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:Generation and Characterization of CAR-T Cells.
Generation and Characterization of CAR-T Cells.
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CAR 是一种合成受体,可将抗原结合与 T 细胞活化相连接。目前临床用于癌症治疗的大多数 CAR 为第二代(2G),由以下部分构成:(i)结合肿瘤靶抗原的单链可变片段(scFv);(ii)接头/铰链区;(iii)跨膜结构域;(iv)共刺激胞内结构域;(v)CD3ζ 胞内结构域。
本研究团队致力于开发功能增强且更安全的下一代 CAR-T 细胞,用于实体瘤治疗。例如,团队设计了可切换 CAR,通过给予小分子远程开启或关闭,以减轻毒性或耗竭。为克服实体瘤微环境对 CAR-T 细胞造成的障碍,团队还在开发合理的共工程化策略以支持其功能。实验室曾采用 CRISPR/Cas9 敲除和敲入、腺嘌呤碱基编辑以及转座子系统等非病毒工具进行 T 细胞工程改造,但目前临床前研究主要使用慢病毒和逆转录病毒。本文介绍实验室多年改进后最常用的慢病毒和逆转录病毒制备与滴度测定方案,以及小鼠和人 CAR-T 细胞的纯化、活化、转导和扩增方法。
此外,文章分享常用体外检测方案,用于表征 CAR-T 细胞,包括评估转导效率、增殖、表型、细胞因子/趋化因子产生、细胞毒性和应激抵抗能力。多数方案也可用于 T 细胞受体(TCR)工程化 T 细胞的制备与表征。
最后,作者说明如何在皮下荷瘤小鼠中开展 CAR-T 细胞转移研究,涵盖同系和异种移植模型,并在治疗后对肿瘤组织进行离体分析。
CARs are synthetic receptors that link antigen binding to T-cell activation. Most CARs used in the clinic for treating cancer are second generation (2G) and comprise (i) a single chain variable fragment (scFv) that binds the target tumor antigen, (ii) a linker/hinge region, (iii) a transmembrane domain, (iv) a costimulatory endodomain, and (v) the endodomain of CD3 zeta.
Our lab is focused on the development of function and safety-enhanced, next-generation CAR-T cells for the treatment of solid tumors. For example, we have designed switchable CARs that can be remotely turned on or off upon small molecule administration in order to mitigate toxicity or exhaustion.
To address barriers to CAR-T cells in the solid tumor microenvironment, we are further developing rational coengineering strategies to support their function. While we have implemented non-viral tools like CRISPR/Cas9 knockout and knockin, adenine base editing, and transposon-based systems for T cell engineering in the lab, currently we mostly use lentivirus and retrovirus for our pre-clinical studies.
Here, we present our most frequently used protocols, improved over many years in the lab, for the production and titration of lentivirus and retrovirus, as well as the purification, activation, transduction and expansion of both mouse and human CAR-T cells.
In addition, we share protocols for our most commonly run in vitro assays for characterizing CAR-T cells, including for evaluating transduction efficiency, proliferation, phenotype, cytokine/chemokine production, cytotoxicity, and resistance to stress. Most of these protocols can also be applied to the production and characterization of T cell receptor (TCR)-engineered T cells.
Finally, we explain how to set up and perform CAR-T cell transfer studies in subcutaneous tumor-bearing mice, both for syngeneic and xenograft models, and perform ex vivo analysis on tumor tissues post-treatment.
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