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通过改变单个残基来取代 CAR-T 细胞的耐药性,实现持久性。

Replacing CAR-T cell resistance with persistence by changing a single residue.

机构信息

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.

出版信息

J Clin Invest. 2020 Jun 1;130(6):2806-2808. doi: 10.1172/JCI136872.


DOI:10.1172/JCI136872
PMID:32364534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7260020/
Abstract

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.

摘要

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。

相似文献

[1]
Replacing CAR-T cell resistance with persistence by changing a single residue.

J Clin Invest. 2020-6-1

[2]
Single residue in CD28-costimulated CAR-T cells limits long-term persistence and antitumor durability.

J Clin Invest. 2020-6-1

[3]
Combined CD28 and 4-1BB Costimulation Potentiates Affinity-tuned Chimeric Antigen Receptor-engineered T Cells.

Clin Cancer Res. 2019-7-1

[4]
In Vivo Expansion and Antitumor Activity of Coinfused CD28- and 4-1BB-Engineered CAR-T Cells in Patients with B Cell Leukemia.

Mol Ther. 2018-2-2

[5]
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Gene Ther. 2023-5

[6]
A novel chimeric antigen receptor containing a JAK-STAT signaling domain mediates superior antitumor effects.

Nat Med. 2018-2-5

[7]
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Clin Cancer Res. 2017-10-23

[8]
TOP CAR with TMIGD2 as a safe and effective costimulatory domain in CAR cells treating human solid tumors.

Sci Adv. 2024-5-10

[9]
CD28 Costimulatory Domain-Targeted Mutations Enhance Chimeric Antigen Receptor T-cell Function.

Cancer Immunol Res. 2021-1

[10]
Herpes Virus Entry Mediator Costimulation Signaling Enhances CAR T-cell Efficacy Against Solid Tumors Through Metabolic Reprogramming.

Cancer Immunol Res. 2023-4-3

引用本文的文献

[1]
CRISPR/Cas9: A Powerful Strategy to Improve CAR-T Cell Persistence.

Int J Mol Sci. 2023-8-1

[2]
Challenges of Anti-Mesothelin CAR-T-Cell Therapy.

Cancers (Basel). 2023-2-21

[3]
Chimeric antigen receptor T-cell therapy for multiple myeloma.

Front Immunol. 2022

[4]
CD19/CD20 Bispecific Chimeric Antigen Receptor (CAR) in Naive/Memory T Cells for the Treatment of Relapsed or Refractory Non-Hodgkin Lymphoma.

Cancer Discov. 2023-3-1

[5]
CAR-T Cell Performance: How to Improve Their Persistence?

Front Immunol. 2022

[6]
Facing CAR T Cell Challenges on the Deadliest Paediatric Brain Tumours.

Cells. 2021-10-29

[7]
CAR-T in Cancer Treatment: Develop in Self-Optimization, Win-Win in Cooperation.

Cancers (Basel). 2021-4-19

[8]
A brief review concerning Chimeric Antigen Receptors T cell therapy.

J Cancer. 2020-7-11

本文引用的文献

[1]
Prospects and challenges for use of CAR T cell therapies in solid tumors.

Expert Opin Biol Ther. 2020-3-12

[2]
Single residue in CD28-costimulated CAR-T cells limits long-term persistence and antitumor durability.

J Clin Invest. 2020-6-1

[3]
Calibration of CAR activation potential directs alternative T cell fates and therapeutic potency.

Nat Med. 2018-12-17

[4]
Tisagenlecleucel in Adult Relapsed or Refractory Diffuse Large B-Cell Lymphoma.

N Engl J Med. 2018-12-1

[5]
In Vivo Fate and Activity of Second- versus Third-Generation CD19-Specific CAR-T Cells in B Cell Non-Hodgkin's Lymphomas.

Mol Ther. 2018-9-13

[6]
Programmed cell death protein 1 activation preferentially inhibits CD28.CAR-T cells.

Cytotherapy. 2018-10-9

[7]
Strategies to Address Chimeric Antigen Receptor Tonic Signaling.

Mol Cancer Ther. 2018-9

[8]
Phosphoproteomic analysis of chimeric antigen receptor signaling reveals kinetic and quantitative differences that affect cell function.

Sci Signal. 2018-8-21

[9]
Long-Term Follow-up of CD19 CAR Therapy in Acute Lymphoblastic Leukemia.

N Engl J Med. 2018-2-1

[10]
Tisagenlecleucel in Children and Young Adults with B-Cell Lymphoblastic Leukemia.

N Engl J Med. 2018-2-1

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