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:Utilization of universal-targeting mSA2 CAR-T cells for the treatment of glioblastoma.
Utilization of universal-targeting mSA2 CAR-T cells for the treatment of glioblastoma.
我们的研究表明,抗体引导的mSA2 CAR-T细胞能够在体外和体内靶向潜在的任何表面GB相关抗原,无论是单价还是多价形式,均具有重要的临床意义。
胶质母细胞瘤(GB)对嵌合抗原受体(CAR)-T 细胞治疗仍难治,主要归因于肿瘤异质性和抗原逃逸。使用单体链霉亲和素-2(mSA2)替代传统靶结合域的 CAR-T 细胞可结合生物素化抗体,并能被导向多种靶点以介导抗肿瘤效应。尽管此类策略可能规避上述挑战,mSA2 CAR-T 细胞用于脑肿瘤治疗的潜力仍未被探索。在本研究中,我们制备了 mSA2 CAR-T 细胞,并通过将其特异性定向于 GB 相关标志物 CD276、EPHA2、CD70 和 IL13Ra2,检测其抗 GB 的疗效。在体外,mSA2 CAR-T 细胞以靶点和生物素化抗体依赖的方式特异性识别多种原代 GB 细胞系。此外,在异质性肿瘤环境中,mSA2 CAR-T 细胞在生物素化抗体组合的引导下同时靶向多个亚群,提示其具有应对肿瘤异质性的潜力。最后,mSA2 CAR-T 细胞介导的抗肿瘤功能在体内得到验证。将 CD70+ 或 CD276+ GB 细胞原位植入免疫缺陷小鼠,并用预先装载抗这两种抗原抗体的 mSA2 CAR-T 细胞治疗,结果显示治疗后肿瘤生长受到控制并诱导 GB 细胞凋亡。综上所述,我们的研究表明,抗体引导的 mSA2 CAR-T 细胞在体外和体内均可靶向潜在的任意表面 GB 相关抗原,无论是单价还是多价方式,具有重要的临床意义。
Glioblastoma (GB) remains refractory to chimeric antigen receptor (CAR)-T cell therapy, mainly attributed to tumor heterogeneity and antigen escape. CAR-T cells utilizing monomeric streptavidin-2 (mSA2) instead of a traditional target binding domain, bind biotinylated antibodies and can be directed to variable targets to mediate anti-tumor effects. Although such an approach might circumvent the aforementioned challenges, the potential of mSA2 CAR-T cells for brain tumor treatment remains unexplored. In this study, we generated mSA2 CAR-T cells and tested their efficacy against GB by tailoring their specificity toward GB-associated markers CD276, EPHA2, CD70 and IL13Ra2. In vitro , mSA2 CAR-T cells specifically recognized multiple primary GB cell lines in a target- and biotinylated antibody-dependent manner. Moreover, in heterogenous tumor environments, mSA2 CAR-T cells simultaneously targeted multiple subpopulations, guided by combinations of biotinylated antibodies, indicating their potential to address tumor heterogeneity. Finally, the mSA2 CAR-T cell-mediated anti-tumor functions were demonstrated in vivo . Immunocompromised mice orthotopically implanted with CD70 + or CD276 + GB cells and treated with mSA2 CAR-T cells pre-armed with antibodies against these two antigens exhibited control of tumor growth and induction of GB cell apoptosis after therapy. Taken together, our study suggests that antibody-guided mSA2 CAR-T cells can target potentially any surface GB-related antigen both in vitro and in vivo , either univalently or multivalently, with underlined clinical implications.
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