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基于包被溶瘤病毒的“双重打击”策略在胃肠道肿瘤中触发 CD19 CAR-T 治疗

英文原题:Coated oncolytic viruses based "double strike" strategy triggering CD19 CAR-T therapy in gastrointestinal tumors.

PubMed 2026/03/18(内容时间) Biomaterials Q1 · IF 13.6(JCR 2025)

研究概要

CAR-T(CAR-T)细胞疗法在实体瘤中的疗效受限于稳定抗原靶点的稀缺。

中文摘要

CAR-T(CAR-T)细胞疗法在实体瘤中的疗效受限于稳定抗原靶点的稀缺。为增强CAR-T细胞对实体瘤的免疫治疗,我们开发了一种整合系统,利用溶瘤腺病毒(OVs)同时为CAR-T细胞引入表面抗原靶点并重塑免疫抑制性肿瘤免疫微环境(TIME)。该系统利用B细胞膜来源的CD19作为肿瘤细胞上的人工抗原靶点,并实现CD3e-EpCAM双特异性T细胞衔接器(BiTEs)的原位产生,从而进一步增强CD19 CAR-T细胞与癌细胞的结合及细胞毒性。我们在结直肠癌(CRC)和胃癌(GC)模型中评估了Epv@CMP单独及联合CD19 CAR-T细胞的“双重打击”治疗潜力。我们设计了一种慢病毒递送系统(Epv@CMP),将同源肿瘤细胞膜与B细胞膜相结合。该慢病毒经过基因修饰,可在肿瘤细胞中表达双特异性抗体(CD3e-EpCAM)(Epv),旨在增强病毒在肿瘤中的蓄积及免疫治疗疗效。Epv@CMP在体内表现出高效的肿瘤特异性递送和强健的病毒复制,导致肿瘤消退和免疫激活。CD19靶点锚定的成功也得到了证实。Epv@CMP与CD19 CAR-T细胞联合在小鼠模型中有效清除了肿瘤。总之,Epv@CMP代表了一种新型协同策略,将溶瘤病毒治疗与CAR-T细胞免疫治疗相结合,以实现强效的肿瘤清除和免疫激活。

展开英文摘要原文

The efficacy of chimeric antigen receptor T (CAR-T) cell therapy in solid tumors is limited by the scarcity of stable antigen targets. To enhance CAR-T cell immunotherapy for solid tumors, we developed an integrated system that simultaneously introduces a surface antigen target for CAR-T cells and remodels the immunosuppressive tumor immune microenvironment (TIME) using an oncolytic adenovirus (OVs). This system leverages B cell membrane-derived CD19 as an artificial antigen target on tumor cells and enables in situ production of an CD3e- EpCAM bispecific T cell engager (BiTEs), which further strengthens the binding and cytotoxicity of CD19 CAR-T cells to cancer cells. The "double strike" therapeutic potential of Epv@CMP, both alone and in combination with CD19 CAR-T cells, was evaluated in colorectal cancer (CRC) and gastric cancer (GC) models. We have designed a lentiviral delivery system (Epv@CMP) that combines the homologous tumor cell membrane with the B cell membrane. The lentivirus has been genetically modified to express the dual-specificity antibody ( CD3e- EpCAM) in tumor cells (Epv), aiming to enhance the accumulation of the virus in tumors and the efficacy of immunotherapy. Epv@CMP demonstrated efficient tumor-specific delivery and robust viral replication in vivo, leading to tumor regression and immune activation. Successful CD19 target anchor was also confirmed. The combination of Epv@CMP with CD19 CAR-T cells potently eliminated tumors in mouse models. Collectively, Epv@CMP represents a novel synergistic strategy that integrates oncolytic virotherapy with CAR-T cell immunotherapy to achieve potent tumor eradication and immune activation.

论文信息

作者
Zhang H、Wen K、Liu T、Zhang Y、Yang X、Zhang H、Wang H、Zuo S
第一作者单位
Department of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200120, PR China.China
通讯作者单位
Department of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200120, PR China. Electronic address: zhangzizhen@renji.com.China
期刊
Biomaterials2026 Sep
原文标识
PubMed 41903308 · DOI 10.1016/j.biomaterials.2026.124143