肿瘤细胞治疗研究
英文原题:Precision-cut tumor tissue slices, a novel tool to study the tumor microenvironment interactions with chimeric antigen receptor (CAR) T cells.
Precision-cut tumor tissue slices, a novel tool to study the tumor microenvironment interactions with chimeric antigen receptor (CAR) T cells.
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迄今为止,嵌合抗原受体(CAR)-T细胞疗法仅被批准用于血液系统恶性肿瘤,因为CAR-T 细胞在实体瘤中未显示出相当的疗效。
因此,了解肿瘤微环境(TME)的特征是提高过继细胞疗法(ACTs)对实体瘤疗效的关键。在此背景下,仍缺乏能够剖析CAR-T 细胞与TME之间复杂相互作用的稳健工作流程。为满足这一需求,我们建立了一种离体工作流程,将患者肿瘤切除组织的切片与CAR-T 细胞共培养。该工作流程包括评估若干互补属性,如通过流式细胞术评估细胞因子释放、定量细胞向肿瘤内的浸润,以及通过MACSima成像循环染色技术评估CAR-T 细胞浸润到组织切片的哪些区域。使用该工作流程,可以观察CAR-T 细胞在肿瘤及其TME中的行为、它们向不同肿瘤区域的浸润,并且得益于MACSima多重技术及其同时成像多个标志物的能力,还可以剖析驱动T细胞迁移的潜在分子机制。对卵巢癌组织切片的评估显示,与未工程化T细胞相比,当CAR-T 细胞加入组织切片时,特定细胞因子大量释放,且T细胞在肿瘤区域的浸润增加。这一新方法的建立将使研究人员能够更好地表征CAR-T 细胞与TME之间的相互作用。组织切片具有内在异质性,这与其他体外模型相比确实是一个优势,但也会使结果解读变得复杂。
因此,我们建议,任何从该实验中得出的结论都应通过互补模型加以验证。
Up until present day, chimeric antigen receptor (CAR)-T cell therapy has only been approved for hematological malignancies, as CAR-T cells do not show comparable efficacy in solid tumors.
Therefore, understanding the features of the tumor microenvironment (TME), is key to improve efficacy of adoptive cell therapies (ACTs) against solid tumors. In this context, robust workflows, which dissect the complex interactions between CAR-T cells and the TME are still lacking. To address this need, we have established an ex vivo workflow co-culturing tissue slices from patient tumor resections with CAR-T cells. The workflow is composed of assessing several complementary attributes, such as cytokine release via flow cytometry, quantification of cell infiltration into the tumor and assessment of the regions of the tissue slice the CAR-T cell infiltrate into by using the MACSima imaging cyclic staining technology.
Using this workflow it is possible to observe the behavior of CAR-T cells within the tumor and its TME, their infiltration into distinct tumor compartments, as well as to dissect the underlying molecular mechanisms that drive T cell migration, thanks to MACSima multiplexing technology and its ability to image several markers at the same time.
Assessment of ovarian carcinoma tissue slices revealed substantial release of specific cytokines and increased infiltration of T cells in the tumor areas when CAR-T cells were added to the tissue slices as compared to non-engineered T cells. The establishment of this novel approach will enable researchers to better characterize the interaction between CAR-T cells and the TME. Tissue slices present an intrinsic heterogeneity, which is indeed an advantage compared to other in vitro models but can turn itself into complex results interpretation.
Therefore, we recommend that any conclusion derived from this assay should be verified with complementary models.
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