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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Use of a Foamy-Virus Vector System to Produce an 'Off-the-Shelf' Fcγ-CR-T Cell Product for the Treatment of Haematological and Solid Tumour Malignancies.
Use of a Foamy-Virus Vector System to Produce an 'Off-the-Shelf' Fcγ-CR-T Cell Product for the Treatment of Haematological and Solid Tumour Malignancies.
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嵌合抗原受体(CAR)-T细胞的出现彻底改变了血液系统恶性肿瘤的治疗格局,但向实体器官恶性肿瘤的转化仍然有限。此外,近期针对用于基因转导的病毒载体系统在致瘤性方面的安全性担忧已被提出,这凸显了对替代性、更安全的基因治疗递送系统的需求。
在本研究中,我们探讨了使用泡沫病毒(FV)载体——以其良好的整合特征和较低的基因毒性而著称——来生成Fc(CD16)-嵌合受体(CR)T细胞。
我们的目标是赋予T细胞识别和结合经市售单克隆抗体(mAbs)调理的肿瘤细胞的能力,从而增强抗体依赖性细胞毒性(ADCC)。CD16的高亲和力F158V多态性此前已被证明可介导更强的ADCC,本研究将其用于生成Fc(CD16)-CR T细胞。
结果显示,FV来源的CD16-CR T细胞表现出稳健的CD16表达,并展现出强效的功能活性,包括:(i) 高mAb结合能力,(ii) 在mAbs存在下形成T细胞-肿瘤细胞聚集体,(iii) 在肿瘤 engagement 后显著的脱颗粒和促炎细胞因子产生,以及 (iv) 在mAbs存在下对靶细胞具有强效的、剂量依赖性细胞毒性活性。据我们所知,这是首个证明FV载体可用于生成强效CD16-CR T细胞的研究,为基于抗体的免疫治疗提供了一个更安全、更通用的平台。该方法使得工程化T细胞疗法能够超越血液系统恶性肿瘤,利用临床批准的mAbs向实体瘤拓展。
The emergence of chimeric antigen receptor (CAR)-T cells has revolutionised the therapeutic landscape of hematologic malignancies, with limited translation only to solid organ malignancies.
Furthermore, safety concerns have recently been raised, in terms of tumorigenesis, relating to the viral vector systems used for gene transduction, underlying the need for alternative, safer gene therapy delivery systems. In this study, we investigated the use of foamy virus (FV) vectors, known for their favourable integration profile and reduced genotoxicity, to generate Fc (CD16)-chimeric receptor (CR) T cells.
Our aim was to provide T cells with the capacity to recognise and bind to tumour cells, opsonised with commercially available monoclonal antibodies (mAbs), enhancing the antibody-dependent cell cytotoxicity (ADCC). The high-affinity F158V polymorphism of the CD16, previously shown to mediate superior ADCC, was utilised for the generation of Fc (CD16)-CR T cells.
Results showed that FV-derived CD16-CR T cells exhibited robust CD16 expression and demonstrated potent functional activity, including: (i) high mAb-binding capacity, (ii) formation of T-cell tumour cell aggregates in the presence of mAbs, (iii) significant degranulation and proinflammatory cytokine production upon tumour engagement and (iv) potent, dose-dependent cytotoxic activity against target cells in the presence of mAbs.
This is the first study, to our knowledge, demonstrating that FV vectors can be used to generate potent CD16-CR T cells, providing a safer and more versatile platform for antibody-based immunotherapy. This approach enables the expansion of engineered T cell therapies beyond hematologic malignancies and towards solid tumours, using clinically approved mAbs.
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