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:Multimodal profiling of CAR T cells against glioblastoma using a microengineered 3D tumor-on-a-chip model.
这些发现共同表明,GOC 平台是用于癌症免疫治疗优化的强大临床前筛选工具。
嵌合抗原受体(CAR)T细胞等免疫疗法在血液系统癌症中取得有前景的疗效,但靶向胶质母细胞瘤(GBM)等实体瘤仍面临挑战。由于缺乏能够准确模拟肿瘤微环境(TME)中CAR-T细胞与肿瘤细胞复杂相互作用的临床前工具,CAR结构优化和疗效提高受到阻碍。因此,研发CAR-T疗法亟需贴近生理状态、能够模拟实体瘤TME的模型。本文报告一种微工程化胶质母细胞瘤芯片(GOC)模型,带有功能性血管网络,用于研究IL-13突变体CAR-T细胞(TV-13)对高表达白细胞介素-13受体α2(IL13Rα2)的U87 GBM肿瘤细胞的疗效和选择性,并与广泛表达的IL13Rα1进行比较。该仿生平台重现GBM TME,并可在局部给药条件下动态评估CAR-T细胞应答,模拟临床方法。利用器官型GOC模型,我们评估CAR-T细胞对GBM侵袭的抑制作用,实时监测CAR-T与U87细胞动态相互作用,并定量检测细胞毒性、促炎和刺激相关细胞因子释放,作为T细胞效应功能指标。CAR-T细胞可随U87细胞迁移能力下降而产生密度依赖性抑制,并伴随强烈细胞因子释放;同时TV-13仍特异性识别IL13Rα2肿瘤抗原,而非IL13Rα1。此外,我们还在GOC模型中证实CAR-T细胞对患者来源GBM细胞的疗效。总之,这些发现显示GOC平台是用于优化癌症免疫治疗的强大临床前筛选工具。
Immunotherapies such as chimeric antigen receptor (CAR) T cells have shown promising outcomes in hematological cancer but face challenges in targeting solid tumors like glioblastoma (GBM). Advancing this therapy for GBM has been hindered by the lack of preclinical tools that accurately model the complex interplay between CAR T cells and tumor cells within the tumor microenvironment (TME) - interactions critical for optimizing CAR constructs and improving efficacy. Physiologically relevant models that closely mimic the solid TME are therefore highly sought after in developing CAR T therapies. Here, we report a microengineered glioblastoma-on-a-chip (GOC) model with a functional vascular network to investigate the efficacy and selectivity of IL-13 mutein CAR T cells (TV-13) against U87 GBM tumor cells expressing high interleukin-13 receptor alpha-2 (IL13R 2), compared with the ubiquitously expressed IL13R 1. This biomimetic platform recapitulates the GBM TME and enables dynamic evaluation of CAR T cell responses under locoregional administration, paralleling clinical approaches. Using the organotypic GOC model, we evaluated CAR T cell-mediated inhibition of GBM invasion, monitored real-time dynamic CAR T-U87 interactions, and quantified the release of cytotoxic, proinflammatory, and stimulation-associated cytokines as measures of T cell effector function. CAR T cells induced a density-dependent reduction in U87 migration, accompanied by robust cytokine release, while TV-13 maintained specificity towards IL13R 2 tumor antigen over IL13R 1. Additionally, we further demonstrated the efficacy of CAR T cells against patient-derived GBM cells within the GOC model. Collectively, these findings highlight the GOC platform as a powerful preclinical screening tool for cancer immunotherapy optimization.
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