Experimental Transplantation and Immunology Branch, National Cancer Institute, Bethesda, MD 20892, USA.
Kite Pharma, Inc., Santa Monica, CA 90404, USA.
Mol Ther. 2017 Nov 1;25(11):2452-2465. doi: 10.1016/j.ymthe.2017.07.013. Epub 2017 Jul 27.
Anti-CD19 chimeric antigen receptor (CAR) T cells have caused remissions of B cell malignancies, but problems including cytokine-mediated toxicity and short persistence of CAR T cells in vivo might limit the effectiveness of anti-CD19 CAR T cells. Anti-CD19 CARs that have been tested clinically had single-chain variable fragments (scFvs) derived from murine antibodies. We have designed and constructed novel anti-CD19 CARs containing a scFv with fully human variable regions. T cells expressing these CARs specifically recognized CD19 target cells and carried out functions including degranulation, cytokine release, and proliferation. We compared CARs with CD28 costimulatory moieties along with hinge and transmembrane domains from either the human CD28 molecule or the human CD8α molecule. Compared with T cells expressing CARs with CD28 hinge and transmembrane domains, T cells expressing CARs with CD8α hinge and transmembrane domains produced lower levels of cytokines and exhibited lower levels of activation-induced cell death (AICD). Importantly, CARs with hinge and transmembrane regions from either CD8α or CD28 had similar abilities to eliminate established tumors in mice. In anti-CD19 CARs with CD28 costimulatory moieties, lower levels of inflammatory cytokine production and AICD are potential clinical advantages of CD8α hinge and transmembrane domains over CD28 hinge and transmembrane domains.
嵌合抗原受体(CAR)T 细胞针对 B 细胞恶性肿瘤已引起缓解,但包括细胞因子介导的毒性和体内 CAR T 细胞持续时间短等问题,可能限制了抗 CD19 CAR T 细胞的有效性。已在临床上测试的抗 CD19 CAR 具有源自鼠抗体的单链可变片段(scFv)。我们设计并构建了包含完全人源可变区的 scFv 的新型抗 CD19 CAR。表达这些 CAR 的 T 细胞特异性识别 CD19 靶细胞,并执行包括脱颗粒、细胞因子释放和增殖在内的功能。我们比较了带有 CD28 共刺激结构域以及来自人 CD28 分子或人 CD8α 分子的铰链和跨膜结构域的 CAR。与表达带有 CD28 铰链和跨膜结构域的 CAR 的 T 细胞相比,表达带有 CD8α 铰链和跨膜结构域的 CAR 的 T 细胞产生的细胞因子水平较低,并且表现出较低水平的激活诱导的细胞死亡(AICD)。重要的是,带有来自 CD8α 或 CD28 的铰链和跨膜区域的 CAR 具有相似的能力来消除小鼠中已建立的肿瘤。在具有 CD28 共刺激结构域的抗 CD19 CAR 中,较低水平的炎症细胞因子产生和 AICD 是 CD8α 铰链和跨膜结构域相对于 CD28 铰链和跨膜结构域的潜在临床优势。
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