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:RAE1-armoured DC vaccine boosts NKG2D-CAR-T cells elicited anti-solid tumour treatment.
RAE1-armoured DC vaccine boosts NKG2D-CAR-T cells elicited anti-solid tumour treatment.
树突状细胞(DC)在免疫系统中发挥支持作用,将肿瘤相关抗原交叉提呈给T淋巴细胞并诱导级联免疫反应,从而作为细胞疫苗增强CAR-T细胞功能。
树突状细胞(DC)在免疫系统中表现出支持功能,将肿瘤相关抗原交叉呈递给 T 淋巴细胞并诱导级联免疫应答,从而作为细胞疫苗增强 CAR-T 细胞功能。免疫细胞上 NKG2D 的正常表达及其配体在癌细胞上的高表达,推动了第二代 CAR 设计开发的研究,旨在打破实体瘤治疗中的僵局。然而,由免疫细胞不成熟和配体裂解所形成的肿瘤微环境(TME)会损害免疫细胞功能。在本研究中,我们使用 GM-CSF/IL-4 刺激小鼠骨髓 DC 以生成未成熟 DC 复合物,随后其经过慢病毒感染发育为成熟 DC 作为疫苗。接下来,我们设计了 RAE1 装甲 DC,以增强 NKG2D-CAR-T 细胞功能,如肿瘤细胞毒性、中枢记忆表型转换、细胞活化、细胞增殖和存活。BALB/c 小鼠接受小鼠骨肉瘤细胞 K7M2/luc 移植作为原位异种移植模型,同时在第 1 天和第 15 天安排联合治疗(DC 和 T 细胞)和加强治疗(仅 DC)。我们进行了体外评估和体内评价,以潜在地减轻由低功能 DC 引起的受限 TME 以及可溶性 NKG2D 配体识别竞争的影响。我们的研究结果证明其较既往 DC 疫苗应用有所改进,并展示出 CAR-T 疗法在实体瘤治疗中的良好前景。
Dendritic cells (DC) demonstrate supporting function in the immune system, cross-presenting tumour associated antigens to T lymphocytes and inducing a cascade immune response, thereby playing a role as a cell vaccine to enhance CAR-T cell functions. The normal expression of Natural killer group 2 member D (NKG2D) on immune cells and the high expression of its ligands on cancer cells have spurred research on the development of second-generation CAR design, aiming to break free from the impasse in solid tumour treatment. However, the tumour microenvironment (TME) created by the immaturity of immune cells and the cleavage of ligands can impair immune cell functions. In this study, we used GM-CSF/IL-4 to stimulate murine bone marrow DCs to generate an immature DC complex, which would later undergo lentiviral infection to develop mature DCs as vaccine. Next, we designed ribonucleic acid export 1(RAE1)-armoured DC to boost NKG2D-CAR-T cell functions, such as tumour cytotoxicity, central memory phenotype shift, cell activation, cell proliferation and survival. BALB/c mice were received murine osteosarcoma cell K7M2/luc transplantation as orthotopic xenograft model, while combined treatment (DCs and T cells) and boost treatment (DC only) were arranged on Day 1 and Day 15. We conducted both in vitro assessment and in vivo evaluation to potentially mitigate the influence of a restricted TME caused by hypofunctional DCs and the competition for recognition from soluble NKG2D ligands. Our research results demonstrate an improvement over previous DC vaccine applications and show a promising future for CAR-T therapy in solid tumour treatment.
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