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:Evaluation of natural killer cell tumor homing and effector function in response to CDK4/6 and AURKA inhibition in a melanoma tumor-on-a-chip platform.
Evaluation of natural killer cell tumor homing and effector function in response to CDK4/6 and AURKA inhibition in a melanoma tumor-on-a-chip platform.
自然杀伤(NK)细胞已成为细胞免疫治疗的重要临床工具。
自然杀伤(NK)细胞已成为细胞免疫治疗的重要临床工具。尽管免疫检查点阻断(ICB)或嵌合抗原受体(CAR)T细胞疗法(CAR-T)已被采纳为不同恶性肿瘤(如黑色素瘤)的一线治疗,但这些方法并非对所有患者都有效。T细胞需要肿瘤细胞上适当的抗原呈递才能被识别并执行其相应的细胞毒性功能。肿瘤抗原的缺失,或现有抗原的高度变异性,使基于T细胞的CAR-T和ICB无效。相比之下,NK细胞不受抗原呈递缺陷的限制,提供了一种潜在的替代方法,但其疗效可能受到免疫抑制信号的影响。在此,我们试图开发体外和芯片平台,以确定增强而非抑制NK细胞向肿瘤细胞归巢的策略。我们在侵袭性黑色素瘤模型中探索了使用CK4/6和AURKA等激酶抑制剂来诱导肿瘤细胞产生NK细胞向其迁移的趋化因子。我们评估了趋化因子辅助的NK细胞迁移-归巢能力及其治疗疗效,发现用CDK4/6和AURKA处理黑色素瘤细胞系和患者肿瘤构建体(PTCs)通常可改善NK细胞向肿瘤细胞的归巢以及伴随的肿瘤细胞杀伤。有趣的是,这种趋化因子引导的NK细胞迁移在使用轻度侵袭性黑色素瘤细胞系的模型中并未产生同样有效的结果。在我们的研究中,我们使用了静态Transwell模型中的3D肿瘤构建体,随后在生物工程化的NK细胞功能化肿瘤芯片(NK-TOC)平台中进行研究。
Natural killer (NK) cells have emerged as an important clinical tool cellular immunotherapy. Whereas immune checkpoint blockade (ICB) or chimeric antigen receptor (CAR) T-cell therapy (CAR-T) therapy have been adopted as a first line treatments in different malignancies, such as melanoma, these approaches do not work for all patients. T cells require proper antigen presentation on tumor cells for recognition and to carry out their corresponding cytotoxic functions. Deficiency of tumor antigens, or high variability in those present, make T cell-based CAR-T and ICB ineffective. By contrast, NK cells are not limited by antigen presentation deficiencies, offering a potential alternative approach, yet their efficacy can suffer from immunosuppressive signals. Herein, we sought to develop in vitro and on-chip platforms to identify strategies for enhance, rather than suppress, NK cell homing to tumor cells. We explored the use of inhibition of kinases such as CK4/6 and AURKA to induce tumor cell production of chemokines that NK cells migrate towards in aggressive melanoma models. We evaluated chemokine-aided NK cell migration-homing capabilities and their therapeutic efficacy and found that treatment of both melanoma cell line and patient-tumor constructs (PTCs) with CDK4/6 and AURKA generally resulted in improved NK cell homing to tumor cells and accompanying tumor cell killing. Interestingly, this chemokine-guided NK cell migration did not generate as effective outcomes in models using a mildly aggressive melanoma cell line. For our studies, we used 3D tumor constructs in both static Transwell models and then in a bioengineered NK cell-functionalized tumor-on-a-chip (NK-TOC) platform.
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