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:Gene expression profiling of recipient immune cells induced by 7 × 19 CAR-T cell dosing in a syngeneic mouse model.
这些结果表明,7 19 CAR-T细胞能启动宿主免疫细胞的早期募集和激活,这有助于其相较于传统CAR-T细胞具有更优越的抗肿瘤活性。
嵌合抗原受体(CAR)-T细胞疗法对血液系统恶性肿瘤有效;然而,由于免疫抑制性肿瘤微环境、抗原异质性以及输注T细胞持久性不足,其对实体瘤的应答有限。为克服这些挑战,制备了表达白细胞介素-7和CC趋化因子配体19的CAR-T细胞(7 19 CAR-T),通过招募和增殖CAR-T细胞及内源性免疫细胞来实现强效抗肿瘤疗效。为阐明7 19 CAR-T细胞抗实体瘤的潜在机制,我们在小鼠实体瘤模型中分析了CAR-T细胞输注后宿主免疫细胞的细胞组成和基因表达谱。使用Thy 1.1同源小鼠制备抗人CD20 7 19 CAR-T细胞,并将其给予携带表达人CD20的皮下MC38肿瘤的C57BL/6N小鼠。在输注后4天收获肿瘤,以捕捉明显肿瘤消退前的早期免疫应答。对CD90.1-受体免疫细胞进行流式细胞术分析,并使用AmpliSeq和单细胞RNA测序确定转录组变化。在接受7 19 CAR-T细胞治疗的小鼠肿瘤中观察到受体CD8+ T细胞和巨噬细胞增加,而传统CAR-T治疗组则没有。趋化因子和炎症通路相关基因的表达仅在7 19 CAR-T治疗小鼠的受体免疫细胞中上调。单细胞RNA测序分析显示,树突状细胞和单核细胞/巨噬细胞群体中促炎基因和趋化因子上调。这些结果表明,7 19 CAR-T细胞能启动宿主免疫细胞的早期募集和激活,这有助于其相较于传统CAR-T细胞具有更优越的抗肿瘤活性。
Chimeric antigen receptor (CAR)-T cell therapy is effective for hematologic malignancies; however, the response of solid tumors is limited because of the immunosuppressive tumor microenvironment, antigen heterogeneity, and lack of persistence of transferred T cells. To overcome these challenges, CAR-T cells expressing interleukin-7 and CC chemokine ligand 19 (7 19 CAR-T) were generated to achieve potent antitumor efficacy through the recruitment and proliferation of CAR-T cells and endogenous immune cells. To elucidate the underlying mechanism of 7 19 CAR-T cells against solid tumors, we analyzed the cellular composition and gene expression profiles of host immune cells following CAR-T cell infusion in a murine solid tumor model. Antihuman CD20 7 19 CAR-T cells were prepared using Thy 1.1 congenic mice and administered to C57BL/6N mice bearing subcutaneous MC38 tumors expressing human CD20. The tumors were harvested 4 days postinfusion to capture early immune responses before overt tumor regression. CD90.1- recipient immune cells were subjected to flow cytometry analysis, and transcriptomic changes were determined using AmpliSeq and single-cell RNA seq. An increase in recipient CD8 + T cells and macrophages was observed in the tumor of mice treated with 7 19 CAR-T cells, but not with conventional CAR-T. The expression of chemokines and genes associated with the inflammatory pathway was upregulated only in recipient immune cells of the 7 19 CAR-T-treated mice. Single-cell RNA-seq analysis revealed upregulation of pro-inflammatory genes and chemokines in the dendritic cell and monocyte/macrophage populations. These results indicate that 7 19 CAR-T cells initiate the early recruitment and activation of host immune cells, which contributes to their superior antitumor activity compared with conventional CAR-T cells.
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