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:Development of chimeric antigen receptors targeting the γδ T cell receptor.
这些发现支持在临床试验中检测表达 MGDL-28Z 的 T 细胞。
表达T细胞受体(TCR)的T细胞恶性肿瘤预后较差,目前尚无获批的特异性治疗。为解决这一未满足需求,我们旨在开发靶向TCR的嵌合抗原受体(CAR)。我们构建了一组在抗原识别结构域、铰链和跨膜(HTM)结构域及共刺激结构域方面有所差异的CAR,并通过γ-逆转录病毒转导在人T细胞中表达。通过评估CAR T细胞遇到表达TCR的靶细胞时释放的细胞因子,我们鉴定出两个对TCR具有较强抗原特异性的单链可变片段(scFv)。含其中一个scFv(命名为maximal gamma-delta-long,MGDL)的CAR具有更高转导效率。我们比较了三种含MGDL的CAR:MGDL-28Z(CD28 HTM和共刺激结构域)、MGDL-CD828Z(CD8 HTM结构域和CD28共刺激结构域)以及MGDL-CD8BBZ(CD8 HTM结构域和4-1BB共刺激结构域)。表达MGDL-28Z的T细胞产生的抗原特异性细胞因子水平高于另外两种MGDL CAR。随后,我们在两种小鼠T细胞白血病治疗模型中测试表达这三种MGDL CAR的T细胞。MGDL-28Z T细胞的抗白血病活性最强,并使小鼠存活时间最长。这些发现支持在临床试验中评估表达MGDL-28Z的T细胞。
T cell malignancies expressing T cell receptors (TCRs) have poor prognoses. No approved treatments specifically target T cell malignancies. To address this deficiency, we aimed to develop chimeric antigen receptors (CARs) targeting the TCR. We generated a panel of CARs with variations in antigen-recognition domains, hinge and transmembrane (HTM) domains, and costimulatory domains. We expressed CARs in human T cells by -retroviral transduction. By assessing CAR T cell cytokine release in response to TCR-expressing target cells, we identified two single-chain variable fragments (scFvs) with superior antigen specificity for the TCR. CARs containing one of the two scFvs, which was designated maximal gamma-delta-long (MGDL), exhibited higher transduction efficiency. We compared three MGDL-containing CARs: MGDL-28Z (CD28 HTM and costimulatory domains), MGDL-CD828Z (CD8 HTM domains and CD28 costimulatory domain), and MGDL-CD8BBZ (CD8 HTM domains and 4-1BB costimulatory domain). Levels of antigen-specific cytokine release were higher for T cells expressing MGDL-28Z compared with the other MGDL CARs. We tested T cells expressing the three MGDL-containing CARs in two murine T cell leukemia treatment models. MGDL-28Z-expressing T cells caused the most anti-leukemia activity and longest mouse survival. These findings support testing MGDL-28Z-expressing T cells in a clinical trial.
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