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嵌合抗体受体(CARs):驱动T细胞特异性以增强抗肿瘤免疫力。

Chimeric antibody receptors (CARs): driving T-cell specificity to enhance anti-tumor immunity.

作者信息

Kebriaei Partow, Kelly Susan S, Manuri Pallavi, Jena Bipulendu, Jackson Rineka, Shpall Elizabeth, Champlin Richard, Cooper Laurence J N

机构信息

Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.

出版信息

Front Biosci (Schol Ed). 2012 Jan 1;4(2):520-31. doi: 10.2741/282.

DOI:10.2741/282
PMID:22202074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3889487/
Abstract

Adoptive transfer of antigen-specific T cells is a compelling tool to treat cancer. To overcome issues of immune tolerance which limits the endogenous adaptive immune response to tumor-associated antigens, robust systems for the genetic modification and characterization of T cells expressing chimeric antigen receptors (CARs) to redirect specificity have been produced. Refinements with regards to persistence and trafficking of the genetically modified T cells are underway to help improve the potency of genetically modified T cells. Clinical trials utilizing this technology demonstrate feasibility, and increasingly, antitumor activity, paving the way for multi-center trials to establish the efficacy of this novel T-cell therapy.

摘要

抗原特异性T细胞的过继性转移是一种用于治疗癌症的有效工具。为了克服限制内源性适应性免疫对肿瘤相关抗原作出反应的免疫耐受问题,人们已经构建了强大的系统,用于对表达嵌合抗原受体(CAR)以重定向特异性的T细胞进行基因改造和表征。目前正在对基因改造T细胞的持久性和归巢进行优化,以提高基因改造T细胞的效力。利用该技术的临床试验证明了其可行性,并且越来越多地显示出抗肿瘤活性,为开展多中心试验以确立这种新型T细胞疗法的疗效铺平了道路。

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Chimeric antibody receptors (CARs): driving T-cell specificity to enhance anti-tumor immunity.嵌合抗体受体(CARs):驱动T细胞特异性以增强抗肿瘤免疫力。
Front Biosci (Schol Ed). 2012 Jan 1;4(2):520-31. doi: 10.2741/282.
2
CARs in chronic lymphocytic leukemia -- ready to drive.嵌合抗原受体 T 细胞治疗慢性淋巴细胞白血病——蓄势待发。
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CAR T Cell Therapy for Solid Tumors.嵌合抗原受体 T 细胞疗法治疗实体瘤。
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Adoptive Cell Therapy--Tumor-Infiltrating Lymphocytes, T-Cell Receptors, and Chimeric Antigen Receptors.过继性细胞疗法——肿瘤浸润淋巴细胞、T细胞受体和嵌合抗原受体
Semin Oncol. 2015 Aug;42(4):626-39. doi: 10.1053/j.seminoncol.2015.05.005. Epub 2015 Jun 12.
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Current strategies to improve the safety of chimeric antigen receptor (CAR) modified T cells.目前提高嵌合抗原受体(CAR)修饰 T 细胞安全性的策略。
Immunol Lett. 2017 Oct;190:201-205. doi: 10.1016/j.imlet.2017.08.018. Epub 2017 Aug 29.
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Curr Opin Immunol. 2018 Apr;51:103-110. doi: 10.1016/j.coi.2018.03.002. Epub 2018 Mar 16.

