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