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:Integrin β6-Targeted CAR-T Cells exhibit potent antitumor activity in β6-Positive pancreatic ductal adenocarcinoma and lung adenocarcinoma.
胰腺导管腺癌(PDAC)和肺腺癌(LUAD)仍是致命性恶性肿瘤,治疗选择有限,凸显了开发更有效治疗方法的迫切需求。
胰腺导管腺癌(PDAC)和肺腺癌(LUAD)仍是致死性恶性肿瘤,治疗选择有限,凸显了对更有效治疗的迫切需求。整合素 v 6(ITGB6)是一种优先表达于特定类型肿瘤(如 PDAC 和 LUAD)的受体,是细胞免疫治疗中一个有前景但很大程度上尚未开发的靶点。我们旨在开发并临床前验证一种靶向 ITGB6 的新型CAR-T 细胞疗法,用于这些侵袭性实体瘤。设计并构建了第三代抗 ITGB6 CAR,整合了 CD28 和 TLR2 共刺激结构域。TLR2 信号增强 T 细胞扩增、细胞因子产生以及向实体瘤的浸润。针对一组 ITGB6 阳性 PDAC 和 LUAD 细胞系、患者来源类器官(PDOs)、原位模型和患者来源异种移植(PDX)模型,评估了抗 ITGB6 CAR-T 细胞的效力和特异性。抗 ITGB6 CAR-T 细胞在体外对 ITGB6 阳性 PDAC 和 LUAD 模型表现出强效细胞毒性,可有效靶向细胞系和 PDOs。在小鼠异种移植模型中,单剂抗 ITGB6 CAR-T 细胞诱导了显著的肿瘤抑制并延长了生存期,未观察到在靶/非肿瘤毒性的证据。我们的研究结果为抗 ITGB6 CAR-T 疗法作为针对 ITGB6 阳性实体瘤的一种强效且安全的研究性策略提供了有力的临床前概念验证,支持其在 PDAC 和 LUAD 患者中的临床转化。
Pancreatic ductal adenocarcinoma (PDAC) and lung adenocarcinoma (LUAD) remain lethal malignancies with limited therapeutic options, highlighting an urgent need for more effective treatments. Integrin v 6 (ITGB6) is a receptor preferentially expressed in specific types of tumors, such as PDAC and LUAD, and represents a promising yet largely untapped target for cellular immunotherapy. We aimed to develop and preclinically validate a novel chimeric antigen receptor T-cell (CAR-T) therapy targeting ITGB6 for these aggressive solid tumors. A third-generation anti-ITGB6 CAR was designed and constructed, incorporating both CD28 and TLR2 co-stimulatory domains. TLR2 signaling enhances T-cell expansion, cytokine production, and infiltration into solid tumor. The potency and specificity of anti-ITGB6 CAR-T cells were assessed against a panel of ITGB6-positive PDAC and LUAD cell lines, patient-derived organoids (PDOs), orthotopic models, and patient-derived xenograft (PDX) models. Anti-ITGB6 CAR-T cells demonstrated potent cytotoxicity against ITGB6-positive PDAC and LUAD models in vitro, effectively targeting both cell lines and PDOs. In murine xenograft models, a single dose of anti-ITGB6 CAR-T cells induced significant tumor suppression and prolonged survival, with no evidence of on-target/off-tumor toxicity was observed. Our findings provide compelling preclinical proof-of-concept for anti-ITGB6 CAR-T therapy as a potent and safe investigational strategy against ITGB6-positive solid tumors, supporting its clinical translation for patients with PDAC and LUAD.
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