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:A comparative analysis of CD70-directed CAR-T cells for glioblastoma treatment demonstrates a superior efficacy of the ligand-based construct.
我们的比较分析突出了基于配体的构建体更优的疗效,支持将其纳入针对复发胶质母细胞瘤 CD70 的临床试验。
CD70是肿瘤坏死因子受体超家族成员,在胶质母细胞瘤(GB)中表达,可促进肿瘤生长、迁移和免疫抑制,因此已成为嵌合抗原受体(CAR)T细胞疗法的潜在靶点。尽管CAR结构会影响治疗效力,尚无研究比较针对CD70的不同CAR设计在GB中的效果。本研究针对这一空白开展了分析。首先,研究者在转录组数据集、患者组织和GB细胞系中验证CD70表达;随后构建具有不同靶标识别及共刺激结构域(CD27z、LF28z和LFBBz)的CD70特异性CAR-T细胞,并进行表型分析。利用共培养系统和三维脑类器官,研究显示所有构建体均以CD70依赖方式清除靶细胞,其中CD27z分泌的Th1细胞因子水平最高。这一功能优势也转化为原位GB小鼠模型中更长的生存期。基于这些结果,研究者进一步开发了一组小鼠CD27型构建体;它们在体外和免疫健全GB小鼠模型中均表现出强效抗肿瘤活性,进一步支持将CD27纳入CAR设计的治疗前景。总体而言,本比较分析显示配体型构建体疗效更优,支持将其纳入靶向复发性GB中CD70的临床试验。
CD70, a member of the tumor necrosis factor receptor superfamily, is expressed in glioblastoma (GB), where it promotes tumor growth, migration, and immunosuppression. Accordingly, it has emerged as a target for chimeric antigen receptor (CAR)-T cell therapy. Despite the influence of CAR structure on therapeutic efficacy, no comparative studies have evaluated different CD70-directed CAR designs in GB. Our study addressed this gap. We first validated CD70 expression in transcriptomic datasets, patient tissue, and GB cell lines. We then generated CD70-specific CAR-T cells featuring distinct target recognition and co-stimulatory domains (CD27z, LF28z, and LFBBz) and performed phenotypic characterization. Using co-culture systems and 3D cerebral organoids, we showed that all constructs eliminated target cells in a CD70-dependent manner, with CD27z secreting the highest levels of Th1 cytokines. This functional advantage translated into superior survival in an orthotopic GB mouse model. Based on these findings, we developed a panel of murine CD27-based constructs, all of which demonstrated potent antitumor activity in vitro and in immunocompetent GB mouse models, further underscoring the therapeutic promise of CD27 integration into the CAR design. Collectively, our comparative analysis highlights the superior efficacy of the ligand-based construct, supporting its incorporation into a clinical trial targeting CD70 in recurrent GB.
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