CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Tumor-specific AAV delivery of interleukin-12 enhances antitumor immunity and safety in ovarian cancer xenograft mouse model.
Tumor-specific AAV delivery of interleukin-12 enhances antitumor immunity and safety in ovarian cancer xenograft mouse model.
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白细胞介素-12(IL-12)是一种有前景的促炎细胞因子,可用于癌症免疫治疗,但其毒性和血清中的短半衰期限制了其临床应用。通过与抗体融合或由CAR-T(CAR-T)细胞分泌来实现IL-12的肿瘤靶向递送,显示出降低的全身毒性;然而,肿瘤微环境(TME)反应不佳或缺乏系统性IL-12调控仍存在低疗效或高毒性的风险。
在此,我们通过肿瘤靶向腺相关病毒9(tAAV9)开发了TME特异性递送IL-12的方法。tAAV9由抗叶酸受体1(anti-FOLR1)抗体片段通过高效Spy-ligation与AAV9偶联而成。在体内靶向感染FOLR1+细胞的情况下,静脉(i.v.)给予tAAV9将IL-12(tAAV9-IL-12)特异性递送至TME,与rAAV9(重组野生型AAV9)递送相比,显著抑制了肿瘤进展,并具有良好的安全性特征。
此外,随着tAAV9-IL-12感染的肿瘤细胞被抑制,血清中的IL-12水平显著降低,从而产生有前景的负反馈以确保安全性特征。
Interleukin-12 (IL-12) is a promising pro-inflammatory cytokine for cancer immunotherapy, but its toxicity and short half-life in serum limit its clinical application. Tumor-targeted delivery of IL-12 by fusion with either antibody or secretion by chimeric antigen receptor T (CAR-T) cells showed reduced systematic toxicity; however, the poor tumor microenvironment (TME) response or the lack of systematic IL-12 regulation still remains risk of low efficacy or high toxicity.
Here, we developed TME-specific delivery of IL-12 by a tumor-targeted adeno-associated virus 9 (tAAV9). The tAAV9 was formed by an anti-folate receptor 1 (anti-FOLR1) antibody fragment conjugated with AAV9 via highly efficient Spy-ligation. With targeted infection of FOLR1+ cells in vivo , intravenous (i. v.) administration of tAAV9 specifically delivered IL-12 (tAAV9-IL-12) to TME and significantly suppressed tumor progression with favorable safety profile compared with rAAV9 (recombinant wild-type AAV9) delivery.
Moreover, the IL-12 level in the serum was decreased significantly with the suppression of tAAV9-IL-12-infected tumor cell, so that generates promising negative feedback to ensure the safety profile.
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