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:Dextran-based T-cell expansion nanoparticles for manufacturing CAR T cells with augmented efficacy.
Dextran-based T-cell expansion nanoparticles for manufacturing CAR T cells with augmented efficacy.
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目前正在多个白血病/淋巴瘤以外的癌种中探索采用嵌合抗原受体(CAR)工程化T细胞的过继T细胞疗法。CAR-T 细胞制备的关键步骤是T细胞活化与扩增,这有助于病毒转导,但也可能损害T细胞适能并降低其体内持久性。研究者开发了用于T细胞活化和扩增的“T-Expand”,由偶联抗CD3和抗CD28抗体的葡聚糖纳米颗粒构成。该纳米颗粒可强效多克隆扩增人T细胞,效率与商业化微珠(Dynabeads)相当。在T-Expand存在时制备的CD19 CAR-T 细胞,在体外增殖能力、细胞毒性和持久性均增强;在小鼠模型中也表现出强效抗淋巴瘤活性,仅需四分之一CAR-T 细胞剂量即可完全清除肿瘤。
重要的是,T-Expand具有生物相容性,未观察到毒性;与Dynabeads相比,T细胞扩增后无需去除颗粒。作为一种生物相容性T细胞扩增平台,T-Expand简化了制备流程,同时增强T细胞持久性和功能,因此有望提高CAR-T 细胞疗法的临床疗效。
Adoptive T cell therapy using chimeric antigen receptor (CAR) engineered T cells is currently being explored in multiple cancer types beyond leukemia/lymphoma. A key step in CAR-T cell manufacturing is the activation and expansion of T cells, which facilitates viral transduction, however, may hamper T cell fitness and reduce in vivo persistence. "T-Expand" is developed for T cell activation and expansion, comprising dextran-based nanoparticles conjugated with anti-CD3 and anti-CD28 antibodies.
The nanoparticles trigger robust polyclonal expansion of human T cells with efficiency in the range of commercial microbeads (Dynabeads ). Engineered in the presence of T-Expand, CD19 CAR T cells display enhanced proliferative capacity, cytotoxicity and persistence in vitro, and furthermore, exhibit potent anti-lymphoma activity in mouse models, resulting in complete tumor clearance at one fourth of the CAR T cell dose.
Importantly, T-Expand is biocompatible with no observed toxicity, circumventing removal steps after T cell expansion compared to Dynabeads TM . As a biocompatible T cell expansion platform, T-Expand simplifies the manufacturing process while enhancing T cell persistence and functionality, and thereby holds promise for increasing clinical efficacy of CAR T cell therapy.
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