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IL-12 工程化人 PSMA-CAR-T 细胞治疗晚期前列腺癌

英文原题:IL-12-engineered human PSMA-CAR T cells for the treatment of advanced prostate cancer.

查看英文原题

IL-12-engineered human PSMA-CAR T cells for the treatment of advanced prostate cancer.

PubMed 2026/04/02(内容时间) Mol Ther Adv

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中文摘要

用于治疗晚期前列腺癌的过继性细胞疗法正被开发为靶向多种肿瘤相关抗原,包括前列腺特异性膜抗原(PSMA)。以人源化小鼠单抗克隆 J591 衍生的单链可变片段(scFv)作为抗原结合结构域的嵌合抗原受体(CAR)T 细胞疗法已显示有希望的抗肿瘤活性。但该疗法也与巨噬细胞活化综合征等不良毒性相关,凸显了开发更特异、来源于人源的抗原结合结构域并优化构建体设计,以提高安全性和疗效的必要性。

本研究优化了一种基于人源 scFv、可高选择性靶向 PSMA 的 CAR(hPSMA-CAR),并进一步引入膜结合型 IL-12(mbIL12)。mbIL12 可提高效力,增强 T 细胞扩增、IFN-γ 产生和体外抗肿瘤细胞活性。研究使用两种具有临床相关性的骨转移前列腺癌模型,显示经 mbIL12 工程化改造的 hPSMA-CAR-T 细胞在体内诱导强效抗肿瘤应答。

总之,研究者开发了一种有希望的治疗方案,可能用于安全有效地治疗晚期 PSMA 阳性前列腺癌。

展开英文摘要原文

Adoptive cell therapies used to treat advanced prostate cancer are being developed to target several tumor-associated antigens, including prostate-specific membrane antigen (PSMA). Chimeric antigen receptor (CAR) T cell therapy using the single-chain variable fragment (scFv) derived from the humanized murine mAb clone J591 as the antigen-binding domain has shown promising anti-tumor activity.

However, it has also been associated with macrophage activation syndrome and other unwanted toxicities, highlighting the need for more specific and human-derived antigen-binders with optimized construct designs for improved safety and efficacy.

Here, we optimize a human scFv-based PSMA-targeted CAR (hPSMA-CAR) with highly selective PSMA targeting.

We further introduce a membrane-bound IL-12 (mbIL12) molecule, which enhances potency with increased T cell expansion, IFN- production, and anti-tumor cell activity in vitro . Using two clinically relevant bone-metastatic prostate cancer models, we show that mbIL12-engineered hPSMA-CAR T cells drive potent in vivo anti-tumor responses. In summary, we have developed a promising therapeutic that has potential to promote safe and effective treatment of advanced PSMA+ prostate cancer.

论文信息

作者
Lopez LS、Cui Z、Yamaguchi Y、Murad JP、Yang Z、Zou K、Yang J、Chang WC
单位
Division of Medical Oncology, Department of Medicine, Keck School of Medicine (KSOM) of USC, Los Angeles, CA 90033, USA.United States
期刊
Molecular therapy. Advances2026 Jun 11
原文标识
PubMed 42137597 · DOI 10.1016/j.omta.2026.201730