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:Cblb Gene Editing in T Cells Sustains Expansion and Immunogenic CAR T Tumor Killing Under Chronic Antigenic Stimulation.
CBL-B 是一种细胞内 E3 泛素连接酶,通过提高激活阈值和限制效应功能,充当 T 细胞检查点。
CBL-B 是一种细胞内 E3 泛素连接酶,通过提高激活阈值和限制效应功能而充当 T 细胞检查点。在此,对 CBL-B 进行基因靶向可增强过继转移 T 细胞和 CAR T 细胞在类似肿瘤微环境的应激条件下的性能。在完全免疫健全的小鼠模型中,Cblb 缺失或短暂沉默 Cblb 可改善对 MC-38 结肠癌和自发性乳腺肿瘤的控制,表明 CBL-B 抑制抗肿瘤免疫。在体内混合淋巴细胞反应中,Cblb 缺陷 T 细胞表现出增强的扩增以及效应/效应记忆分化,证实了 CBL-B 在持续抗原刺激期间具有细胞内在的刹车功能。在同基因 Panc02-EpCAM 模型中,Cblb 缺陷的抗 EpCAM CAR T 细胞表现出更优的肿瘤控制、增强的浸润、延长的生存期,并且在慢性抗原暴露和 TGF- 存在下仍保留效应功能。在机制上,靶向 Cblb 可维持颗粒酶 B 和 IFN- 的产生,并在体外与 GSDME 相关的焦亡性肿瘤细胞死亡增加相关,这与免疫原性细胞死亡的特征一致。这些发现将此前 CBL-B CAR T 研究从淋巴细胞缺陷环境扩展到免疫健全环境,并支持将 CBL-B 抑制作为一种策略,用以工程化改造能够抵抗抑制性肿瘤微环境、同时促进更具炎症性肿瘤杀伤模式的 CAR T 细胞。
CBL-B is an intracellular E3 ubiquitin ligase that acts as a T cell checkpoint by raising activation thresholds and limiting effector function. Here, genetic targeting of CBL-B enhances the performance of adoptively transferred T cells and CAR T cells under tumor microenvironment-like stress. In fully immunocompetent mouse models, Cblb deficiency or transient Cblb silencing improves control of MC-38 colon carcinoma and autochthonous mammary tumors, demonstrating that CBL-B restrains anti-tumor immunity. Cblb -deficient T cells show enhanced expansion and effector/effector-memory differentiation during an in vivo mixed lymphocyte reaction, confirming a cell-intrinsic brake function of CBL-B during sustained antigenic challenge. In a syngeneic Panc02-EpCAM model, Cblb -deficient anti-EpCAM CAR T cells show superior tumor control, enhanced infiltration, prolonged survival, and preserved effector function despite chronic antigen exposure and TGF- . Mechanistically, Cblb targeting maintains granzyme B and IFN- production and is associated in vitro with increased GSDME-linked pyroptotic tumor cell death, consistent with features of immunogenic cell death. These findings extend previous CBL-B CAR T work from lymphocyte-deficient to immunocompetent settings and support CBL-B inhibition as a strategy to engineer CAR T cells that resist suppressive tumor microenvironments while promoting a more inflammatory mode of tumor killing.
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