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:Role of CAR-T cell K+ channels in tumor infiltration and elimination.
Role of CAR-T cell K+ channels in tumor infiltration and elimination.
通过基因修饰使 T 细胞表达嵌合抗原受体(CAR、CAR-T 细胞),使其能够识别肿瘤表面的特异性抗原,进而清除肿瘤。
通过基因修饰使T细胞表达嵌合抗原受体(CAR),可使其识别肿瘤表面的特定抗原并清除肿瘤。Kv1.3、KCa3.1和CRAC等T淋巴细胞离子通道通过调节Ca²⁺信号影响T细胞活化和增殖,也影响细胞因子释放、迁移乃至杀伤靶细胞等效应功能。本研究构建了两种CAR细胞系:一种采用CEM T细胞系,另一种采用原代T细胞;两者均可识别Raji B细胞和表达CD19的人乳腺癌MCF-7细胞表面的CD19抗原。首先,我们发现CEM细胞中KCa3.1和Kv1.3的功能性表达与T细胞相当,证实CEM适合作为原代T细胞的替代模型。随后,我们在单层和3D肿瘤球模型中研究CAR-T和CEM-CAR细胞的肿瘤杀伤效率。结果显示,无论肿瘤模型如何,表达CAR的细胞均可特异性清除肿瘤细胞。此外,在肿瘤球中使用Kv1.3抑制剂(Vm24)和KCa3.1抑制剂(TRAM34),可显著提高CEM-CAR和CAR-T细胞的肿瘤清除效率;但加入拮抗剂未影响浸润率。我们认为,修饰Kv1.3和KCa3.1离子通道可能有助于提高实体瘤免疫治疗疗效。
Genetic modification of T cells to express chimeric antigen receptors (CAR, CAR-T cells) enable them to recognize the specific antigen on tumor surface and then eliminate the tumor. T lymphocyte ion channels such as Kv1.3, KCa3.1 and CRAC influence T cell activation and proliferation by regulating Ca2+ signaling, as well as other effector functions such as cytokine release, migration and even target cell killing. Here we established two CAR cell lines (using CEM T cell line and primary T cells) recognizing CD19 antigen on surface of Raji B and human breast cancer MCF-7 expressing CD19 cell lines. First, we exposed that KCa3.1 and Kv1.3 functional expressions of CEM cells were comparable to those in T cells, which demonstrated their suitability for primary T cell mimics. Next, we studied the tumor cell killing efficiency of CAR-T and CEM-CAR cells in monolayer and 3D spheroid tumor models. We could show that CAR expressing cells specifically eliminate tumor cells regardless of tumor models. Furthermore, the application of Kv1.3 (Vm24) and KCa3.1 (TRAM34) inhibitors significantly improved the tumor eradication efficiency for both CEM-CAR and CAR-T cells in spheroids, however, the infiltration rate was not influenced upon addition of antagonists. We could conclude that modification of Kv1.3 and KCa3.1 ion channels could contribute to a more effective immunotherapy of solid tumor.
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