引用本文的文献

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Preventing Lck Activation in CAR T Cells Confers Treg Resistance but Requires 4-1BB Signaling for Them to Persist and Treat Solid Tumors in Nonlymphodepleted Hosts.抑制 CAR T 细胞中的 Lck 激活赋予 Treg 抗性,但需要 4-1BB 信号使其在非淋巴耗竭宿主中持续存在并治疗实体瘤。
Clin Cancer Res. 2019 Jan 1;25(1):358-368. doi: 10.1158/1078-0432.CCR-18-1211. Epub 2018 Nov 13.
2
Clinical application of Sleeping Beauty and artificial antigen presenting cells to genetically modify T cells from peripheral and umbilical cord blood.睡美人转座子系统及人工抗原呈递细胞在对来自外周血和脐带血的T细胞进行基因改造中的临床应用
J Vis Exp. 2013 Feb 1(72):e50070. doi: 10.3791/50070.
3
Outcomes of second allogeneic hematopoietic stem cell transplantation for patients with acute lymphoblastic leukemia.急性淋巴细胞白血病患者行第二次异基因造血干细胞移植的结局。
Bone Marrow Transplant. 2013 May;48(5):666-70. doi: 10.1038/bmt.2012.195. Epub 2012 Oct 22.

本文引用的文献

1
A non-human primate model for analysis of safety, persistence, and function of adoptively transferred T cells.一种用于分析过继转移T细胞的安全性、持久性和功能的非人灵长类动物模型。
J Med Primatol. 2011 Apr;40(2):88-103. doi: 10.1111/j.1600-0684.2010.00451.x. Epub 2010 Nov 2.
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Immune responses to transgene and retroviral vector in patients treated with ex vivo-engineered T cells.经体外工程化 T 细胞治疗的患者对转基因和逆转录病毒载体的免疫反应。
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A new pyrimidine-specific reporter gene: a mutated human deoxycytidine kinase suitable for PET during treatment with acycloguanosine-based cytotoxic drugs.一种新型嘧啶特异性报告基因:一种突变型人脱氧胞苷激酶,适用于基于阿昔洛韦的细胞毒性药物治疗期间的 PET。
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4
Eradication of B-lineage cells and regression of lymphoma in a patient treated with autologous T cells genetically engineered to recognize CD19.自体 T 细胞经基因工程改造后识别 CD19,用于治疗患者,可消除 B 细胞系细胞并使淋巴瘤消退。
Blood. 2010 Nov 18;116(20):4099-102. doi: 10.1182/blood-2010-04-281931. Epub 2010 Jul 28.
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Translating Sleeping Beauty transposition into cellular therapies: victories and challenges.将睡美人转位应用于细胞治疗:胜利与挑战。
Bioessays. 2010 Sep;32(9):756-67. doi: 10.1002/bies.201000027.
6
A high throughput microelectroporation device to introduce a chimeric antigen receptor to redirect the specificity of human T cells.一种高通量微电穿孔设备,可将嵌合抗原受体导入人体 T 细胞,从而改变其特异性。
Biomed Microdevices. 2010 Oct;12(5):855-63. doi: 10.1007/s10544-010-9440-3.
7
Novel PET probes specific for deoxycytidine kinase.新型脱氧胞苷激酶特异性正电子发射断层扫描探针
J Nucl Med. 2010 Jul;51(7):1092-8. doi: 10.2967/jnumed.109.073361. Epub 2010 Jun 16.
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Redirecting T-cell specificity by introducing a tumor-specific chimeric antigen receptor.通过引入肿瘤特异性嵌合抗原受体来改变 T 细胞的特异性。
Blood. 2010 Aug 19;116(7):1035-44. doi: 10.1182/blood-2010-01-043737. Epub 2010 May 3.
9
Engineering CD19-specific T lymphocytes with interleukin-15 and a suicide gene to enhance their anti-lymphoma/leukemia effects and safety.用白细胞介素 15 和自杀基因工程改造 CD19 特异性 T 淋巴细胞,以增强其抗淋巴瘤/白血病效应和安全性。
Leukemia. 2010 Jun;24(6):1160-70. doi: 10.1038/leu.2010.75. Epub 2010 Apr 29.
10
Treatment of chronic lymphocytic leukemia with genetically targeted autologous T cells: case report of an unforeseen adverse event in a phase I clinical trial.采用基因靶向自体T细胞治疗慢性淋巴细胞白血病:一项I期临床试验中意外不良事件的病例报告
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