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:SCAN-ACT: adoptive T cell therapy target discovery through single-cell transcriptomics.
SCAN-ACT: adoptive T cell therapy target discovery through single-cell transcriptomics.
这项工作提供了一个稳健的数据仓库以及一套基于网络、易于使用的分析工具,以加速实体瘤 ACT 的开发(https://scanact.stanford.edu/)。
背景:FDA 批准 TCR 工程化 T 细胞(TCR-T)治疗滑膜肉瘤,显示过继 T 细胞疗法(ACT)治疗实体瘤的潜力。然而,缺乏在正常组织中不表达的肿瘤相关靶点仍是主要瓶颈,罕见癌症亚型尤为如此。方法:研究者开发了全面的计算流程 SCAN-ACT,利用肿瘤和正常组织的单细胞 RNA 测序及多组学数据,为 CAR-T 和 TCR-T 提名并排序潜在靶点。针对细胞表面靶点,SCAN-ACT 提出单特异性靶点及双特异性布尔逻辑门控 CAR-T 的潜在靶点组合;针对肽-MHC 靶点,则提出可与多种人白细胞抗原结合的细胞内肽。研究者通过蛋白表达和肽-MHC 结合实验验证选定靶点。结果:将 SCAN-ACT 用于软组织肉瘤(STS),分析 986,749 个单细胞,鉴定并排序出 395 个单特异性 CAR-T 靶点、14,192 个双特异性 CAR-T 靶点,以及 5,020 个 TCR-T 肽-MHC 靶点。提出的靶点和组合反映了 STS 的间充质、神经和造血细胞起源。研究者还在胶质母细胞瘤中验证 SCAN-ACT,显示其适用性广泛。结论:本研究提供了稳健的数据资源库以及基于网络、易于使用的分析工具集,可加速实体瘤 ACT 的开发。
BACKGROUND: The FDA approval of T cell receptor-engineered T cells (TCR-T) for synovial sarcoma demonstrates the potential for adoptive T cell therapies (ACTs) in solid tumors. However, the paucity of tumor-associated targets without expression in normal tissues remains a major bottleneck, especially in rare cancer subtypes. METHODS: We developed a comprehensive computational pipeline called SCAN-ACT that leverages single-cell RNA sequencing and multi-omics data from tumor and normal tissues to nominate and prioritize putative targets for both chimeric antigen receptor (CAR)- and TCR-T cells. For surface membrane targets, SCAN-ACT proposes monospecific targets and potential target pairs for bispecific Boolean logic-gated CAR T cells. For peptide-MHC targets, SCAN-ACT proposes intracellular peptides bound to a diverse set of human leukocyte antigens. Selected targets were validated experimentally by protein expression and for peptide-MHC binding. RESULTS: We applied the SCAN-ACT pipeline to soft tissue sarcoma (STS), analyzing 986,749 single cells to identify and prioritize 395 monospecific CAR-T targets, 14,192 bispecific CAR-T targets, and 5020 peptide-MHC targets for TCR-T cells. Proposed targets and target pairs reflected the mesenchymal, neuronal, and hematopoietic ontogeny of STS. We further validated SCAN-ACT in glioblastoma revealing its versatility. CONCLUSIONS: This work provides a robust data repository along with a web-based and user-friendly set of analysis tools to accelerate ACT development for solid tumors ( https://scanact.stanford.edu/ ).
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