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:Oncolytic Adenovirus Armoring with CXCL9 and IL15 Shows Potent Antitumor Activity and Boosts CAR-T Therapy for Prostate Cancer.
CAR-T 细胞疗法在血液系统恶性肿瘤治疗中取得了巨大成功与进展,但仍无法克服实体瘤中的障碍。
CAR-T 细胞疗法治疗血液系统恶性肿瘤已取得巨大成功和进展,但仍无法克服实体瘤治疗障碍。致密的细胞外基质、缺氧、低pH及肿瘤来源代谢物等恶劣肿瘤微环境(TME)会显著妨碍CAR-T细胞功能。溶瘤病毒作为一种免疫治疗方式,可对抗TME并提高CAR-T细胞治疗实体瘤的疗效。本研究将趋化因子CXCL9和白细胞介素15(IL-15)基因导入腺病毒载体,构建溶瘤腺病毒Ad-CXCL9-IL15;该病毒可感染肿瘤细胞并使其表达和分泌CXCL9及IL-15。Ad-CXCL9-IL15在前列腺癌异种移植模型中表现出强效抗肿瘤活性,并增强免疫功能正常小鼠中CD45+ CD3+ T细胞和CD8+ T细胞向肿瘤浸润。此外,Ad-CXCL9-IL15治疗降低了肿瘤组织中的Treg细胞,并增加脾脏中的CD44+ CD62L+ T细胞,表明该病毒可重塑TME并增强体内抗肿瘤免疫应答。进一步地,给予Ad-CXCL9-IL15显著促进靶向B7H3的CAR-T细胞浸润和存活,提高治疗效力并延长前列腺癌荷瘤小鼠的生存期。因此,细胞因子装甲化溶瘤腺病毒Ad-CXCL9-IL15可用作生物增强剂,重塑TME并增强实体瘤免疫治疗。
Chimeric antigen receptor T cell (CAR-T) therapy has achieved great success and progress for treatment of hematological malignancy, but it still cannot overcome the obstacles in solid tumors. The hostile tumor microenvironment (TME), such as dense extracellular matrix, hypoxia, low pH, and tumor-derived metabolites, largely impedes CAR-T function. Oncolytic virus, as a form of immunotherapy, provides a way to antagonize the TME and improve the efficacy of CAR-T cells in solid tumors. In this study, the chemokine CXCL9 and interleukin 15 ( IL15 ) genes were genetically integrated into adenoviral vector to construct oncolytic adenovirus (OAV) Ad-CXCL9-IL15, which could infect tumor cells to express and secrete CXCL9 and IL15. Ad-CXCL9-IL15 showed potent antitumor activity in xenografted prostate cancer model and augmented the tumor infiltration of CD45 + CD3 + T and CD8 + T cells in immunocompetent mice. Moreover, Ad-CXCL9-IL15 treatment decreased Treg cells in tumor mass and increased CD44 + CD62L + T cells in spleen. Indicating that Ad-CXCL9-IL15 modified the TME and augmented antitumor immune responses in vivo . Furthermore, administration of Ad-CXCL9-IL15 dramatically promoted infiltration and survival of B7H3-targeting CAR-T cells, improved the therapeutic efficacy, and prolonged the survival time of prostate cancer-bearing mice. Therefore, cytokine-armored OAV Ad-CXCL9-IL15 could be used as a bioenhancer to modify TME and boost immunotherapy for solid tumors.
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