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:Lymphoma-derived extracellular vesicles inhibit CAR T cell function.
靶向 CD19 的 CAR T 细胞疗法在治疗复发/难治性 B 细胞淋巴瘤中显示出显著疗效。
CD19 靶向 CAR-T 治疗复发/难治性 B 细胞淋巴瘤疗效显著,但仍有部分患者产生治疗耐药。本研究在体外考察淋巴瘤来源细胞外囊泡(EV)对 CD19 靶向 CAR-T 功能的影响。研究显示,淋巴瘤 EV 表达 CD19 和 CD20 等 B 细胞标志物,并可将这些标志物转移至 CAR-T 细胞膜。在共培养实验中,淋巴瘤 EV 抑制 CAR-T 杀伤肿瘤的能力。
CD19-targeting CAR T cell therapy has shown remarkable efficacy in the treatment of relapsed/refractory B cell lymphoma. However, a proportion of patients exhibit resistance to treatment. We investigate the impact of lymphoma-derived Extracellular Vesicles (EV) on CD19-targeting CAR T cell function in vitro . We demonstrate that lymphoma-EV express B cell markers such as CD19 and CD20, which can be transferred to the CAR T cell membrane. In co-culture experiments, lymphoma-EV suppress the tumour-killing capacity of CAR T cells.
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