用于CD19嵌合抗原受体T细胞临床前评估的同基因小鼠B细胞淋巴瘤模型

A Syngeneic Mouse B-Cell Lymphoma Model for Pre-Clinical Evaluation of CD19 CAR T Cells.

作者信息

Kueberuwa Gray, Zheng Weiming, Kalaitsidou Milena, Gilham David E, Hawkins Robert E

机构信息

Manchester Cancer Research Centre Building, Department Cancer Sciences, University of Manchester;

Manchester Cancer Research Centre Building, Department Cancer Sciences, University of Manchester.

出版信息

J Vis Exp. 2018 Oct 16(140):58492. doi: 10.3791/58492.

Abstract

The astonishing clinical success of CD19 chimeric antigen receptor (CAR) T-cell therapy has led to the approval of two second generation chimeric antigen receptors (CARs) for acute lymphoblastic leukemia (ALL) andnon-Hodgkin lymphoma (NHL). The focus of the field is now on emulating these successes in other hematological malignancies where less impressive complete response rates are observed. Further engineering of CAR T cells or co-administration of other treatment modalities may successfully overcome obstacles to successful therapy in other cancer settings. We therefore present a model in which others can conduct pre-clinical testing of CD19 CAR T cells. Results in this well tested B-cell lymphoma model are likely to be informative CAR T-cell therapy in general. This protocol allows the reproducible production of mouse CAR T cells through calcium phosphate transfection of Plat-E producer cells with MP71 retroviral constructs and pCL-Eco packaging plasmid followed by collection of secreted retroviral particles and transduction using recombinant human fibronectin fragment and centrifugation. Validation of retroviral transduction, and confirmation of the ability of CAR T cells to kill target lymphoma cells ex vivo, through the use of flow cytometry, luminometry and enzyme-linked immunosorbent assay (ELISA), is also described. Protocols for testing CAR T cells in vivo in lymphoreplete and lymphodepleted syngeneic mice, bearing established, systemic lymphoma are described. Anti-cancer activity is monitored by in vivo bioluminescence and disease progression. We show typical results of eradication of established B-cell lymphoma when utilizing 1 or 2 generation CARs in combination with lymphodepleting pre-conditioning and a minority of mice achieving long term remissions when utilizing CAR T cells expressing IL-12 in lymphoreplete mice. These protocols can be used to evaluate CD19 CAR T cells with different additional modification, combinations of CAR T cells and other therapeutic agents or adapted for the use of CAR T cells against different target antigens.

摘要

CD19嵌合抗原受体(CAR)T细胞疗法在临床上取得的惊人成功,已促使两款第二代嵌合抗原受体获批用于治疗急性淋巴细胞白血病(ALL)和非霍奇金淋巴瘤(NHL)。该领域目前的重点是在其他血液系统恶性肿瘤中复制这些成功,因为在这些肿瘤中观察到的完全缓解率较低。进一步改造CAR T细胞或联合使用其他治疗方式,可能会成功克服在其他癌症治疗中取得成功的障碍。因此,我们提出了一个模型,其他人可以在该模型中对CD19 CAR T细胞进行临床前测试。在这个经过充分测试的B细胞淋巴瘤模型中得到的结果,可能对一般的CAR T细胞疗法具有参考价值。该方案允许通过用MP71逆转录病毒构建体和pCL-Eco包装质粒对Plat-E生产细胞进行磷酸钙转染,可重复生产小鼠CAR T细胞,随后收集分泌的逆转录病毒颗粒,并使用重组人纤连蛋白片段和离心法进行转导。还描述了通过流式细胞术、发光法和酶联免疫吸附测定(ELISA)对逆转录病毒转导进行验证,以及确认CAR T细胞在体外杀死靶淋巴瘤细胞的能力。还描述了在具有全身性淋巴瘤的同基因小鼠体内测试CAR T细胞的方案,这些小鼠分别处于淋巴细胞充足和淋巴细胞耗竭状态。通过体内生物发光和疾病进展监测抗癌活性。我们展示了在联合使用淋巴细胞清除预处理的情况下,利用第一代或第二代CAR消除已建立的B细胞淋巴瘤的典型结果,以及在淋巴细胞充足的小鼠中使用表达IL-12的CAR T细胞时,少数小鼠实现长期缓解的结果。这些方案可用于评估具有不同额外修饰的CD19 CAR T细胞、CAR T细胞与其他治疗剂的组合,或适用于针对不同靶抗原的CAR T细胞的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69fd/6235544/9c161835081e/jove-140-58492-0.jpg

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