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.
英文原题:Tumor site-directed A1R expression enhances CAR T cell function and improves efficacy against solid tumors.
Tumor site-directed A1R expression enhances CAR T cell function and improves efficacy against solid tumors.
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CAR-T 细胞针对实体瘤的疗效受到肿瘤微环境中免疫抑制因子的限制,包括腺苷,其通过激活 A 2A 受体抑制CAR-T 细胞。为克服这一点,CAR-T 细胞被工程化改造以表达 A 1 受体,这是一种与 A 2A 受体反向信号的受体。使用鼠源和人源CAR-T 细胞,组成型 A 1 受体过表达显著增强CAR-T 细胞效应功能,尽管代价是CAR-T 细胞持久性降低。通过 CRISPR/Cas9 同源定向修复“敲入”方法,我们证明,工程化改造为以肿瘤局部化方式表达 A 1 受体的CAR-T 细胞可增强抗肿瘤治疗疗效。这依赖于转录因子 IRF8,并且与 A 2A 受体缺失相比,在转录上具有独特性。这些数据提供了一种增强CAR-T 细胞在实体瘤中疗效的新方法,并为促进效应 T 细胞分化的因子的定点表达提供了原理验证。
The efficacy of Chimeric Antigen Receptor T cells against solid tumors is limited by immunosuppressive factors in the tumor microenvironment including adenosine, which suppresses Chimeric Antigen Receptor T cells through activation of the A 2A receptor. To overcome this, Chimeric Antigen Receptor T cells are engineered to express A 1 receptor, a receptor that signals inversely to A 2A receptor. Using murine and human Chimeric Antigen Receptor T cells, constitutive A 1 receptor overexpression significantly enhances Chimeric Antigen Receptor T cell effector function albeit at the expense of Chimeric Antigen Receptor T cell persistence.
Through a CRISPR/Cas9 homology directed repair "knock-in" approach we demonstrate that Chimeric Antigen Receptor T cells engineered to express A 1 receptor in a tumor-localized manner, enhances anti-tumor therapeutic efficacy.
This is dependent on the transcription factor IRF8 and is transcriptionally unique when compared to A 2A receptor deletion. This data provides a novel approach for enhancing Chimeric Antigen Receptor T cell efficacy in solid tumors and provides proof of principle for site-directed expression of factors that promote effector T cell differentiation.
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