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:A chemokine "leverage regulation" biomimetic nanoformulation enhances CAR-T cells against solid tumors by reshaping immune cell niches.
驱动异常免疫细胞生态位的肿瘤趋化因子,在损害针对实体瘤的嵌合抗原受体(CAR)-T 细胞治疗中起关键作用。
肿瘤趋化因子可驱动异常免疫细胞生态位形成,在削弱嵌合抗原受体(CAR)T细胞治疗实体瘤方面发挥重要作用。本研究开发了一种具有趋化因子“杠杆调控”能力的仿生纳米制剂,可建立匹配的迁移信号,形成支持CAR-T细胞治疗的免疫细胞生态位。该系统由负载塞来昔布(CXB)的聚(D,L-乳酸-羟基乙酸)共聚物(PLGA)纳米颗粒构成,并以高表达CXCR4的间充质干细胞膜进行伪装。肿瘤异常上调趋化因子CXCL12以募集CXCR4阳性免疫抑制细胞,仿生纳米制剂利用这一特征在肿瘤组织中有效蓄积。该制剂可重塑肿瘤趋化因子环境,上调免疫原性趋化因子CXCL9和CXCL10以选择性募集CAR-T细胞,同时充当纳米诱饵中和CXCL12,从而减少CAR-Treg和髓源性抑制细胞(MDSC)等免疫抑制细胞的涌入,增强CAR-T细胞杀伤效力。对趋化因子网络的双重调控显著提升了CAR-T细胞对实体瘤的治疗效果。这一策略有望推动CAR-T细胞疗法应用于实体瘤临床治疗。
Tumor chemokines that drives abnormal immune cell niches play a crucial role in impairing the chimeric antigen receptor (CAR)-T cell therapy against solid tumors. Here we develop a biomimetic nanoformulation with chemokine "leverage regulation" capabilities, which can establish matching migration signals to creat an immune cell niche that supports CAR-T cell therapy. The system is constructed using celecoxib (CXB)-loaded poly(d,l-lactide-co-glycolide) (PLGA) nanoparticles and subsequently camouflaging them with mesenchymal stem cell membranes with high CXCR4 expression. Leveraging the characteristic of tumors abnormally upregulating the chemokine CXCL12 to recruit CXCR4-positive immunosuppressive cells, the biomimetic nanoformulations can achieve efficient accumulation in the tumor tissue. These nanoformulations remodel the tumor chemokine milieu by upregulating immunogenic chemokines (CXCL9, CXCL10) to selectively recruit CAR-T cells, while simultaneously serving as a nanobait to neutralize CXCL12, thereby reducing the influx of immunosuppressive cells (such as CAR-Tregs and MDSCs) to enhance the killing efficacy of CAR-T cells. This dual modulation of the chemokine network significantly improves the therapeutic efficacy of CAR-T cells against solid tumors. Our approach represents a promising strategy for advancing CAR-T cell therapy toward clinical applications for soild tumors.
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