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:Engineering precision oncology: Targeting tumors and immune cells with lentiviral vectors.
Engineering precision oncology: Targeting tumors and immune cells with lentiviral vectors.
综合来看,这些进展使受体靶向的慢病毒和 VLP 系统成为下一代精准肿瘤学的有前景平台,可实现选择性体内 CAR T/NK 细胞生成、靶向肿瘤改造和细胞限制性基因编辑。
慢病毒载体(LV)正成为高效、稳定递送治疗基因的多功能工具。尽管VSV-G假型LV仍是体外基因工程的标准,但其广泛的嗜性和对血清的敏感性限制了其在体内癌症治疗中的应用,而此类治疗需要精准靶向以确保疗效和安全性。本综述总结了过去二十年LV假型化领域的进展,比较天然病毒包膜、工程化靶向策略以及可改变载体嗜性的多组分糖蛋白系统。我们讨论了源自麻疹病毒、狒狒内源性逆转录病毒、尼帕病毒和辛德毕斯病毒的供体包膜,并强调其在转导造血细胞、免疫细胞和肿瘤细胞方面的价值。我们还考察了新一代重新靶向技术,包括工程化受体结合结构域、细胞因子或抗体片段展示,以及消除天然受体相互作用的VSV-G突变体,以提高对T细胞、B细胞、造血干细胞和肿瘤相关抗原的特异性。最后,我们回顾了工程化病毒样颗粒(VLP)作为体内递送CRISPR-Cas9、碱基编辑和先导编辑复合物的精准工具这一新进展。总体而言,这些进展使受体靶向LV和VLP成为下一代精准肿瘤学的有前景平台,可用于选择性地在体内生成CAR T/NK细胞、靶向改造肿瘤以及开展细胞特异性基因编辑。
Lentiviral vectors (LVs) are emerging as versatile tools for the efficient and stable delivery of therapeutic genes. Although VSV-G-pseudotyped LVs remain the standard for ex vivo genetic engineering, their broad tropism and serum sensitivity limit their applicability for in vivo cancer therapy, where precise targeting is essential for efficacy and safety. This review synthesizes two decades of advances in LV pseudotyping, comparing natural viral envelopes, engineered targeting strategies, and multicomponent glycoprotein systems that reshape vector tropism. We discussed donor-derived envelopes such as measles virus, baboon endogenous retrovirus, Nipah virus, and Sindbis virus, highlighting their value for transducing hematopoietic, immune, and tumor cells. We also examined next-generation retargeting innovations, including engineered receptor-binding domains, display of cytokines or antibody fragments, and VSV-G mutants that ablate natural receptor interactions, to enhance specificity for T cells, B cells, hematopoietic stem cells, and tumor-associated antigens. Finally, we review the recent emergence of engineered virus-like particles (VLPs) as precision tools for in vivo delivery of CRISPR-Cas9, base-editing, and prime-editing complexes. Collectively, these advances position receptor-targeted lentiviral and VLP systems as promising platforms for the next generation of precision oncology, enabling selective in vivo CAR T/NK cell generation, targeted tumor modification, and cell-restricted gene editing.
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