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全人源 EpCAM 特异性 scFv CAR-T 细胞免疫治疗抗胰腺癌的临床前评价

英文原题:Preclinical evaluation of CAR-T cell immunotherapy with a fully human EpCAM-specific scFv against pancreatic cancer.

查看英文原题

Preclinical evaluation of CAR-T cell immunotherapy with a fully human EpCAM-specific scFv against pancreatic cancer.

PubMed 2025/12/19(内容时间) Cancer Immunol Immunother Q1 · IF 5.8(JCR 2025)

研究概要

胰腺癌是一种侵袭性强、预后差的恶性肿瘤。

中文摘要

胰腺癌是一种侵袭性强、预后差的恶性肿瘤。近年来嵌合抗原受体(CAR)-T细胞免疫治疗的进展带来了新的希望。决定CAR-T细胞在临床中有效性的关键因素是选择可靠的靶点以及CAR分子特异性的胞外结构域。EpCAM在上皮性肿瘤中广泛表达,包括胰腺癌,并已在胃癌和结直肠癌的CAR-T细胞治疗临床试验中作为肿瘤靶点使用。然而,EpCAM CAR-T细胞用于胰腺癌的可行性仍需验证。在本研究中,我们报道了具有全人源单链可变片段的新型EpCAM CAR-T细胞,并在一组胰腺腺癌细胞系、三维肿瘤球体模型和患者来源类器官以及两种异种移植小鼠模型中评估了其细胞毒性作用。我们证明,EpCAM CAR-T细胞在体外和体内对EpCAM阳性胰腺癌表现出强效且特异性的抗肿瘤活性,且在异种移植小鼠模型中全身给药未产生不良影响。我们的临床前结果为EpCAM CAR-T细胞用于胰腺癌免疫治疗的有效性和可行性提供了证据。

展开英文摘要原文

Pancreatic cancer is an aggressive malignancy with poor prognosis. Recent advances in chimeric antigen receptor (CAR)-T cell immunotherapy have offered renewed hope. The pivotal factors determining the effectiveness of CAR-T cells in the clinic is the selection of a reliable target and a specific ectodomain of CAR molecule. EpCAM is widely expressed in epithelial tumors, including pancreatic cancer, and is used as a tumor target in clinical trials of CAR-T cell therapy for gastric and colorectal cancers. However, the feasibility of using EpCAM CAR-T cells in pancreatic cancer still needs to be verified. In this work, we reported novel EpCAM CAR-T cells with a fully human single-chain variable fragment and evaluated their cytotoxic effects in a panel of pancreatic adenocarcinoma cell lines, three-dimensional tumor spheroid models and patient-derived organoids, and two xenograft mouse models. We demonstrated that EpCAM CAR-T cells exhibited potent and specific anti-tumor activity against EpCAM positive pancreatic cancer in vitro and in vivo, without adverse effects by systematic delivery in xenograft mouse models. Our preclinical results provided evidence of the efficacy and feasibility of EpCAM CAR-T cells for the immunotherapy of pancreatic cancer.

论文信息

作者
Fan YY、Liu YL、Liu XF、Jiang SQ、Yang H、Zhang HR、Wei P、Huang QR
第一作者单位
National Vaccine & Serum Institute (NVSI), Beijing, 101111, China.China
通讯作者单位
National Vaccine & Serum Institute (NVSI), Beijing, 101111, China. huangqianrong@sinopharm.com.China
期刊
Cancer immunology, immunotherapy : CII2025 Dec 19
原文标识
PubMed 41417221 · DOI 10.1007/s00262-025-04267-x