肿瘤细胞治疗研究
英文原题:Intracranially injected chimeric antigen receptor T cells eradicate glioblastoma cells but have limited potential to persist in the brain in a syngeneic mouse model.
Intracranially injected chimeric antigen receptor T cells eradicate glioblastoma cells but have limited potential to persist in the brain in a syngeneic mouse model.
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多形性胶质母细胞瘤(GBM)是最恶性的原发性脑肿瘤之一,亟需开发新型疗法。颅内注射嵌合抗原受体(CAR)-T细胞疗法对GBM有效。然而,颅内注射的CAR-T 细胞是否能在脑内长期存留尚不清楚。在本研究中,我们通过注射表达人B7-H3的GL261小鼠GBM细胞,建立了同基因小鼠GBM模型。在确认肿瘤成瘤后,将转导了靶向人B7-H3的CAR的小鼠T细胞注射到肿瘤内。与注射对照T细胞的小鼠相比,注射B7-H3 CAR-T 细胞的小鼠肿瘤负荷降低、生存期延长。CAR-T 细胞注射后1周可在脑内明显检测到,但注射后2周消失。在同基因小鼠模型中,颅内注射的CAR-T 细胞有潜力清除GBM,但不会在脑内长期存留,提示颅内注射CAR-T 细胞需要反复给药,正如若干临床试验中所做的那样。开发增强CAR-T 细胞在脑内存留的策略将十分重要。
Glioblastoma multiforme (GBM) is among the most malignant primary brain tumors, necessitating the development of novel therapies. Intracranial injection of chimeric antigen receptor (CAR)-T cell therapy is effective against GBM.
However, whether intracranially injected CAR-T cells persist in the brain for long periods is unclear. In this study, we established a syngeneic murine model of GBM by injecting GL261 murine GBM cells expressing human B7-H3. After confirming tumor engraftment, murine T cells transduced with CAR-targeting human B7-H3 were injected intratumorally. Reduced tumor burden and enhanced survival were observed in mice injected with B7-H3 CAR-T cells compared with those injected with control T cells.
CAR-T cells were distinctly detected in the brain 1 week after CAR-T cell injection, but disappeared 2 weeks after injection. In the syngeneic mouse model, intracranially injected CAR-T cells have the potential to eradicate GBM but do not persist in the brain for long, suggesting that intracranial injections of CAR-T cells need to be repeatedly administered, as has been done in several clinical trials. It will be important to develop strategies to enhance persistence of CAR-T cells in the brain.
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