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:Superior In Vivo Efficacy for T Cell Engineering via Citronellol-Tailored mRNA-tLNPs.
靶向CD3的H 3 T 4 LNP(H 3 T 4)在T细胞工程中实现了约85%的体内效力,比基准LNP高出50%(40% vs.
通过 mRNA-LNP 递送在体内高效生成 CAR T 细胞需要高效的 T 细胞工程化,然而当前系统仍不理想。尽管淋巴趋向性至关重要,但研究表明,仅高趋向性不足以实现有效的体内工程化——一些高趋向性 LNP 常常表现出次优的 T 细胞转染。关键在于,内在 T 细胞转染效力是一个正交且同等重要的决定因素,这与同时需要 T 细胞特异性和转染效率相一致。通过筛选尾部变化的可电离脂质库,鉴定出 H 3 T 4,一种具有香茅醇尾部的 LNP,具有增强的淋巴趋向性和优越的内在效力。靶向 CD3 的 H 3 T 4 LNP(H 3 T 4)在 T 细胞工程化中实现约 85% 的体内效力,优于基准 LNP 50%(40% vs. 85%)。这提出了一种新的优化策略:有效工程化需要平衡效力与趋向性,而非仅最大化趋向性。在小鼠 CD19 实体瘤模型中,H 3 T 4 生成的 CAR T 细胞实现 83% 的肿瘤清除,证明了效力驱动的疗效。这项工作确立了内在转染效力作为下一代 CAR T 平台的主要可调参数。
Efficient in vivo generation of CAR T cells via mRNA-LNP delivery necessitates high-efficiency T cell engineering, yet current systems remain suboptimal. While lymphoid tropism is essential, it is demonstrated that high tropism alone is insufficient for effective in vivo engineering-some highly tropic LNPs frequently exhibit suboptimal T cell transfection. Crucially, intrinsic T cell transfection potency emerges as an orthogonal and equally critical determinant, consistent with the need for both T cell specificity and transfection efficiency. Through screening a tail-varied ionizable lipid library, H 3 T 4 is identified, a citronellol-tailed LNP with enhanced lymphoid tropism and superior intrinsic potency. The CD3-targeted H 3 T 4 LNP ( H 3 T 4 ) achieves ~85% in vivo efficacy in T cell engineering, outperforming benchmark LNPs by 50% (40% vs. 85%). This proposes a new optimization strategy: effective engineering requires balancing potency and tropism, not maximizing tropism alone. In murine CD19 solid tumor models, H 3 T 4 -generated CAR T cells achieved 83% tumor clearance, demonstrating potency-driven efficacy. This work establishes intrinsic transfection potency as a primary tunable parameter for next-generation CAR T platforms.
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