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:Feeder-Free Expanded and Cryopreserved NK Cells Retain Antibody-Dependent Cell Cytotoxicity against HER2-Positive Tumors.
Feeder-Free Expanded and Cryopreserved NK Cells Retain Antibody-Dependent Cell Cytotoxicity against HER2-Positive Tumors.
这些发现表明,无饲养层扩增的 NK 细胞具有强效的 ADCC 活性,且优化的冷冻保存策略能够保持治疗效果,支持其不仅作为现货型同种异体产品、也可作为个性化自体 NK 细胞疗法的临床适用性和可扩展性。
CAR-T、TIL(肿瘤浸润淋巴细胞)及TCR疗法等T细胞免疫疗法改变了癌症治疗,但其临床应用仍受细胞因子释放综合征(CRS)、免疫效应细胞相关神经毒性综合征(ICANS)、噬血细胞性淋巴组织细胞增多症(HLH)等严重不良反应限制;异体治疗还存在移植物抗宿主病(GvHD)风险。相比之下,NK细胞疗法已成为较安全的替代方案,不良反应较少,且可由多种细胞来源制备。然而,NK细胞疗法临床转化仍面临大规模扩增困难、供者差异及对冷冻保存高度敏感等挑战。本研究建立了一种无饲养层培养系统,可直接从外周血单个核细胞(PBMC)中选择性活化并扩增NK细胞,无需预先清除T细胞或B细胞。与初始NK细胞相比,扩增后的NK细胞CD16表达增加;联合曲妥珠单抗时,其抗体依赖性细胞介导细胞毒性(ADCC)增强,抗肿瘤活性提高。为克服长期储存限制,研究者使用含5%二甲基亚砜(DMSO)并添加糖类和白蛋白的配方冷冻保存NK细胞。重要的是,冷冻保存NK细胞的体内抗肿瘤疗效与新鲜扩增NK细胞相当。这些发现表明,无饲养层扩增的NK细胞具有强效ADCC活性,优化的冷冻保存策略可维持其治疗效能,支持其作为现货型异体产品及个体化自体NK细胞疗法的临床应用和规模化发展。
CAR-T, TIL, and TCR-based T cell immunotherapies have revolutionized cancer treatment; however, their clinical application remains limited by severe adverse effects such as CRS, ICANS, and HLH, as well as the risk of GvHD in the allogeneic setting. In contrast, NK cell-based therapies have emerged as a safer alternative with minimal adverse effects and can be developed from diverse cellular sources. Nevertheless, clinical translation of NK cell therapies is challenged by difficulties in large-scale expansion, donor variability, and high sensitivity to cryopreservation. In this study, we established a feeder-free culture system that selectively activated and expanded NK cells directly from peripheral blood mononuclear cells (PBMCs) without prior depletion of T or B cells. The expanded NK cells exhibited increased CD16 expression compared with na ve NK cells and demonstrated enhanced antitumor activity through antibody-dependent cellular cytotoxicity (ADCC) when combined with trastuzumab. To overcome limitations in long-term storage, NK cells were cryopreserved using a formulation containing 5% dimethyl sulfoxide (DMSO) supplemented with sugars and albumin. Importantly, the in vivo antitumor efficacy of cryopreserved NK cells was found to be comparable to that of freshly expanded NK cells. These findings show that feeder-free expanded NK cells possess potent ADCC activity and that optimized cryopreservation strategies can preserve therapeutic efficacy, supporting their clinical applicability and scalability as not only off-the-shelf allogeneic products but also personalized autologous NK cell therapies.
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