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:Control of breast cancer patient-derived xenografts by CD70-targeted HIT-CAR T cells.
CAR T细胞疗法已在几种肿瘤类型中显示出临床成功,但在乳腺癌中尚未实现,其晚期阶段仍无法治愈。
CAR T 细胞疗法已在多种肿瘤类型中显示出临床成功,但在乳腺癌中尚未实现,乳腺癌晚期仍无法治愈。CD70 在多种实体瘤类型中表达,并正在成为肾和卵巢恶性肿瘤中 CAR T 细胞的分子靶点。在这里,我们显示一部分乳腺癌细胞系和患者来源异种移植瘤表达 CD70,尽管水平不一。利用最近开发的 HLA 非依赖性 T 细胞(HIT)受体,其对 CD70 的敏感性高于传统 CAR 设计,我们评估了 CD70 是否可作为靶点以消除乳腺癌细胞。我们观察到,靶向 CD70 的 HIT T 细胞在体外显示出抗原特异性激活,并对跨广泛 CD70 水平的乳腺癌细胞系和患者来源异种移植瘤细胞具有细胞毒性。植入小鼠乳腺脂肪垫后,高表达 CD70 的患者来源异种移植瘤可被传统 CAR 和 HIT T 细胞轻易消除。然而,对于 CD70 表达较低的异种移植瘤,经补充共刺激工程化的靶向 CD70 的 HIT T 细胞通过抑制小鼠肿瘤生长而优于传统 CAR T 细胞,并带来了显著的生存获益。这些发现确立 CD70 是乳腺癌中可靶向的抗原,并突出表明诸如 HIT 受体这类增强敏感性受体设计具有覆盖更广泛肿瘤的潜力。
CAR T cell therapies have shown clinical success in several tumor types, though not in breast cancer, for which advanced stages remain incurable. CD70 is expressed in a broad range of solid tumor types and is emerging as a molecular target for CAR T cells in renal and ovarian malignancies. Here we show that a subset of breast cancer cell lines and patient-derived xenografts express CD70, albeit to varying levels. Leveraging a recently developed HLA-independent T cell (HIT) receptor with greater sensitivity to CD70 than conventional CAR designs, we assessed whether CD70 can be targeted to eliminate breast cancer cells. We observed that CD70-targeted HIT T cells showed antigen-specific activation in vitro , and cytotoxicity against breast cancer cell lines and patient-derived xenograft cells across a broad range of CD70 levels. Implanted in the murine mammary fat pad, high CD70-expressing patient-derived xenografts were readily eliminated by both conventional CAR and HIT T cells. Against xenografts with lower CD70 expression, however, CD70-targeted HIT T cells engineered with supplemental costimulation outperformed conventional CAR T cells by inhibiting tumor outgrowth in mice, and conferred a significant survival benefit. These findings establish that CD70 is a targetable antigen in breast cancer and highlight the potential of enhanced-sensitivity receptor designs such as HIT receptors to engage a broader range of tumors.
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