Leukemia Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, United States of America.
PLoS One. 2013 Apr 9;8(4):e61338. doi: 10.1371/journal.pone.0061338. Print 2013.
Although many adults with B cell acute lymphoblastic leukemia (B-ALL) are induced into remission, most will relapse, underscoring the dire need for novel therapies for this disease. We developed murine CD19-specific chimeric antigen receptors (CARs) and an immunocompetent mouse model of B-ALL that recapitulates the disease at genetic, cellular, and pathologic levels. Mouse T cells transduced with an all-murine CD3ζ/CD28-based CAR that is equivalent to the one being used in our clinical trials, eradicate B-ALL in mice and mediate long-term B cell aplasias. In this model, we find that increasing conditioning chemotherapy increases tumor eradication, B cell aplasia, and CAR-modified T cell persistence. Quantification of recipient B lineage cells allowed us to estimate an in vivo effector to endogenous target ratio for B cell aplasia maintenance. In mice exhibiting a dramatic B cell reduction we identified a small population of progenitor B cells in the bone marrow that may serve as a reservoir for long-term CAR-modified T cell stimulation. Lastly, we determine that infusion of CD8+ CAR-modified T cells alone is sufficient to maintain long-term B cell eradication. The mouse model we report here should prove valuable for investigating CAR-based and other therapies for adult B-ALL.
虽然许多患有 B 细胞急性淋巴细胞白血病 (B-ALL) 的成年人被诱导缓解,但大多数人会复发,这突显了这种疾病迫切需要新的治疗方法。我们开发了针对小鼠 CD19 的嵌合抗原受体 (CAR) 和一种具有免疫功能的 B-ALL 小鼠模型,该模型在遗传、细胞和病理水平上再现了该疾病。用基于全小鼠 CD3ζ/CD28 的 CAR 转导的小鼠 T 细胞可在小鼠中根除 B-ALL,并介导长期 B 细胞发育不全。在该模型中,我们发现增加调理化疗可增加肿瘤清除、B 细胞发育不全和 CAR 修饰的 T 细胞持续存在。对受者 B 细胞系细胞的定量分析使我们能够估计体内效应物与内源性靶标之比,以维持 B 细胞发育不全。在表现出明显 B 细胞减少的小鼠中,我们在骨髓中鉴定出一小部分祖 B 细胞,它们可能是长期 CAR 修饰的 T 细胞刺激的储备库。最后,我们确定单独输注 CD8+ CAR 修饰的 T 细胞足以维持长期的 B 细胞清除。我们报告的这种小鼠模型应该对研究基于 CAR 的和其他治疗成人 B-ALL 的方法很有价值。
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