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:Autofluorescence imaging reveals the impact of cryopreservation on T cell metabolism and activation response.
Autofluorescence imaging reveals the impact of cryopreservation on T cell metabolism and activation response.
分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。
冷冻保存是多数细胞治疗方案的关键环节。优化冷冻保存流程和冷冻保护剂以提高细胞活率与功能,仍是持续研究方向。然而,冷冻保存对细胞代谢及复苏后即刻功能的影响尚未完全明确。
本研究使用无标记、非侵入式 NAD(P)H 和 FAD 光学代谢成像(OMI),表征健康供者及淋巴瘤患者冻存 T 细胞复苏后的活化应答。OMI 显示,健康供者 T 细胞复苏后最初 4.5 小时内出现显著代谢转变,同时活化应答延迟且减弱。在本团队双特异性 CD20/CD19 CAR-T 临床试验中,对淋巴瘤患者冻存外周 T 细胞进行 OMI,可识别早期代谢应激,并筛选出与复苏后活率相关、代谢状态良好的细胞。
值得注意的是,在纳入 4 名患者的先导研究中,完全应答者的代谢状态良好 T 细胞在复苏后最初 4.5 小时内即对活化刺激产生代谢应答。
总体而言,复苏后 4–5 小时是评估冷冻保存和复苏影响的关键时间窗,支持利用 OMI 优化冷冻保存流程并评估患者 T 细胞质量,以用于细胞治疗。
Cryopreservation or the process of freezing cells is a cornerstone of most cell therapy protocols. Optimization of cryopreservation protocols and cryoprotectant agents to improve cell viability and functionality is under further investigation.
However, the impact of cryopreservation on cellular metabolism and function immediately post-thaw is not fully understood.
Here, we used label-free, non-invasive optical metabolic imaging (OMI) of NAD(P)H and FAD to characterize the activation response of frozen T cells from healthy donors and lymphoma patients post-thaw. Using OMI, we identified significant metabolic shift, along with delayed and diminished activation response, in healthy donor T cells throughout the first 4.
5 h upon thawing. In cryopreserved peripheral T cells from lymphoma patients in our bispecific CD20/CD19 CAR T clinical trial, OMI could identify early metabolic stress and allowed gating of metabolically fit cells associated with post-thaw viability.
Notably, in our pilot study involving four patients, metabolically fit T cells from complete responders exhibited metabolic responses to activating stimuli within the first 4. 5 h post-thaw.
Overall, our findings suggest that 4-5 h post-thaw is a critical time window to assess the impact of cryopreservation and thawing, supporting the potential of OMI to optimize cryopreservation protocols and evaluate patient T cell quality for cell therapy.
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