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伊布替尼提高慢性淋巴细胞白血病患者嵌合抗原受体 T 细胞产量。

Ibrutinib for improved chimeric antigen receptor T-cell production for chronic lymphocytic leukemia patients.

机构信息

Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.

National Center for Tumor Diseases (NCT), German Cancer Consortium (DKTK), Heidelberg, Germany.

出版信息

Int J Cancer. 2021 Jan 15;148(2):419-428. doi: 10.1002/ijc.33212. Epub 2020 Jul 28.


DOI:10.1002/ijc.33212
PMID:32683672
Abstract

Chimeric antigen receptor T (CART) cells targeting CD19 have shown promising results in the treatment of chronic lymphocytic leukemia (CLL). However, efficacy seems to be inferior compared to diffuse large B-cell lymphoma or acute lymphoblastic leukemia. Impaired T-cell fitness of CLL patients may be involved in treatment failure. Less-differentiated naïve-like T cells play an important role in CART expansion and long-term persistence in vivo. These cells are sparse in CLL patients. Therefore, optimization of CART cell production protocols enriching less differentiated T cell subsets may overcome treatment resistance. The B-cell receptor inhibitor ibrutinib targeting Bruton's tyrosine kinase (BTK) is approved for the treatment of CLL. Besides BTK, ibrutinib additionally inhibits interleukin-2-inducible T-cell kinase (ITK) which is involved in T-cell differentiation. To evaluate the effect of ibrutinib on CART cell production, peripheral blood mononuclear cells from nine healthy donors and eight CLL patients were used to generate CART cells. T-cell expansion and phenotype, expression of homing and exhaustion makers as well as functionality of CART cells were evaluated. CART cell generation in the presence of ibrutinib resulted in increased cell viability and expansion of CLL patient-derived CART cells. Furthermore, ibrutinib enriched CART cells with less-differentiated naïve-like phenotype and decreased expression of exhaustion markers including PD-1, TIM-3 and LAG-3. In addition, ibrutinib increased the cytokine release capacity of CLL patient-derived CART cells. In summary, BTK/ITK inhibition with ibrutinib during CART cell culture can improve yield and function of CLL patient-derived CART cell products.

摘要

嵌合抗原受体 T(CART)细胞靶向 CD19 在治疗慢性淋巴细胞白血病(CLL)方面显示出良好的效果。然而,与弥漫性大 B 细胞淋巴瘤或急性淋巴细胞白血病相比,其疗效似乎较差。CLL 患者 T 细胞功能受损可能与治疗失败有关。未分化的初始样 T 细胞在 CART 扩增和体内长期持久性中起着重要作用。这些细胞在 CLL 患者中较为稀少。因此,优化 CART 细胞生产方案,富集未分化的 T 细胞亚群,可能克服治疗耐药性。针对布鲁顿酪氨酸激酶(BTK)的 B 细胞受体抑制剂伊布替尼已被批准用于治疗 CLL。除了 BTK,伊布替尼还抑制参与 T 细胞分化的白细胞介素 2 诱导的 T 细胞激酶(ITK)。为了评估伊布替尼对 CART 细胞生产的影响,使用来自 9 名健康供体和 8 名 CLL 患者的外周血单核细胞生成 CART 细胞。评估了 T 细胞扩增和表型、归巢和衰竭标志物的表达以及 CART 细胞的功能。在伊布替尼存在的情况下生成 CART 细胞导致 CLL 患者来源的 CART 细胞的细胞活力和扩增增加。此外,伊布替尼富集了具有未分化初始样表型的 CART 细胞,并降低了包括 PD-1、TIM-3 和 LAG-3 在内的衰竭标志物的表达。此外,伊布替尼增加了 CLL 患者来源的 CART 细胞的细胞因子释放能力。总之,伊布替尼在 CART 细胞培养过程中对 BTK/ITK 的抑制作用可以提高 CLL 患者来源的 CART 细胞产品的产量和功能。

相似文献

[1]
Ibrutinib for improved chimeric antigen receptor T-cell production for chronic lymphocytic leukemia patients.

Int J Cancer. 2021-1-15

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Response-adapted zanubrutinib and tislelizumab as a potential strategy to enhance CD19 CAR T-cell therapy in relapsed/refractory large B-cell lymphoma: A retrospective observational study.

Clin Transl Med. 2025-4

[2]
Ibrutinib enhances the bias of T cell responses towards staphylococcal superantigens sustaining inflammation in chronic lymphocytic leukaemia.

Front Immunol. 2025-3-26

[3]
A Proteomics Outlook on the Molecular Effectors of CAR-T Cell Therapy in Cancer Management.

J Proteome Res. 2025-6-6

[4]
Leveraging the Immunomodulatory Potential of Ibrutinib for Improved Outcomes of T Cell-Mediated Therapies of B Cell Malignancies: A Narrative Review.

Target Oncol. 2025-3

[5]
Impact of T cell characteristics on CAR-T cell therapy in hematological malignancies.

Blood Cancer J. 2024-12-3

[6]
Accelerating CAR-T Cell Therapies with Small-Molecule Inhibitors.

BioDrugs. 2025-1

[7]
CAR-T cell combination therapies in hematologic malignancies.

Exp Hematol Oncol. 2024-7-18

[8]
CAR-T cell manufacturing landscape-Lessons from the past decade and considerations for early clinical development.

Mol Ther Methods Clin Dev. 2024-4-16

[9]
Broadening the horizon: potential applications of CAR-T cells beyond current indications.

Front Immunol. 2023

[10]
CAR-modified Cellular Therapies in Chronic Lymphocytic Leukemia: Is the Uphill Road Getting Less Steep?

Hemasphere. 2023-11-30

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