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:αvβ3 CAR-T Cells Simultaneously Targeting Tumor and Metastases Produce Highly Effective Control in Preclinical Models of Melanoma and Triple-Negative Breast Cancer.
αvβ3 CAR-T Cells Simultaneously Targeting Tumor and Metastases Produce Highly Effective Control in Preclinical Models of Melanoma and Triple-Negative Breast Cancer.
本文测试了两种版本的v 3 CAR-T构建体,分别含有CD28或4-1BB共刺激结构域。
针对实体瘤的嵌合抗原受体(CAR)T细胞免疫治疗成功的众多障碍之一,是缺乏多种癌症共有的可靶向分子。本研究的目的是确定v 3 CAR-T细胞对实体瘤的疗效,特别是黑色素瘤和三阴性乳腺癌,这两种恶性肿瘤已知依赖v 3通路促进肿瘤进展和转移。本研究使用了一种在本实验室开发的新型v 3 CAR-T细胞,该细胞已在胶质母细胞瘤和儿童弥漫性内生性桥脑胶质瘤的临床前模型中被证明有效且安全。本研究测试了两种版本的v 3 CAR-T构建体,分别含有CD28或4-1BB共刺激结构域。进行了多项包含黑色素瘤和原位乳腺肿瘤模型的异种移植研究,以评估全身给药v 3 CAR-T细胞的疗效。在本研究中,我们证明整合素v 3是CAR-T细胞一个极具吸引力的靶点,因为我们发现它在多种癌症类型中高表达,包括黑色素瘤和三阴性乳腺癌,并且在多个异种移植模型中易受CAR-T细胞介导的控制。v 3 CAR-T细胞的体内抗肿瘤疗效通过CAR能够规避肿瘤转移和长期持久存在的能力而得到凸显。出乎意料的是,由CD28而非4-1BB提供的共刺激导致了更强大的抗肿瘤疗效,表现为更优的长期控制、更好的持久性以及对持续抗原暴露的改善的耐受性。这些结果加强了v 3 CAR-T细胞针对多种癌症类型进行临床转化和部署的理论依据。
One of the many barriers to successful chimeric antigen receptor (CAR) T-cell immunotherapy against solid tumors is the scarcity of targetable molecules common to multiple types of cancer. The purpose of this study was to determine the efficacy of v 3 CAR-T cells against solid tumors, particularly melanoma and triple-negative breast cancer, two malignancies recognized for dependence on the v 3 pathway for tumor progression and metastases. A novel v 3 CAR-T cell developed in our lab and demonstrated to be effective and safe in preclinical models of glioblastoma and pediatric diffuse intrinsic pontine glioma was utilized in this study. Two versions of the v 3 CAR-T construct, containing either a CD28 or 4-1BB co-stimulation domain, were tested here. Multiple xenograft studies consisting of melanoma and orthotopic breast tumor models were conducted to evaluate the efficacy of systemically administered v 3 CAR-T cells. In this study, we demonstrate that the integrin v 3 is a highly attractive target for CAR-T cells as we found it to be highly expressed on various cancer types, including melanoma and triple-negative breast cancer, and susceptible to CAR-T cell-mediated control in multiple xenograft models. In vivo antitumor efficacy of v 3 CAR-T cells was underscored by the ability of CARs to circumvent tumor metastasis and to persist long term. Surprisingly, co-stimulation provided by CD28, rather than 4-1BB, led to more robust antitumor efficacy typified by superior long-term control, better persistence, and improved durability against continuous antigen exposure. These results strengthen the rationale for clinical translation and deployment of v 3 CAR-T cells against multiple cancer types.
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