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:CAR T cells targeting B7H3 demonstrate potent preclinical activity against AML and ESCC.
本研究为AML和ESCC的CAR-T治疗提供了一个新靶点,以促进临床治疗策略的发展。
表达嵌合抗原受体(CAR)的工程化T细胞是治疗难治性癌症的一种有前景的方法。CD19 CAR-T疗法在对抗B细胞淋巴瘤方面已取得显著疗效,然而在急性髓系白血病(AML)和实体恶性肿瘤中仍面临挑战。B7H3是一种免疫调节分子,在多种肿瘤细胞中高表达。其在急性AML和食管鳞状细胞癌(ESCC)中的异常表达与肿瘤进展密切相关。在此,我们描述了使用抗B7H3抗体的单链可变片段(scFv)构建的B7H3靶向CAR-T细胞,并系统评估了其在体外以及AML和ESCC小鼠模型中的安全性和有效性。基于靶向B7H3的单克隆抗体,即通过噬菌体抗体展示库技术筛选获得的A172,我们对A172抗体进行了人源化改造,得到A172-hu4,并进一步在AML和ESCC细胞系中验证了其亲和力和细胞毒性。所得的A172-hu4-CAR-T在体外表现出强烈的IFN-和IL-2产生及细胞毒性效应。我们还发现,A172-hu4-CAR-T治疗可在AML和ESCC异种移植小鼠模型中导致更明显的肿瘤抑制,且对小鼠主要器官无明显毒性反应。因此,本研究为AML和ESCC的CAR-T治疗提供了一个新靶点,以促进临床治疗策略的发展。
T cells engineered to express chimeric antigen receptors (CARs) are a promising modality to treat refractory cancers. CD19 CAR-T therapy has achieved remarkable responses in against B-cell lymphomas, however, challenges persist for acute myeloid leukemia (AML) and solid malignancies. B7H3 is an immune regulatory molecule that is highly expressed in various tumor cells. Its abnormal expression in acute AML and esophageal squamous cell carcinoma (ESCC) is closely related to tumor progression. Here, we describe B7H3-targeted CAR-T cells constructed using the single-chain variable fragment (scFv) of an anti-B7H3 antibody and systematically evaluated their safety and efficacy in vitro and in mice models of AML and ESCC. Based on the monoclonal antibody targeting B7H3, namely A172 which screened according to phage antibody display library technology, we undertook humanization of the A172 antibody, resulting in A172-hu4, and further verified its affinity and cytotoxicity in the cell lines of AML and ESCC. The resulting A172-hu4-CAR-T displayed strong IFN- and IL-2 production and cytotoxic effects in vitro. We also identify that A172-hu4-CAR-T treatment could lead to more pronounced tumor suppression in AML and ESCC xenograft mouse models with no obvious toxic reactions to mice main organs. Accordingly, this study provides a novel target for CAR-T therapy in AML and ESCC to promote the development of clinical treatment strategies.
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