一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Targeted expansion of cytotoxic T cells using IL-12 and CD137L supplementation enhances antitumor efficacy.
Targeted expansion of cytotoxic T cells using IL-12 and CD137L supplementation enhances antitumor efficacy.
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近年来研究已证明,同种异体Vδ2 T细胞免疫治疗在癌症治疗中取得了越来越大的成功。Vδ2 T细胞通过butyrophilin分子识别磷酸抗原——甲羟戊酸途径的中间产物,且不受主要组织相容性复合体(MHC)限制。体外扩增的Vδ2 T细胞同种异体回输已显示出比自体策略更有前景的结果,尽管临床获益仍然有限。导致应答欠佳的问题之一与Vδ2 T细胞亚群的多克隆扩增有关,这些亚群的细胞毒性能力参差不齐。既往工作已开发出扩增Vδ2 T细胞的方案,但据我们所知,我们的研究是首个综合性研究,产生了一种简便、无需抗原呈递饲养细胞的培养方法,平均扩增倍数达3,000倍,Vδ2 T细胞纯度超过95%,且无需额外的分离步骤。
在此,我们展示了表达CD16和NKG2A、富含颗粒酶B的细胞毒性Vδ2 T细胞的体外扩增,其对白血病及卵巢癌、乳腺癌和肺癌细胞的抗肿瘤活性增强高达40%。
我们的工作值得开展临床测试,以评估这些高细胞毒性细胞的治疗潜力,为提高个体化细胞免疫治疗的疗效铺平道路。
The increasing success of allogenic Vδ2 T cell immunotherapy for the treatment of cancer has been demonstrated in recent studies. Vδ2 T cells recognize phosphoantigens, intermediates of the mevalonate pathway, through butyrophilin molecules, and they are not major histocompatibility complex (MHC) restricted. Allogeneic transfer of in vitro expanded Vδ2 T cells has shown more promising results than autologous strategies, although the clinical benefit remains limited.
One of the issues leading to less-than-optimal responses relates to the polyclonal expansion of Vδ2 T cell subsets with variable cytotoxic capacity. Previous work developed protocols to expand Vδ2 T cells, although to our knowledge, ours is the first comprehensive study that has produced a simple, antigen-presenting feeder-free culture that produced an average expansion of 3,000-fold and more than 95% pure Vδ2 T cells avoiding additional isolation steps.
Here, we show the in vitro expansion of cytotoxic Vδ2 T cells expressing CD16 and NKG2A enriched in granzyme B that displayed enhanced antitumor activity of up to 40% against leukemia and ovarian, breast, and lung cancer cells.
Our work warrants clinical testing to evaluate the therapeutic potential of these highly cytotoxic cells, paving the way for improved efficacy of personalized cell-based immunotherapies.
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