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:Synthetic Hybrid Receptors for Safer and Programmable T Cell Therapy.
Synthetic Hybrid Receptors for Safer and Programmable T Cell Therapy.
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工程化T细胞疗法在血液系统恶性肿瘤中已取得显著临床成功,但在实体瘤中仍基本无效。克服这一局限需要能够增强T细胞功能、同时避免全身性免疫毒性和病理性T细胞状态的策略。现有方法通常依赖组成型基因过表达或抑制来增强效力或重塑肿瘤微环境,但这些策略常导致免疫激活失调和剂量限制性毒性。在此,我们提出混合受体(Hybrid-Rs),一种模块化受体平台,整合了嵌合抗原受体(CAR)和合成膜内蛋白水解受体(SNIPRs)的特征,将抗原依赖性T细胞激活与可编程基因调控相耦合。Hybrid-Rs能够精确、情境依赖性地控制T细胞效力、分化状态以及分泌性免疫治疗载荷的条件性表达,而这些载荷原本具有不可接受的毒性。Hybrid-Rs易于人源化,并与原代人T细胞中的精准基因组编辑兼容,为临床转化提供了直接且实用的路径。
Engineered T cell therapies have achieved significant clinical success in hematological malignancies but remain largely ineffective in solid tumors. Overcoming this limitation requires strategies that enhance T cell function while avoiding systemic immune toxicities and pathological T cell states. Existing approaches typically rely on constitutive gene overexpression or suppression to augment potency or remodel the tumor microenvironment, but these strategies frequently lead to dysregulated immune activation and dose-limiting toxicity.
Here, we present Hybrid Receptors (Hybrid-Rs), a modular receptor platform that integrates features of chimeric antigen receptors (CARs) and SyNthetic Intramembrane Proteolysis Receptors (SNIPRs) to couple antigen-dependent T cell activation with programmable gene regulation.
Hybrid-Rs enable precise, context-dependent control of T cell potency, differentiation states, and conditional expression of secreted immunotherapeutic payloads with otherwise prohibitive toxicity. Hybrid-Rs are readily humanized and compatible with precision genome editing in primary human T cells, providing a direct and practical path to clinical translation.
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