner layer attacked the tumor tissue via massive infiltration.
We showed that in situ implantation of the GD-920 scaffold is capable of effectively inhibiting tumor growth and is far more potent than that of control scaffolds containing a single payload.
Our results demonstrated the outstanding potential of this DLS in combining gene and cell therapeutic approaches to cancer immunotherapy.
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