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:Engineering strategies and therapeutic applications of synthetic Notch (synNotch) receptors in cancer therapeutics.
Engineering strategies and therapeutic applications of synthetic Notch (synNotch) receptors in cancer therapeutics.
合成 Notch(synNotch)受体已被开发为细胞免疫治疗的一种新方法,并将提供可编程、特异性的癌症治疗。
合成Notch(synNotch)受体作为一种新型细胞免疫疗法策略被开发出来,可提供可编程、特异性的癌症治疗。与现有固定式嵌合抗原受体(CAR)T细胞疗法不同,synNotch受体由胞外、跨膜和胞内等模块化结构域组成,可根据所遇配体影响基因表达。通过基于布尔逻辑的细胞决策,synNotch受体提高了治疗精准度并降低靶外效应。逻辑调控回路利用配体—受体组合,以高度特异方式识别肿瘤微环境指标。临床前模型已显示synNotch在胶质瘤和胰腺癌等实体瘤中的潜力:通过控制CAR表达和调节细胞因子,可能突破免疫抑制生态位及抗原逃逸等障碍。持续发展正在解决工程设计难题;将synNotch与CAR-T或诱导多能干细胞等技术结合,可能成为癌症治疗的变革性策略。
Synthetic Notch (synNotch) receptors have been developed as a novel approach to cell-based immunotherapy and will provide programmable, specific cancer treatments. Unlike existing fixed chimeric antigen receptor (CAR)-T cell therapies, synNotch receptors are a combination of modular domains, such as extracellular, transmembrane, and intracellular domains, for influencing gene expression depending on the present ligand. Through Boolean logic-based cellular decisions, synNotch receptors allow for a higher degree of precision and a lower degree of off-target effects. Logic-regulated circuits use pairs of ligands and receptors to detect indicators of the tumour microenvironment in a highly specific manner. The potential of synNotch in solid tumours such as glioma and pancreatic cancer has been demonstrated in preclinical models using CAR expression control and the ability to regulate cytokines, a method that could break through the obstacles of immunosuppressive niches and antigen escape. Continuous developments are resolving engineering challenges, and the fusion of synNotch with technologies such as CAR-T or induced pluripotent stem cells could be a transformative approach in cancer therapy.
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