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:Esterase-activatable dimeric HDAC inhibitor nanotherapeutics for enhanced lymphoma epigenetic therapy.
Esterase-activatable dimeric HDAC inhibitor nanotherapeutics for enhanced lymphoma epigenetic therapy.
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该纳米平台通过调和稳定性-激活悖论,克服了 HDACi 递送障碍,为不适合标准强化治疗的淋巴瘤患者提供了一种治疗上可行的选择。
尽管淋巴瘤治疗已有进展,仍存在显著挑战,包括对R-CHOP耐药和CAR-T 毒性。羟肟酸类组蛋白去乙酰化酶抑制剂(HDACi),如vorinostat(SAHA),具有表观遗传治疗潜力,但受生物利用度低和清除快的限制。
为克服这些障碍,我们理性设计了一种可被酯酶激活的二聚前药,将两个SAHA分子通过戊二酸连接臂偶联(SAHA-cc-SAHA)。该前药与DSPE-PEG 2000共同自组装形成纳米颗粒(cc-diSAHA NPs)。研究者对其进行表征(动态光散射/透射电子显微镜),并评估有无猪肝酯酶(PLE)时的药物释放情况。通过EL4/A20淋巴瘤细胞(凋亡/细胞周期等实验)和EL4同种移植瘤评估抗肿瘤活性,并用RNA测序解析转录组机制。
cc-diSAHA NPs为均一球形颗粒(约74 nm,PDI=0.187),胶体稳定性良好,药物泄漏极少(7天内<4%);经酯酶刺激后可快速释放药物(有PLE时7小时内释放92.4%)。体外实验中,该制剂显示广谱抗淋巴瘤活性,可诱导G0/G1期阻滞和细胞凋亡;与游离制剂相比,起效动力学有所延迟,符合其缓释特征。转录组分析揭示其多重作用机制,包括强烈激活干扰素介导的免疫原性应激和造血分化,并富集细胞黏附和氧化还原代谢通路。体内静脉给予cc-diSAHA NPs可显著抑制EL4肿瘤生长,效果优于口服SAHA(肿瘤体积819.36比1594.40 mm³;P<0.01),且未引起全身毒性或器官损伤。
该纳米平台克服了HDACi递送障碍,协调解决稳定性与激活之间的矛盾,为不适合标准强化治疗的淋巴瘤患者提供了具有治疗可行性的选择。
Despite advances in lymphoma therapy, significant challenges persist including R-CHOP resistance and CAR-T toxicity. Hydroxamate-based histone deacetylase inhibitors (HDACi) like vorinostat (SAHA) offer epigenetic therapeutic potential but are limited by poor bioavailability and rapid clearance.
To overcome these barriers, we rationally designed an esterase- activatable dimeric prodrug by conjugating two SAHA molecules via a glutaric acid linker (SAHA-cc-SAHA). This prodrug co-assembled with DSPE-PEG 2000 into nanoparticles (cc-diSAHA NPs). The system was characterized (DLS/TEM), and its drug release profile was assessed with/without porcine liver esterase (PLE). Antitumor activity was evaluated in EL4/A20 lymphoma cells (apoptosis/cycle assays, etc) and EL4 allograft. Transcriptomic mechanisms were deciphered by RNA-seq.
The cc-diSAHA NPs were uniform spheres ( 74 nm, PDI = 0.187) with excellent colloidal stability and minimal drug leakage (<4 % in 7 days), while enabling rapid drug release upon esterase stimulation (92.4 % within 7 h with PLE). In vitro, they demonstrated broad-spectrum anti-lymphoma activity, inducing G 0 /G 1 arrest and apoptosis, albeit with delayed kinetics versus free formulations, consistent with a sustained-release profile. Transcriptomics revealed multifaceted mechanisms, including potent activation of interferon-mediated immunogenic stress and hematopoietic differentiation, alongside enriched adhesion and redox metabolism pathways. In vivo, intravenous cc-diSAHA NPs suppressed EL4 tumor growth significantly more than oral SAHA (819.36 vs 1594.40 mm ; p < 0.01), without inducing systemic toxicity or organ damage.
This nanoplatform overcomes HDACi delivery barriers by reconciling the stability-activation paradox, providing a therapeutically viable option for lymphoma patients ineligible for standard intensive therapies.
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