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:Developing a multimodal therapy for glioblastoma using oncolytic virus delivering CD19 and EGFRvIII antigens and bi-specific CARs.
这些发现为靶向胶质母细胞瘤和其他实体瘤的多模式免疫治疗建立了一个有前景的平台。
胶质母细胞瘤是最具侵袭性的原发性脑肿瘤,且无法治愈,很大程度上由于肿瘤异质性和免疫抑制性肿瘤微环境。嵌合抗原受体 (CAR)-T 细胞疗法在血液癌症中高度有效,但在胶质母细胞瘤中疗效有限,原因在于胶质母细胞瘤中肿瘤抗原表达异质性、抗原丢失以及靶向肿瘤的免疫细胞持久性差。在此,我们展示了一种多模式免疫治疗策略,该策略将工程化免疫细胞与溶瘤病毒整合以克服这些障碍。我们开发了双特异性 CAR-T 和 CAR-NK 细胞,并与溶瘤病毒联合,该病毒将两种肿瘤抗原递送至胶质母细胞瘤细胞以实现有效的 CAR 靶向。此外,携带膜结合型白细胞介素-15 和白细胞介素-21 的溶瘤病毒可增强免疫细胞扩增/持久性和细胞毒性活性。这种联合方法通过限制免疫逃逸和增强抗肿瘤免疫,提高了体外和体内的抗肿瘤疗效。总之,这些发现为靶向胶质母细胞瘤和其他实体瘤的多模式免疫治疗建立了一个有前景的平台。
Glioblastoma is the most aggressive primary brain tumor with no cure, largely because of tumor heterogeneity and immunosuppressive tumor microenvironment. Chimeric antigen receptor (CAR)-T cell therapy is highly effective in blood cancers but exhibits limited efficacy in glioblastoma due to heterogeneous tumor antigen expression, antigen loss and poor persistence of tumor-targeting immune cells in glioblastoma. Here we show a multimodal immunotherapy strategy that integrates engineered immune cells with oncolytic viruses to overcome these barriers. We have developed bispecific CAR-T and CAR-NK cells in combination with oncolytic virus that delivers two tumor antigens to glioblastoma cells for effective CAR targeting. Moreover, oncolytic virus armed with membrane-bound interleukin-15 and interleukin-21 enhances immune cell expansion/persistence and cytotoxic activity. This combined approach improves anti-tumor efficacy in vitro and in vivo by limiting immune escape and enhancing anti-tumor immunity. Together, these findings establish a promising platform for multimodal immunotherapy targeting glioblastoma and other solid tumors.
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