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用于 CD19 CAR-T 疗效、药代动力学与安全性整合评价的 B 细胞急性淋巴细胞白血病异种移植大鼠模型验证

英文原题:Validation of a B cell acute lymphoblastic leukemia xenograft rat model for integrated efficacy, pharmacokinetics and safety of CD19 CAR-T.

查看英文原题

Validation of a B cell acute lymphoblastic leukemia xenograft rat model for integrated efficacy, pharmacokinetics and safety of CD19 CAR-T.

PubMed 2026/03/14(内容时间) Toxicol Res Q2 · IF 3.3(JCR 2025)

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中文摘要

在B细胞急性淋巴细胞白血病(B-ALL)临床前研究中,小鼠体型较小,限制了连续采样能力,难以综合评估疗效、安全性和药代动力学(PK)。为克服这些局限,我们开发了B-ALL异种移植大鼠模型,作为细胞疗法临床前综合评估平台,并以CD19 CAR-T 标准疗法验证该平台能否同时评估疗效、PK和安全性。通过接种NALM-6(人B-ALL细胞系)建立B-ALL大鼠模型,3天后静脉注射低剂量1.0和高剂量2.0×10^〔原文指数缺失〕细胞/kg的CD19 CAR-T。该B-ALL异种移植大鼠模型成功区分剂量依赖性应答:高剂量组出现显著肿瘤消退且无不良反应,低剂量组则无疗效。动力学分析显示,高剂量组CAR-T 细胞于注射后3周达到扩增峰值,而低剂量组未见显著扩增。关键的是,本研究证明该模型可用于整合PK-疗效评价及探索性安全监测。

我们确定2.0×10^〔原文指数缺失〕细胞/kg为有效治疗剂量,且安全性良好;在测试条件下,该剂量实现完全缓解,未见明显毒性。

本研究首次验证B-ALL异种移植大鼠模型可同时分析疗效、安全性和生物分布。大鼠是毒理学中广泛接受的实验动物,因此这一疾病相关模型可为下一代细胞疗法临床前评估提供稳健平台。补充信息:在线版本含有补充材料,网址为10.1007/s43188-026-00343-1。

展开英文摘要原文

UNLABELLED: In preclinical studies of B cell acute lymphoblastic leukemia (B-ALL), mouse models have limitations related to their small body size, which restricts serial sampling required for integrated assessment of efficacy, safety, and pharmacokinetics (PK) assessments. To overcome these limitations, we developed a B-ALL xenograft rat model as an integrated platform for the preclinical evaluation of cell therapies and validated this platform by testing its ability to simultaneously assess efficacy, PK, and safety using a CD19 CAR-T standard.

The B-ALL rat model was established using NALM-6 (human B-ALL cell line) cells, followed by intravenous injection of CD19 CAR-T three days later at doses of 1. 0 (low) and 2. 0 10 cells/kg (high). B-ALL xenograft rat model successfully differentiated dose-dependent responses, demonstrating significant tumor regression without adverse effects in high-dose group, whereas low-dose group showed no efficacy.

Kinetic analysis revealed peak expansion of CAR-T cells in high-dose group 3 weeks after injection, while low-dose group displayed no significant expansion. Crucially, this study demonstrates the utility of the model as an integrated PK-Efficacy evaluation platform with exploratory safety monitoring.

We identified 2. 0 10 cells/kg as an effective therapeutic dose with a favorable safety profile, showing complete remission without evident toxicity under the tested conditions.

This study is the first to validate a B-ALL xenograft rat model capable of simultaneously analyzing efficacy, safety, and biodistribution. By utilizing rats, a species widely accepted in toxicology, this disease-relevant model provides a robust platform to support the preclinical assessment of next-generation cell-based therapies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10. 1007/s43188-026-00343-1.

论文信息

作者
Kim JI、Park MY、Kwon E、Mashimo T、Kang HJ、Kang BC
单位
Department of Experimental Animal Research, Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.South Korea
期刊
Toxicological research2026 Jul
原文标识
PubMed 42403690 · DOI 10.1007/s43188-026-00343-1