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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:IL-7/IL-15/IL-21 cytokine-fusion scaffold generates highly functional CAR T cells enriched in long-lived T memory stem cells.
IL-7/IL-15/IL-21 cytokine-fusion scaffold generates highly functional CAR T cells enriched in long-lived T memory stem cells.
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CAR-T 细胞(CAR-T 细胞)的功能持久性受限于采用抗CD3/CD28(CD3/28)刺激的常规CAR-T 细胞制备工艺,该工艺会产生终末分化且寿命较短的CAR-T 细胞。
我们证明,HCW9206——一种独特的蛋白支架,将白细胞介素-7(IL-7)、IL-15/IL-15受体(IL-15R)复合物与IL-21连接起来——无需CD3/28激活即可生成CAR-T 细胞,这些细胞高度富集长寿命T记忆干细胞(T SCM细胞)(>50%),并在HIV-1或B细胞白血病等不同疾病模型中展现出强效活性。在人源化小鼠HIV感染模型中,HCW9206生成的抗HIV duoCAR T细胞比CD3/28生成的抗HIV duoCAR T细胞更有效地抑制病毒血症。在异种移植白血病小鼠模型中,HCW9206生成的抗CD19 CAR-T 细胞表现出回忆性增殖反应,并能完全清除再次攻击的白血病,而CD3/28生成的抗CD19 CAR-T 细胞则无此表现。HCW9206是一种首创的基于细胞因子支架的平台,它通过生成高度功能性且显著富集长寿命T SCM细胞的CAR-T 细胞群体,使制备更高效的基于CAR-T 细胞的免疫疗法成为可能。该策略可广泛用于提高CAR-T 细胞的持久性和功能性,从而增强其治疗感染性疾病和癌症的疗效。
Functional persistence of chimeric antigen receptor T cells (CAR T cells) is limited by conventional CAR T cell manufacturing using anti-CD3/CD28 ( CD3/28) stimulation, which generates terminally differentiated and shorter-lived CAR T cells.
We demonstrated that HCW9206, a unique protein scaffold linking interleukin-7 (IL-7), an IL-15/IL-15 receptor (IL-15R ) complex, and IL-21, generates CAR T cells without requiring CD3/28 activation, which are highly enriched in long-lived T memory stem cells (T SCM cells) (>50%) and display potent activity across distinct disease models, HIV-1 or B cell leukemia. In a humanized mouse HIV infection model, HCW9206-generated anti-HIV duoCAR T cells suppressed viremia more effectively than CD3/28-generated anti-HIV duoCAR T cells.
In a xenograft leukemia mouse model, a recall proliferative response and complete clearance of leukemia rechallenge were displayed by HCW9206-generated but not by CD3/28-generated anti-CD19 CAR T cells.
HCW9206, a first-in-class cytokine scaffold-based platform, enables production of more potent CAR T cell-based immunotherapies by generating a CAR T cell population, which is highly functional and also markedly enriched for long-lived T SCM cells. This strategy is broadly applicable to increase persistence and functionality of CAR T cells, enhancing their efficacy for treating infectious disease and cancer.
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