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:K12-ligand-based CAR T cell therapy for CD7-positive T cell malignancies.
其中一个重要的靶抗原是受体 CD7,其在 95% 的 T-ALL、50% 的外周 T 细胞淋巴瘤以及 10% 的急性髓系白血病中表达。
基于嵌合抗原受体(CAR)的疗法对复发或难治性(r/r)T细胞急性淋巴细胞白血病(T-ALL)和T细胞淋巴瘤具有意义。其突出的靶抗原是受体CD7,该抗原在95%的T-ALL、50%的外周T细胞淋巴瘤以及10%的急性髓系白血病中表达。在此,我们在临床前评估并比较了靶向CD7的配体K12为基础的CAR-T与基于scFvCD7的CAR-T构建体。与scFv-CD7 CAR-T细胞相比,K12 CAR-T细胞在CD7激活后产生显著更高的干扰素γ(IFN-)。同样,在表达相应CAR的Jurkat NFAT-luc报告细胞系中,K12 CAR引起的CD7诱导发光显著高于scFv-CD7 CAR。K12 CAR-T治疗选择性地、特异性地清除了CD7阳性而非CD7阴性的细胞系,并以效应细胞与靶细胞比例依赖的方式清除了急性T细胞白血病患者来源的以及急性髓系白血病原始细胞。此外,K12 CAR-T细胞在静脉注射(i.v.)的Jurkat白血病小鼠模型中具有显著的抗白血病活性,接受K12 CAR-T治疗的5只小鼠中有3只未检测到疾病。因此,K12 CAR T细胞疗法可能可用于治疗CD7阳性的T细胞白血病/淋巴瘤和急性髓系白血病(AML)的r/r患者。
Chimeric antigen receptor (CAR)-based therapy is of interest for relapsed or refractory (r/r) T cell acute lymphoblastic leukemia (T-ALL) and T cell lymphomas. A prominent target antigen for this is the receptor CD7, which is expressed in 95% of T-ALL, 50% of peripheral T cell lymphomas, as well as 10% of acute myeloid leukemias. Here, we preclinically evaluated and compared CD7-targeted ligand K12-based CAR-T to an scFvCD7-based CAR-T construct. K12 CAR-T cells produced significantly higher interferon gamma (IFN- ) after CD7 activation compared to scFv-CD7 CAR-T cells. Similarly, in a Jurkat NFAT-luc reporter cell line expressing the respective CAR, CD7-induced luminescence was significantly higher by the K12 CAR than the scFv-CD7 CAR. K12 CAR-T treatment selectively and specifically eliminated a panel of CD7-positive, but not CD7-negative, cell lines and eliminated acute-T-cell-leukemia-patient-derived and acute myeloid leukemia blasts in an effector-to-target ratio-dependent manner. Further, K12 CAR-T cells had prominent anti-leukemic activity in an intravenously (i.v.) injected Jurkat leukemia mouse model, with no detectable disease in three out of five mice treated with K12 CAR-T. Therefore, K12 CAR T cell therapy might be of use for the treatment of r/r patients with CD7-positive T cell leukemia/lymphoma and acute myeloid leukemia (AML).
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