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:Autofluorescence imaging reveals the impact of cryopreservation on T cell metabolism and activation response.
Autofluorescence imaging reveals the impact of cryopreservation on T cell metabolism and activation response.
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冷冻保存或细胞冷冻过程是大多数细胞治疗方案的基础。优化冷冻保存方案和冷冻保护剂以提高细胞活力和功能性的研究正在进行中。然而,冷冻保存对解冻后即刻细胞代谢和功能的影响尚未完全明了。
在此,我们使用无标记、非侵入性的光学代谢成像(OMI)对NAD(P)H和FAD进行检测,以表征来自健康供体和淋巴瘤患者的冷冻T细胞在解冻后的激活反应。利用OMI,我们发现在健康供体T细胞解冻后的最初4.5小时内,存在显著的代谢转变,以及延迟和减弱的激活反应。在我们双特异性CD19/CD20 CAR-T 疗法临床试验中,来自淋巴瘤患者的冷冻外周T细胞,OMI能够识别早期代谢应激,并允许筛选出与解冻后活力相关的代谢适应性细胞。
值得注意的是,在我们的初步研究中,只有来自完全缓解者的代谢适应性T细胞在解冻后最初4.5小时内对激活刺激表现出代谢反应。
总体而言,我们的研究结果表明,解冻后4-5小时是评估冷冻保存和解冻影响的关键时间窗口,并支持OMI在优化冷冻保存方案和评估患者T细胞质量以用于细胞治疗方面的潜力。
Cryopreservation or the process of freezing cells is a cornerstone of most cell therapy protocols. Optimization of cryopreservation protocols and cryoprotectant agents to improve cell viability and functionality is under further investigation.
However, the impact of cryopreservation on cellular metabolism and function immediately post-thaw is not fully understood.
Here, we used label-free, non-invasive optical metabolic imaging (OMI) of NAD(P)H and FAD to characterize the activation response of frozen T cells from healthy donors and lymphoma patients post-thaw. Using OMI, we identified significant metabolic shift, along with delayed and diminished activation response in healthy donor T cells throughout the first 4.
5 hours upon thawing. In cryopreserved peripheral T cells from lymphoma patients in our bispecific CD19/CD20 CAR T therapy clinical trial, OMI could identify early metabolic stress and allowed gating of metabolically-fit cells associated with post-thaw viability.
Notably, in our pilot study, only metabolically-fit T cells from complete responders exhibited metabolic responses to activating stimuli within the first 4. 5 hours post-thaw.
Overall, our findings suggest that 4-5 hours post-thaw is a critical time window to assess the impact of cryopreservation and thawing, and support the potential of OMI to optimize cryopreservation protocols and evaluate patient T cell quality for cell therapy.
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