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:Label-free metabolic imaging monitors the fitness of chimeric antigen receptor T cells.
由于免疫抑制性肿瘤微环境和复杂的生产工艺,实体瘤的嵌合抗原受体(CAR)T 细胞治疗面临挑战。
嵌合抗原受体(CAR)T细胞治疗实体瘤面临挑战,原因包括免疫抑制性肿瘤微环境及复杂的制备流程。细胞生产方案会直接影响CAR-T细胞产量、表型和代谢,而这些指标与体内效力和持久性相关。尽管代谢适能是一项关键质量属性,T细胞在整个制备流程中代谢需求如何变化仍未探明。在此,我们采用光学代谢成像(OMI)这一无创、无标记方法评估单细胞代谢。利用OMI,我们鉴定了培养基成分对CAR-T细胞代谢、活化强度及动力学和细胞表型的影响。我们证明,OMI参数可指示细胞周期阶段,以及病毒转导和电穿孔介导CRISPR/Cas9基因编辑的最佳基因递送条件。在CRISPR编辑的抗GD2 CAR-T细胞模型中,OMI测量可准确预测氧化代谢表型;该表型在体内对神经母细胞瘤显示更强效力。我们的数据支持将OMI作为稳健、灵敏的分析工具,用于优化制备条件并监测细胞代谢,从而提高CAR-T细胞产量和代谢适能。
Chimeric antigen receptor (CAR) T cell therapy for solid tumours is challenging because of the immunosuppressive tumour microenvironment and a complex manufacturing process. Cellular manufacturing protocols directly impact CAR T cell yield, phenotype and metabolism, which correlates with in vivo potency and persistence. Although metabolic fitness is a critical quality attribute, how T cell metabolic requirements vary throughout the manufacturing process remains unexplored. Here we use optical metabolic imaging (OMI), a non-invasive, label-free method to evaluate single-cell metabolism. Using OMI, we identified the impacts of media composition on CAR T cell metabolism, activation strength and kinetics, and phenotype. We demonstrate that OMI parameters can indicate cell cycle stage and optimal gene transfer conditions for both viral transduction and electroporation-based CRISPR/Cas9. In a CRISPR-edited anti-GD2 CAR T cell model, OMI measurements allow accurate prediction of an oxidative metabolic phenotype that yields higher in vivo potency against neuroblastoma. Our data support OMI as a robust, sensitive analytical tool to optimize manufacturing conditions and monitor cell metabolism for increased CAR T cell yield and metabolic fitness.
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