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.
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 engineering impacts antigen-independent activation and co-inhibition.
CAR T cell engineering impacts antigen-independent activation and co-inhibition.
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病毒载体已成功用于改造T细胞以表达嵌合抗原受体(CAR),相关疗法已获临床批准。然而,高昂成本和监管挑战阻碍了快速临床转化。
本研究显示,靶向白血病新抗原表位、通过慢病毒(LV)制备的R110-CAR-T 细胞,也可采用非病毒Sleeping Beauty(SB)转座技术和最小化DNA载体进行工程化改造。研究使用健康供者和慢性淋巴细胞白血病(CLL)患者来源T细胞,并以CD19-CAR-T 细胞为对照,通过流式细胞术和单细胞测序比较两种生产方式。尽管SB产品呈现初始样表型且未受到抗原刺激,其CD8+亚群比例仍增加,并表达活化/共抑制标志物(CD69、LAG-3和TIM-3)。CAR结合结构域会调节这些模式,R110-CAR-T 细胞表现出更多异常表型。
此外,SB工程化会引发炎症特征,可能与转染过程诱导的RIG-I样和TOLL样核苷酸感知有关。患者来源产品中CAR表达细胞较少、增殖细胞簇减少、T细胞多样性降低;SB制备方式下这些现象尤为明显,提示该方法用于改造CLL患者T细胞可能面临挑战。
总体而言,工程化方式会显著影响T细胞特性,而CAR结合结构域和T细胞供者也会进一步调节这些特性。
Viral vectors have successfully modified T cells to express chimeric antigen receptors (CARs), leading to clinical approvals.
However, their high cost and regulatory challenges hinder rapid clinical translation.
Here, we demonstrate that our lentivirally (LV) manufactured R110-CAR T cells, targeting a leukemia neoepitope, can also be engineered using the non-viral sleeping beauty (SB) transposition with minimal-sized DNA vectors. Flow cytometry and single-cell sequencing were used to compare the two production modes using healthy donor and chronic lymphocytic leukemia (CLL)-patient-derived T cells and a CD19-CAR T cell control.
SB products shifted toward CD8 + subsets with activation/co-inhibition marker expression (CD69, LAG-3, and TIM-3) despite their na ve-like phenotype and lack of antigenic challenge. The CAR binding moiety modulated these patterns, with R110-CAR T cells showing more aberrant phenotypes.
Moreover, SB engineering resulted in inflammatory signatures with RIG-I-like and TOLL-like nucleotide sensing potentially due to the transfection procedure. Patient-derived products showed fewer CAR-expressing cells, reduced proliferation clusters, and lower T cell diversity, particularly with SB manufacturing, indicating potential challenges with this method when engineering CLL T cells.
Together, our data suggest that the engineering mode may substantially influence T cell properties and that these are further modulated by the CAR binding moiety and the T cell donor.
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