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:Tandem Dual CAR-T Cells Targeting HER2 and Mesothelin Enhance anti-Tumor Effects in Pancreatic Cancer.
这些结果共同表明,双靶点 CAR-T 细胞可增强抗肿瘤细胞毒性,支持其作为胰腺癌和其他实体瘤有前景的治疗策略的潜力。
表达 CAR 的 T 细胞治疗受单靶点 CAR 构建体中抗原逃逸风险限制,实体瘤治疗尤为如此。胰腺癌细胞常过表达 HER2 和间皮素(Meso)等肿瘤相关抗原。因此,本研究在胰腺癌模型中比较同时靶向 HER2 和 Meso 的串联双 CAR-T 与单靶 CAR-T 的治疗效果。研究者将 HER2 结合单链可变片段(scFv)与 Meso 结合 scFv 融合,构建双 CAR,并通过体内外实验系统比较 CAR 表达及 CAR-T 抗肿瘤疗效。在 HER2/Meso 共表达的胰腺癌细胞系 AsPC-1 和 SW-1990 中,双 CAR-T 抗肿瘤活性更强,IL-2 和 IFN-γ 等抗肿瘤细胞因子分泌也较 HER2 或 Meso 单靶 CAR-T 增加。在异种移植小鼠模型中,与单靶 CAR-T 相比,双 CAR-T 显著降低肿瘤体积并延长小鼠生存。综上,双 CAR-T 可增强抗肿瘤细胞毒性,支持其作为治疗胰腺癌及其他实体瘤的有前景策略。
The therapeutic application of T cells engineered to express chimeric antigen receptors (CARs) is hindered by the risk of antigen escape in single-target CAR constructs, particularly in the treatment of solid tumors. Pancreatic cancer cells frequently overexpress tumor-associated antigens, such as human epidermal growth factor receptor 2 (HER2) and Mesothelin (Meso). In this study, we therefore investigated the therapeutic effect of tandem dual CAR-T cells co-targeting Her2 and Meso versus single-targeted CAR-T cells in pancreatic cancer models. We constructed a dual CAR by fusing a HER2-binding single-chain variable fragment (ScFv) with a Meso-binding ScFv. The expression levels of CARs and the anti-tumor efficacy of CAR-T cells were systematically compared via in vitro and in vivo experiments. In HER2/Meso co-expressing pancreatic cancer cell lines (AsPC-1 and SW-1990), dual CAR-T cells exhibited superior antitumor activity, accompanied by increased secretion of anti-tumor cytokines (IL-2 and IFN- ), compare to HER2-specific or Meso-specific single-target CAR-T cells. In a xenograft mouse model, dual CAR-T cells significantly reduced tumor volume and prolonged mouse survival relative to single-target CAR-T cells. Collectively, our findings demonstrated that dual CAR-T cells enhance antitumor cytotoxicity, supporting their potential as a promising therapeutic strategy for Pancreatic Cancer and other solid tumors.
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