一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A new T cell therapy method for cancer: polyclonal effector tumor antigen-specific T cells isolated from autologous blood or lymph nodes by nanoparticles loading whole tumor antigens.
A new T cell therapy method for cancer: polyclonal effector tumor antigen-specific T cells isolated from autologous blood or lymph nodes by nanoparticles loading whole tumor antigens.
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大多数免疫疗法通过激活新的效应肿瘤抗原特异性T细胞(ETASTs)或重新激活预先存在的ETASTs库来发挥作用。增加ETASTs可以治疗癌症。扩增自体ETASTs是增加ETASTs的理想来源。
然而,为了获得更好的治疗效果,需要分离多克隆ETASTs,目前尚无法实现。ETASTs与其他T细胞之间不存在明显的结构特征差异。
因此,利用负载全肿瘤抗原的纳米颗粒激活预先存在的泛克隆ETASTs,将ETASTs与其他T细胞之间的差异转化为激活与非激活状态之间的差异,随后利用适当的激活标志物分离ETASTs。
在此,通过优化15种激活标志物,CD137、CD134和CD39被鉴定为同时具有激活和细胞毒性特性的分离ETASTs的理想标志物。CD137+、CD134+和CD39+ ETASTs优于CD25+和CD95L+ ETASTs,因为CD25+ ETASTs中存在T reg,且表面标志物与IFN-γ的重叠比与颗粒酶B的重叠更重要。在黑色素瘤和肺癌小鼠模型中,由负载全肿瘤抗原的纳米颗粒激活并通过所选标志物分选的ETASTs可治愈≥75%的荷瘤小鼠,无论ETASTs来自血液、淋巴结还是脾细胞。
此外,从肺癌患者PBMC中分离的ETASTs能有效杀伤自体癌细胞。总之,本文提供了一种利用纳米颗粒分离荷瘤体内泛克隆预先存在ETASTs的新方法,并证明CD137/CD134/CD39是分离激活ETASTs的理想生物标志物。如此分离的泛克隆ETASTs更高效、高度特异性、更多样化、自体、低成本且无需基因编辑等。
Most immunotherapies work through activating new effector tumor antigen-specific T cells (ETASTs) or re-activating pre-existing ETASTs repertoire. Increasing ETASTs can treat cancer. Expanding autologous ETASTs is an ideal source to increase ETASTs.
However, to get better therapeutic efficacy, isolating polyclonal ETASTs is needed and unachievable currently. No distinct structure characteristics exist between ETASTs and other T cells.
Therefore, nanoparticles loading whole-tumor antigens are utilized to activate pre-existing pan-clones ETASTs to transform the differences between ETASTs and other T cells to the differences between activated and non-activated status, followed by isolating ETASTs by using proper activation markers.
Herein, by optimizing 15 activation markers, CD137, CD134 and CD39 were identified to be ideal markers to isolate ETASTs simultaneously possessing both activation and cytotoxic properties. CD137 + , CD134 + and CD39 + ETASTs are better than CD25 + and CD95L + ETASTs, due to T reg exist in CD25 + ETASTs and the overlapping of surface markers with IFN-γ is more important than that with granzyme B.
In melanoma and lung cancer mouse model, ETASTs activated by nanoparticles loading whole-tumor antigens and sorted by selected markers can cure ≥75 % tumor-bearing mice, either ETASTs are from blood, lymph node, or splenocytes.
Furthermore, ETASTs isolated from PBMC of lung cancer patients can efficiently kill autologous cancer cells. In summary, herein provides a new method to isolate pan-clones pre-existing ETASTs in tumor-bearing bodies using nanoparticles and proves that CD137/CD134/CD39 are ideal biomarkers to isolate activated ETASTs. Such isolated pan-clones ETASTs are more efficient, highly specific, more diverse, autologous, low cost and gene-editing free etc.
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