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:Metabolic activation using fructose-1,6-bisphosphate microparticles of non-virally LNP-generated CAR-macrophages induces anti-tumor immune responses.
尽管嵌合抗原受体(CAR)-T细胞疗法在血液系统恶性肿瘤中已显示出显著的临床疗效,但其对实体瘤的作用仍然有限,这在很大程度上是由于T细胞向肿瘤微环境(TME)的浸润不足所致。
尽管嵌合抗原受体(CAR)-T细胞疗法在血液系统恶性肿瘤中已展现出显著的临床疗效,但其对实体瘤的作用仍然有限,这很大程度上是由于T细胞向肿瘤微环境(TME)的浸润不足所致。相比之下,巨噬细胞天然被募集至TME,为基于细胞的免疫治疗提供了一个有前景的平台。然而,TME内营养匮乏的条件驱动巨噬细胞向免疫抑制性、促肿瘤表型转化,从而限制了其治疗潜力。在此,我们报道了一种代谢加速策略,旨在通过提高CAR工程化巨噬细胞(CAR-macs)的糖酵解能力来增强其抗肿瘤活性。我们证明,用由果糖1,6-二磷酸(F16BP)生成的微粒预处理CAR-macs,能够增强糖酵解通量并促进促炎性极化。在小鼠淋巴瘤实体瘤模型中,该方法显著增强了抗肿瘤免疫细胞应答,并证明CAR-macs能够归巢至肿瘤部位。我们的发现确立了基于CAR巨噬细胞免疫治疗的一种新范式,表明代谢重编程能够克服免疫抑制性TME,并显著提高针对实体瘤的治疗疗效。
While chimeric antigen receptor (CAR)-T cell therapy has demonstrated remarkable clinical efficacy in hematological malignancies, its impact on solid tumors remains limited, largely due to insufficient T cell infiltration into the tumor microenvironment (TME). In contrast, macrophages are inherently recruited to the TME, offering a promising platform for cell-based immunotherapy. However, the nutrient-deprived conditions within the TME drive macrophages toward an immunosuppressive, tumor-promoting phenotype, thereby constraining their therapeutic potential. Here, we report a metabolic accelerating strategy designed to potentiate the anti-tumor activity of CAR-engineered macrophages (CAR-macs) by increasing their glycolytic capacity. We demonstrate that pre-treatment of CAR-macs with microparticles generated from fructose 1,6-bisphosphate (F16BP) can augment glycolytic flux and promote pro-inflammatory polarization. In a murine lymphoma solid tumor model, this approach significantly enhances anti-tumor immune cell responses and demonstrates that the CAR-macs are able to home to the tumor site. Our findings establish a novel paradigm in CAR macrophage-based immunotherapy, demonstrating that metabolic reprogramming can overcome the immunosuppressive TME and substantially improve therapeutic efficacy against solid tumors.
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