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:Quantitative Characterization of Innate and Adaptive Pharmacology of Allogeneic anti-CD20 Chimeric Antigen Receptor (CAR) Vδ1 γδ T cells using Multiscale Mechanistic Modeling.
Gamma Delta (γδ) T 细胞目前正被评估作为传统 alpha-beta (αβ) T 细胞的治疗替代方案,因其具有更优的安全性特征和增强的组织滞留特性。
Gamma Delta (γδ) T 细胞目前正被评估作为传统 alpha-beta (αβ) T 细胞的治疗替代方案,因其具有更优的安全性特征和增强的组织滞留特性。将 CAR 技术应用于 gamma delta (γδ) T 细胞提供了一种新的治疗途径,有望克服传统 CAR T 细胞疗法的一些局限性,例如靶向实体瘤和减少 on-target、off-tumor 毒性。本手稿的目的是开发一个转化 PK-PD 框架,首先表征未转导和 CAR 转导的抗 CD20 Vδ1 γδ T 细胞的体外杀伤潜力,以及开发一个体内机制性 CK-PD 模型,旨在理解 CAR γδ T 细胞的复杂动力学及其与 IL-15 和肿瘤细胞的相互作用。所有临床前和临床数据集及相关信息均从 Adicet Bio 的 AD-001 已发表工作中数字化并获取。所开发的模型能够估计未转导和 CAR 转导的抗 CD20 Vδ1 γδ T 细胞的体外杀伤潜力,以及扩增、组织分布、淋巴细胞清除和 interleukin-15 (IL-15) 的影响,以及 CAR 修饰的 γδ T 细胞的肿瘤杀伤潜力。这些见解为深入理解 γδ T 细胞在免疫治疗中的潜在治疗获益和机制提供了基础,特别是在其应用于各种癌症方面。这一转化框架的开发对于理解 CAR 修饰的 γδ T 细胞疗法的潜在剂量-暴露-反应关系至关重要,并将促进这些药物的发现和开发。
Gamma Delta (γδ) T Cells are currently being evaluated as a therapeutic alternative to traditional alpha-beta (αβ) T-cells due to their superior safety profile and enhanced tissue retention properties. The application of CAR technology to gamma delta (γδ) T cells presents a novel therapeutic avenue with the potential to overcome some limitations of conventional CAR T-cell therapies, such as targeting solid tumors and reducing on-target, off-tumor toxicities. The objective of this manuscript is development of a translational PK-PD framework to first characterize in vitro killing potential of un-transduced and CAR transduced anti- CD20 Vδ1 γδ T cells as well as development of an in vivo mechanistic CK-PD model designed to understand the complex dynamics of CAR γδ T cells and their interaction with IL-15 and tumor cells. All the preclinical and clinical datasets along with relevant information were digitized and obtained from the published work on Adicet Bio's AD-001. The developed model was able to estimate the in vitro killing potential of untransduced and CAR transduced anti- CD20 Vδ1 γδ T cells as well as expansion, tissue distribution, the impact of lymphodepletion and interleukin-15 (IL-15), and the tumor-killing potential of CAR-modified γδ T cells. These insights offer a deeper understanding of the potential therapeutic benefits and mechanisms of γδ T cells in immunotherapy, particularly in their application against various cancers. The development of this translational framework can be paramount in understanding the underlying dose-exposure-response relationship of CAR modified γδ T cell therapy and facilitate the discovery and development of these agents.
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