Center for Cell and Gene Therapy, Baylor College of Medicine, Houston Methodist Hospital and Texas Children's Hospital, Houston, Texas, USA.
Texas Children's Cancer and Hematology Centers, Baylor College of Medicine, Houston, Texas, USA.
J Clin Invest. 2020 Jun 1;130(6):2806-2808. doi: 10.1172/JCI136872.
Sustained persistence of chimeric antigen receptor T (CAR-T) cells is a key characteristic associated with long-term remission in patients with hematologic malignancies. Attempts to uncover mechanisms that enhance persistence and thus functionality will have a substantial impact in broadening application of CAR-T cell therapy, especially for solid tumors. In this issue of the JCI, Guedan et al. describe a promising strategy to limit T cell exhaustion and improve persistence by changing a single amino acid in the costimulatory domain of CD28. The authors demonstrated that this single amino acid substitution in CD28-based mesothelin CAR-T cells results in improved persistence and functionality in a xenograft model of pancreatic cancer. Furthermore, reciprocal alteration of the same residue in inducible costimulator-containing (ICOS-containing) CAR-T cells resulted in limited antitumor activity and persistence. These findings suggest that simple alterations in the costimulatory domain may enhance CAR-T cell persistence, warranting future evaluation in other CD28-costimulatory CARs in an effort to improve durable antitumor effects.
嵌合抗原受体 T (CAR-T) 细胞的持续存在是与血液恶性肿瘤患者长期缓解相关的一个关键特征。探索增强持久性从而提高功能的机制,将对拓宽 CAR-T 细胞治疗的应用产生重大影响,特别是对实体瘤。在本期 JCI 中,Guedan 等人描述了一种很有前途的策略,通过改变 CD28 共刺激结构域中的单个氨基酸来限制 T 细胞衰竭并提高其持久性。作者证明,基于 CD28 的间皮素 CAR-T 细胞中的这一单氨基酸取代可导致在胰腺癌异种移植模型中改善持久性和功能。此外,在包含诱导共刺激分子 (ICOS 包含) 的 CAR-T 细胞中相同残基的相互改变导致有限的抗肿瘤活性和持久性。这些发现表明,共刺激结构域中的简单改变可能增强 CAR-T 细胞的持久性,值得在其他 CD28 共刺激 CAR 中进行进一步评估,以努力提高持久的抗肿瘤效果。
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