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:Inducible IL-12 or IL-18 secreting CAR T cells targeting the glyco-antigen CD176 exhibit potent activity against non-small cell lung cancer in preclinical models.
本研究强调了CD176作为CAR-T细胞靶点的潜力,并提示装备IL-18或IL-12的CD176-CAR-T细胞是治疗NSCLC及其他几种CD176阳性肿瘤实体的有前景的新治疗策略。
迄今为止,非小细胞肺癌(NSCLC)仍然是全球癌症相关死亡的主要原因,凸显了对新治疗方案的迫切需求。癌胚碳水化合物CD176在健康组织中被遮蔽,但存在于多种癌症实体中,并与癌症侵袭性和转移相关。在本研究中,我们采用针对CD176的CAR-T 细胞治疗NSCLC。CD176-CAR-T通过添加编码IL-18(CD176-iIL18-TRUCKs)或IL-12(CD176-iIL12-TRUCKs)的可诱导盒进行优化,以通过自分泌和旁分泌信号增强抗肿瘤反应性。在3D肿瘤球体模型和来源于肺腺癌患者的组织切片中,CD176-iIL18-和CD176-iIL12-TRUCKs比CD176-CAR-T更有效地根除NSCLC细胞。在肺癌异种移植小鼠模型中给予TRUCKs,所有接受CD176-iIL12-TRUCKs治疗的小鼠以及50%接受CD176-iIL18-TRUCKs治疗的小鼠实现了部分或完全肿瘤根除。本研究强调了CD176作为CAR-T细胞靶点的潜力,并表明经IL-18或IL-12武装的CD176-CAR-T是治疗NSCLC和其他几种CD176阳性癌症实体的有前景的新治疗方法。
To date, non-small cell lung cancer (NSCLC) remains the leading cause of cancer-related deaths worldwide, underscoring the urgent need for new treatment options. The oncofetal carbohydrate CD176 is masked on healthy tissues but is present on a variety of cancer entities and is associated with cancer invasiveness and metastasis. In this study, we employed chimeric antigen receptor T cells (CAR-Ts) directed against CD176 for treatment of NSCLC. CD176-CAR-Ts were optimized with an additional inducible cassette encoding IL-18 (CD176-iIL18-TRUCKs) or IL-12 (CD176-iIL12-TRUCKs) to augment antitumor reactivity through autocrine and paracrine signaling. CD176-iIL18- and CD176-iIL12-TRUCKs eradicate NSCLC cells in a 3D tumor spheroid model and tissue slices derived from lung adenocarcinoma patients more potently than CD176-CAR-Ts. Administration of TRUCKs in a lung carcinoma xenograft mouse model results in partial or complete tumor eradication in all mice treated with CD176-iIL12-TRUCKs and in 50% of mice treated with CD176-iIL18-TRUCKs. This study highlights the potential of CD176 as a CAR-T-cell target and suggest CD176-CAR-Ts armored with IL-18 or IL-12 as promising new therapeutic approach for the treatment of NSCLC and several other CD176-positive cancer entities.
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