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:Bispecific Nanosystems Enable Multieffector Immune Cell Retargeting for Hematologic Malignancy Therapy.
Bispecific Nanosystems Enable Multieffector Immune Cell Retargeting for Hematologic Malignancy Therapy.
B细胞淋巴瘤是一种预后较差的血液系统恶性肿瘤。
B细胞淋巴瘤是一类预后较差的血液系统恶性肿瘤。免疫治疗通过利用免疫效应细胞彻底改变了B细胞淋巴瘤的治疗格局,但当前的治疗策略面临局限性:双特异性抗体的药代动力学欠佳,以及CAR-T 细胞疗法的高度复杂性和高昂成本。为应对这些挑战,开发了一种双特异性纳米系统(biHSNPs),利用二氧化硅纳米平台的多功能可定制性,将靶向细胞毒性T细胞或NK 细胞的抗体与针对B细胞的特异性效应抗体偶联。合成了四种具有不同效应抗体和靶向抗体的biHSNPs。该双特异性纳米系统能够同时结合免疫效应细胞和B细胞淋巴瘤抗原,促进人工免疫突触的形成。这些突触促进免疫效应细胞活化,导致细胞毒性蛋白的释放,同时抑制肿瘤细胞增殖并增强T细胞活化。在体内,biHSNPs在异种移植小鼠模型中有效抑制肿瘤生长并激活T细胞,展示了其在精准治疗中的潜力。此外,biHSNPs通过双靶点信号阻断成功克服了肿瘤免疫逃逸。采用简单且可扩展的策略,构建了一种双特异性纳米系统,不仅解决了当前双特异性抗体疗法的局限性,还代表了一种治疗血液系统恶性肿瘤的有前景的方法。
B-cell lymphomas are hematologic malignancies characterized by poor prognoses. Immunotherapy has revolutionized B-cell lymphoma treatment by harnessing immune effector cells, but current therapeutic strategies face limitations: suboptimal pharmacokinetics of bispecific antibodies and high complexity and cost of chimeric antigen receptor T-cell therapies. To address these challenges, a bispecific nanosystem (biHSNPs) is developed that exploits the multi-functional customizability of silica nanoplatform to conjugate antibodies targeting cytotoxic T cells or natural killer cells, alongside effector antibodies specific to B-cells. Four biHSNPs with different effector and target antibodies are synthesized. This bispecific nanosystem enables simultaneous binding to immune effector cells and B-cell lymphoma antigens, facilitating the formation of artificial immunological synapses. These synapses promote immune effector cell activation, leading to the release of cytotoxic proteins, while concurrently suppressing tumor cell proliferation and enhancing T-cell activation. In vivo, biHSNPs effectively suppress tumor growth and activate T cells in a xenograft mouse model, showcasing their potential in precision therapy. Moreover, biHSNPs successfully overcome tumor immune evasion through dual-target signal blockade. Using a straightforward and scalable strategy, a bispecific nanosystem is constructed that not only addresses the limitations of current bispecific antibody therapies but also represents a promising approach for the treatment of hematological malignancies.
MEMBER ACCOUNT
登录成功会直接打开下一页。