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:Hierarchical Zeolitic Imidazolate Framework-8@Au Cluster Nanocarriers for In Situ Chimeric Antigen Receptor Macrophage Programming and Immunotherapy in Prostate Cancer.
Hierarchical Zeolitic Imidazolate Framework-8@Au Cluster Nanocarriers for In Situ Chimeric Antigen Receptor Macrophage Programming and Immunotherapy in Prostate Cancer.
CAR-T(CAR-T)过继转移疗法在血液系统恶性肿瘤中显示出显著疗效。
CAR-T (CAR-T) 过继转移治疗在血液系统恶性肿瘤中显示出显著疗效。然而,CAR-T 治疗实体瘤,尤其是前列腺癌等冷肿瘤的疗效,受到繁琐的体外制造、T 细胞适应性受损以及削弱 T 细胞功能的免疫抑制性肿瘤微环境的显著限制。在此,我们成功构建了一种基于沸石咪唑酯骨架-8 (ZIF-8) 的纳米递送系统。该系统表现出高 CAR 基因包封效率、减少的非特异性肝脏蓄积、对肿瘤相关巨噬细胞 (TAMs) 的靶向递送以及高效的细胞内基因转染效率,从而实现嵌合抗原受体巨噬细胞 (CAR-M) 的原位构建。IFN- 和 CAR 基因的共递送不仅维持了 CAR-Ms 对肿瘤细胞的特异性肿瘤杀伤和吞噬活性,还激活了适应性免疫,诱导了优异的抗肿瘤疗效,这一点由在前列腺癌小鼠模型中观察到的 95.54% 肿瘤生长抑制所证明。该策略为系统性体内编辑 CAR-Ms 提供了一种有前景的方法。
Chimeric antigen receptor-T (CAR-T) adoptive transfer therapy has shown remarkable efficacy in hematologic malignancies. However, the therapeutic efficacy of CAR-T in treating solid tumors, particularly "cold tumors" such as prostate cancer, is significantly restricted by the cumbersome ex vivo manufacturing, impaired T cell fitness, and an immunosuppressive tumor microenvironment that blunts T cell function. Here, we successfully constructed a nanodelivery system based on zeolitic imidazolate framework-8 (ZIF-8). This system exhibited high CAR-gene encapsulation efficiency, reduced nonspecific hepatic accumulation, targeted delivery to tumor-associated macrophages (TAMs), and efficient intracellular gene transfection efficiency, enabling in situ construction of chimeric antigen receptor macrophage (CAR-M). Co-delivery of IFN- and CAR genes not only maintained the specific tumor-killing and phagocytic activity of CAR-Ms against tumor cells but also activated adaptive immunity, inducing excellent antitumor efficacy, as evidenced by the observed 95.54% inhibition of tumor growth in a prostate cancer mouse model. This strategy provides a promising approach for systematic in vivo editing of CAR-Ms.
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