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:Synthetic peptide hydrogels as a model of the bone marrow niche demonstrate efficacy of a combined CRISPR-CAR T-cell therapy for acute myeloid leukaemia.
白血病由造血干细胞(HSC)的突变驱动,其生长和存活依赖于与骨髓(BM)微环境以及其他细胞群体(如间充质基质细胞(MSC))的相互作用。
白血病由造血干细胞(HSCs)突变驱动,其生长和存活依赖于与骨髓(BM)微环境以及其他细胞群体(如间充质基质细胞(MSCs))的相互作用。尽管嵌合抗原受体(CAR)T细胞疗法在其他血液恶性肿瘤中显示出前景,但其应用于急性髓系白血病(AML)受到肿瘤异质性和脱靶毒性的阻碍。将CRISPR-Cas9基因编辑与CAR T细胞疗法相结合,具有选择性靶向AML细胞同时不伤害健康组织的潜力。然而,在临床试验前验证这些治疗方法的疗效受到人类与通常用于临床前测试的动物模型之间差异的阻碍。此外,传统体外模型无法复制BM微环境的复杂性,并且常常高估治疗效果。在此,我们提出一种生物工程化含人类细胞的骨内膜BM微环境模型,该模型结合了呈现纤连蛋白的聚合物表面和模拟天然BM组织机械特性的合成肽水凝胶(PeptiGel)。该平台支持MSCs和HSCs中的微环境表型,并能够评估联合CRISPR-CAR T细胞疗法,展示了作为测试新疗法的临床前人类模型的潜力。
Leukaemias, driven by mutations in haematopoietic stem cells (HSCs), rely on interactions with the bone marrow (BM) niche and other cell populations such as mesenchymal stromal cells (MSCs) for growth and survival. While chimeric antigen receptor (CAR) T-cell therapy shows promise for other haematological malignancies, its application to acute myeloid leukaemia (AML) is hindered by tumour heterogeneity and off-target toxicity. Combining CRISPR-Cas9 gene editing with CAR T-cell therapy has potential for selectively targeting AML cells while sparing healthy tissue. However, validating the efficacy of these treatments prior to clinical trial is hampered by the differences between humans and animal models typically used for pre-clinical testing. Furthermore, traditional in vitro models fail to replicate the complexity of the BM niche and often overestimate treatments' efficacy. Here, we present a bioengineered human-cell containing endosteal BM niche model combining a fibronectin-presenting polymeric surface and a synthetic peptide hydrogel (PeptiGel) that mimics native BM tissue's mechanical properties. This platform supports niche phenotypes in MSCs and HSCs and enables the evaluation of combined CRISPR-CAR T-cell therapy, demonstrating potential as a preclinical human model for testing novel therapies.
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