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:Short-term manufacturing of IL-7/CCL19-expressing CAR-T cells enhances and prolongs therapeutic effects in solid tumor models.
Short-term manufacturing of IL-7/CCL19-expressing CAR-T cells enhances and prolongs therapeutic effects in solid tumor models.
CAR-T 细胞疗法在治疗某些血液肿瘤方面取得了显著成功,但其对实体瘤的疗效仍然有限。
CAR-T细胞疗法已成功用于某些血液肿瘤,但对实体瘤疗效仍有限。提高制造效率、快速制备高功能CAR-T细胞是关键策略之一。我们改进了同时表达IL-7和CCL19的CAR-T(7 19 CAR-T)制造方法;这类装甲CAR-T由我们开发用于实体瘤治疗。采用不含扩增阶段的短期培养法制备Swift 7 19 CAR-T细胞,并与常规培养制备的Standard 7 19 CAR-T细胞比较。Swift CAR-T细胞中早期记忆表型比例较高,包括干细胞记忆和中央记忆T细胞,其效应功能优于Standard CAR-T细胞。在效应细胞反复受到靶抗原阳性肿瘤细胞刺激的压力测试中,Swift 7 19 CAR-T和Swift常规CAR-T初期均表现出相似抗肿瘤作用;但反复刺激后,只有Swift 7 19 CAR-T维持强效应答。此外,与Standard 7 19 CAR-T相比,Swift 7 19 CAR-T仅需显著更少细胞即可在体内产生抗肿瘤活性,并可长期抵抗肿瘤再次攻击,且无提示恶性转化的自主增殖。这些结果显示,创新的“Swift”短期培养方法结合7 19 CAR-T技术,有望为难治性实体瘤提供新的治疗选择。
CAR-T cell therapy has achieved remarkable success in the treatment of certain blood cancers, but its efficacy against solid tumors remains limited. One of the key strategies is the improvement of manufacturing methods for the rapid production of high-functioning CAR-T cells. We have improved the manufacturing method for CAR-T cells simultaneously expressing IL-7 and CCL19 (referred to as 7 19 CAR-T cells), armored CAR-T cells which we developed for treating solid tumors. We generated 7 19 CAR-T cells using a short-term culture method without expansion phase (referred to as Swift 7 19 CAR-T cells), then compared them with regular culture methods (referred to as Standard 7 19 CAR-T cells). Swift CAR-T cells are distinguished by a high frequency of early memory phenotypes, including stem cell memory and central memory T cells, which showed superior effector functions over Standard CAR-T cells. In a stress test in which effector cells are repeatedly stimulated by target-positive tumor cells, Swift 7 19 CAR-T cells and Swift conventional CAR-T cells initially exhibited similar antitumor effects. However, after repetitive stimulations, only Swift 7 19 CAR-T cells maintained a robust response. Furthermore, Swift 7 19 CAR-T cells demonstrated in vivo antitumor activity by substantially fewer cells compared to Standard 7 19 CAR-T cells, and conferred a long-term resistance to tumor rechallenge without autonomous proliferation indicative of malignant transformation. These results highlight the potential of the innovative "Swift" short-term culture methods combined with 7 19 CAR-T technology to provide a new treatment option for refractory solid tumors.
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