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:In Situ Generation of Claudin18.2-Specific CAR-T Cells via Lipid Nanoparticle-Mediated mRNA Delivery.
嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤中取得了显著的临床成功;然而,其更广泛的应用受到高制造成本和对实体瘤疗效不足的限制。
嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤中取得了显著的临床成功;然而,其更广泛的应用受到高制造成本和对实体瘤疗效不足的限制。为克服这些挑战,开发了一种基于脂质纳米颗粒(LNP)递送靶向Claudin18.2的CAR mRNA的原位CAR-T细胞生成策略,能够在肿瘤组织内直接瞬时产生CAR-T细胞。LNP转染后,活化的T细胞表现出高效的CAR表面表达。这些瞬时CAR-T细胞对Claudin18.2阳性胃癌细胞系(包括NUGC4和NCI-N87)表现出强效的细胞毒活性,并在荷瘤小鼠模型中产生了显著的抗肿瘤疗效。本方案描述了CAR mRNA体外转录、LNP配制、T细胞活化和转染、CAR表达分析以及CAR-T介导的细胞毒性体外和体内功能评估的详细步骤。综上所述,该策略为生成瞬时CAR-T细胞提供了一个经济高效且多功能的平台,并为治疗实体瘤提供了一种有前景的方法。
Chimeric antigen receptor (CAR) T-cell therapy has achieved remarkable clinical success in hematological malignancies; however, its broader application is limited by high manufacturing costs and insufficient efficacy against solid tumors. To overcome these challenges, an in situ CAR-T cell generation strategy was developed based on lipid nanoparticle (LNP)-mediated delivery of CAR mRNA targeting Claudin18.2, enabling the transient production of CAR-T cells directly within tumor tissue. Following LNP transfection, activated T cells exhibited efficient surface expression of CARs. These transient CAR-T cells demonstrated potent cytotoxic activity against Claudin18.2-positive gastric carcinoma cell lines, including NUGC4 and NCI-N87, and produced significant antitumor efficacy in tumor-bearing mouse models. This protocol describes detailed procedures for in vitro transcription of CAR mRNA, LNP formulation, T-cell activation and transfection, CAR expression analysis, and in vitro and in vivo functional evaluation of CAR-T-mediated cytotoxicity. Taken together, this strategy provides a cost-effective and versatile platform for generating transient CAR-T cells and offers a promising approach for treating solid tumors.
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