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:Enabling CAR-T Cell Immunotherapy in Glioblastoma by Modifying Tumor Microenvironment via Oncolytic Adenovirus Encoding Bispecific T Cell Engager.
我们的多模式OV-BiTE与CAR-T细胞免疫疗法能够克服免疫抑制性肿瘤微环境以及GBM对治疗的耐药性。
未标注:近期临床试验显示,CAR-T细胞疗法最初可以抑制胶质母细胞瘤(GBM)患者的肿瘤生长。然而,肿瘤微环境会激活抑制CAR-T细胞杀瘤潜力的机制,并限制其治疗疗效。为应对这一问题,我们利用溶瘤腺病毒(OV)Ad5-24-RGD作为平台,过表达一种同时靶向T细胞标志物CD3和GBM特异性肿瘤相关抗原IL-13R 2的双特异性T细胞衔接器(BiTE)。我们首先证明,OV-BiTE可在体外和体内增强T细胞向GBM的募集。随后我们显示,瘤内注射OV-BiTE后输注联合EGFR-和EGFRvIII-CAR-T细胞,比OV-BiTE联合任一种单独CAR-T疗法更有效,并在GBM异种移植小鼠模型中导致显著的肿瘤清除。总之,我们的多模式OV-BiTE与CAR-T细胞免疫疗法能够克服免疫抑制性肿瘤微环境和GBM对治疗的耐药性。亮点:编码双特异性T细胞衔接器的溶瘤腺病毒(OV-BiTE)将两种免疫治疗剂合二为一。OV-BiTE策略可修饰肿瘤微环境,并在体外和体内增强T细胞向胶质母细胞瘤(GBM)的募集。多模式OV-BiTE与CAR-T细胞免疫疗法在GBM异种移植小鼠模型中有效缩小肿瘤体积,且优于任一单独免疫疗法。
UNLABELLED: Recent clinical trials show that CAR-T cell therapies can initially blunt tumor growth in glioblastoma (GBM) patients. However, the tumor microenvironment activates mechanisms that inhibit tumor-killing potential of the CAR-T cells and limit their therapeutic efficacy. To counteract this, we have utilized oncolytic adenovirus (OV) Ad5- 24-RGD as a platform to overexpress a bispecific T cell engager (BiTE) targeting both T cell marker CD3 and GBM specific tumor associated antigen IL-13R 2. We first demonstrated that OV-BiTE could enhance recruitment of T cells to GBM in vitro and in vivo . We then showed that intratumoral injection of OV-BiTE followed by infusion of combined EGFR- and EGFRvIII-CAR-T cells was more effective than OV-BiTE supplemented with either CAR-T therapy alone, and led to significant tumor eradication in a GBM xenograft mouse model. In conclusion, our multimodal OV-BiTE & CAR-T cell immunotherapy is capable of overcoming immunosuppressive tumor microenvironment and GBM resistance to treatment. HIGHLIGHTS: Oncolytic adenovirus encoding bispecific T cell engager (OV-BiTE) combines two immunotherapeutic agents into one. OV-BiTE strategy modifies tumor microenvironment and enhances recruitment of T cells to glioblastoma (GBM) in vitro and in vivo . Multimodal OV-BiTE & CAR-T cell immunotherapy effectively reduced tumor mass in a GBM xenograft mouse model and is superior to either immunotherapy alone.
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