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:IL-7 armed binary CAR T cell strategy to augment potency against solid tumors.
针对B细胞恶性肿瘤的靶向CD19的嵌合抗原受体(CAR)工程化T细胞的临床研究表明,由于靶抗原(CD19)丢失或CAR T细胞持久性有限所导致的复发是常见现象。
靶向CD19的嵌合抗原受体(CAR)T细胞在B细胞恶性肿瘤中的临床研究表明,靶抗原(CD19)丢失或CAR T细胞持久性有限所导致的复发是常见现象。在实体瘤中,此类事件发生的可能性更大,因为实体瘤通常表现出更为异质的抗原表达模式,并且已知可直接抑制效应细胞的增殖和持久性。目前正在探索克服这些障碍的T细胞工程策略。然而,能够同时解决抗原异质性和T细胞寿命问题,并将抗肿瘤效应定位于疾病部位的策略仍然有限。在本研究中,我们探索了一种双抗原靶向策略,即将独立的CAR分别导向实体瘤靶点PSCA和MUC1。为了以肿瘤局部化的方式增强功能性持久性,我们在各自的CAR产物中表达了转基因IL-7细胞因子和受体(IL-7R)。我们现在证明了这种二元策略在胰腺肿瘤模型中的效力和持久的抗肿瘤效应。
Clinical studies of T cells engineered with chimeric antigen receptor (CAR) targeting CD19 in B-cell malignancies have demonstrated that relapse due to target antigen (CD19) loss or limited CAR T cell persistence is a common occurrence. The possibility of such events is greater in solid tumors, which typically display more heterogeneous antigen expression patterns and are known to directly suppress effector cell proliferation and persistence. T cell engineering strategies to overcome these barriers are being explored. However, strategies to simultaneously address both antigen heterogeneity and T cell longevity, while localizing anti-tumor effects at disease sites, remain limited. In this study we explore a dual antigen targeting strategy by directing independent CARs against the solid tumor targets PSCA and MUC1. To enhance functional persistence in a tumor-localized manner, we expressed the transgenic IL-7 cytokine and receptor (IL-7R ) in respective CAR products. We now demonstrate the potency and durable antitumor effects of this binary strategy in a pancreatic tumor model.
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