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:Rhabdoid tumors as a novel target for PSMA-directed CAR T cell therapy.
这些发现共同确立了 PSMA 作为前列腺癌之外一个有前景的表面抗原,并为针对这一高度致死性儿童肿瘤开发 PSMA 靶向疗法提供了临床前证据。
横纹肌样肿瘤是一种极罕见且高度侵袭性的儿童恶性肿瘤,预后不良、治疗选择有限。为寻找新型免疫治疗靶点,我们分析癌症细胞系百科全书(CCLE)的转录组数据,发现两种横纹肌样肿瘤细胞系中前列腺特异性膜抗原(PSMA)高表达,水平与成熟的PSMA阳性前列腺癌细胞系相当。随后,我们在细胞系和部分原发性临床横纹肌样肿瘤标本中验证了PSMA表达。尽管PSMA靶向疗法主要用于前列腺癌,本研究利用PSMA靶向嵌合抗原受体(CAR)T细胞,评估其用于横纹肌样肿瘤的潜力。这些CAR-T细胞在体外对PSMA阳性横纹肌样肿瘤细胞表现出强效且抗原特异性的细胞毒性。此外,我们还在非中枢神经系统肿瘤异种移植小鼠模型中评估体内疗效,PSMA CAR-T治疗导致肿瘤显著消退,并使CAR-T细胞在肿瘤微环境中大量积累。综上,这些发现确立PSMA是前列腺癌之外有前景的表面抗原,并提供临床前证据支持开发PSMA靶向疗法治疗这一高度致死性儿童癌症。
Rhabdoid tumor is an ultra-rare and highly aggressive pediatric malignancy with a poor prognosis and limited therapeutic options. To identify novel immunotherapeutic targets, transcriptomic data from the Cancer Cell Line Encyclopedia were analyzed, and we found that two rhabdoid tumor cell lines exhibit high expression of prostate-specific membrane antigen (PSMA), with levels comparable to well-established PSMA-positive prostate cancer cell lines. PSMA expression in rhabdoid tumors was subsequently validated in cell lines and in a subset of primary clinical rhabdoid tumor specimens. While PSMA-directed therapies have primarily been explored in prostate cancer, we evaluated their potential in rhabdoid tumors by employing PSMA-directed chimeric antigen receptor (CAR) T cells. These CAR T cells demonstrated potent and antigen-specific cytotoxicity against PSMA-positive rhabdoid tumor cells in vitro . In addition, the in vivo efficacy was also assessed in xenograft mouse models of non-CNS tumors, where PSMA CAR T cell treatment resulted in significant tumor regression and robust accumulation of CAR T cells within the tumor microenvironment. Together, these findings establish PSMA as a promising surface antigen beyond prostate cancer and provide preclinical evidence supporting the development of PSMA-directed therapies for this highly lethal pediatric cancer.
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