CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CAR-T cell engineered with TCR-like antibody specific for HBV surface antigen epitope E183-91/HLA-A *0201 exhibit potent activity against HBV-HCC.
CAR-T cell engineered with TCR-like antibody specific for HBV surface antigen epitope E183-91/HLA-A *0201 exhibit potent activity against HBV-HCC.
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CAR-T 在血液系统恶性肿瘤中疗效显著,靶点选择对治疗结局至关重要。然而,可用肿瘤表面抗原有限,实体瘤治疗尤其如此。一种潜在解决方案是使用识别肽-主要组织相容性复合体(pMHC)结构的抗体,使 CAR-T 通过类似 TCR 的识别机制检测细胞内肿瘤抗原。
本研究聚焦 HBV 相关肝细胞癌(HBV-HCC):HBV DNA 整合至宿主基因组后,可产生由 MHC I 类分子呈递的特异性病毒抗原表位,是具有吸引力的 CAR-T 靶点。研究者构建表达 TCR 样抗体的 CAR-T(HBs183 CAR-T),特异性识别由 HLA-A*0201 呈递的免疫优势 HBV 包膜表位 Env183-191,并通过体外功能实验及不同肿瘤模型(皮下和腹腔异种移植)体内评估其抗原特异性细胞毒性和安全性。
本研究为靶向细胞内抗原(尤其是病毒感染来源特异性抗原)的 CAR-T 治疗提供参考,并为 CAR-T 治疗 HBV-HCC 提供初步概念验证。
CAR-T cell therapy demonstrates significant efficacy in hematologic malignancies, with target selection critically determining therapeutic outcomes.
However, the available tumor surface antigens are limited, especially in the treatment of solid tumors. A potential solution to overcome this limitation entails employing antibodies recognizing peptide-major histocompatibility complex (pMHC) structures, enabling CAR-T cell to detect intracellular tumor antigens through a T cell receptor (TCR)-like recognition mechanism.
This study focuses on HBV-associated hepatocellular carcinoma (HBV-HCC), where HBV DNA integration into the host genome generates specific viral antigen epitopes presented by MHC class I molecules, representing attractive targets for CAR-T cell therapy.
We engineered CAR-T cells with a TCR-like antibody (HBs183 CAR-T) specific for the immunodominant HBV envelope epitope Env183-191 presented by HLA-A *0201, and evaluated the antigen-specific cytotoxicity and safety profile of the CAR-T cells through in vitro functional assays and in vivo evaluation in heterogenous tumor models (subcutaneous and intraperitoneal xenografts).
Our research provides a reference for CAR-T cell therapy targeting intracellular antigens, particularly specific antigens derived from viral infections, as targets for CAR-T treatment, and offers a preliminary concept validation for the CAR-T treatment of HBV-HCC tumors.
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