Almåsbak Hilde, Lundby Marianne, Rasmussen Anne-Marie
Department of Immunology, Radiumhospitalet-Rikshospitalet, University Hospital, Oslo, Norway.
Methods Mol Biol. 2010;629:453-93. doi: 10.1007/978-1-60761-657-3_28.
Adoptive transfer of T cells with restricted tumor specificity provides a promising approach to immunotherapy of cancers. However, the isolation of autologous cytotoxic T cells that recognize tumor-associated antigens is time consuming and fails in many instances. Alternatively, gene modification with tumor antigen-specific T-cell receptors (TCR) or chimeric antigen receptors (CARs) can be used to redirect the specificity of large numbers of immune cells toward the malignant cells. Chimeric antigen receptors are composed of the single-chain variable fragment (scFv) of a tumor-recognizing antibody cloned in frame with human T-cell signaling domains (e.g., CD3zeta, CD28, OX40, 4-1BB), thus combining the specificity of antibodies with the effector functions of cytotoxic T cells. Upon antigen binding, the intracellular signaling domains of the CAR initiate cellular activation mechanisms including cytokine secretion and cytolysis of the antigen-positive target cell.In this chapter, we provide detailed protocols for large-scale ex vivo expansion of T cells and manufacturing of medium-scale batches of CAR-expressing T cells for translational research by mRNA electroporation. An anti-CD19 chimeric receptor for the targeting of leukemias and lymphomas was used as a model system. We are currently scaling up the protocols to adapt them to cGMP production of a large number of redirected T cells for clinical applications.
采用具有受限肿瘤特异性的T细胞进行过继性转移为癌症免疫治疗提供了一种有前景的方法。然而,分离识别肿瘤相关抗原的自体细胞毒性T细胞既耗时又在许多情况下失败。另外,用肿瘤抗原特异性T细胞受体(TCR)或嵌合抗原受体(CAR)进行基因修饰可用于将大量免疫细胞的特异性重定向至恶性细胞。嵌合抗原受体由与人类T细胞信号结构域(如CD3ζ、CD28、OX40、4-1BB)框内克隆的肿瘤识别抗体的单链可变片段(scFv)组成,从而将抗体的特异性与细胞毒性T细胞的效应功能结合起来。抗原结合后,CAR的细胞内信号结构域启动细胞活化机制,包括细胞因子分泌和抗原阳性靶细胞的细胞溶解。在本章中,我们提供了用于T细胞大规模体外扩增以及通过mRNA电穿孔制备中等规模批次的表达CAR的T细胞用于转化研究的详细方案。一种用于靶向白血病和淋巴瘤的抗CD19嵌合受体用作模型系统。我们目前正在扩大方案规模以使其适应大量重定向T细胞的cGMP生产用于临床应用。