Department of Oncology UNIL CHUV, Ludwig Institute for Cancer Research Lausanne, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Front Immunol. 2020 Nov 11;11:583716. doi: 10.3389/fimmu.2020.583716. eCollection 2020.
Chimeric antigen receptor (CAR) engineered T cell therapies individually prepared for each patient with autologous T cells have recently changed clinical practice in the management of B cell malignancies. Even though CARs used to redirect polyclonal T cells to the tumor are not HLA restricted, CAR T cells are also characterized by their endogenous T cell receptor (TCR) repertoire. Tumor-antigen targeted TCR-based T cell therapies in clinical trials are thus far using "conventional" αβ-TCRs that recognize antigens presented as peptides in the context of the major histocompatibility complex. Thus, both CAR- and TCR-based adoptive T cell therapies (ACTs) are dictated by compatibility of the highly polymorphic HLA molecules between donors and recipients in order to avoid graft-versus-host disease and rejection. The development of third-party healthy donor derived well-characterized off-the-shelf cell therapy products that are readily available and broadly applicable is an intensive area of research. While genome engineering provides the tools to generate "universal" donor cells that can be redirected to cancers, we will focus our attention on third-party off-the-shelf strategies with T cells that are characterized by unique natural features and do not require genome editing for safe administration. Specifically, we will discuss the use of virus-specific T cells, lipid-restricted (CD1) T cells, MR1-restricted T cells, and γδ-TCR T cells. CD1- and MR1-restricted T cells are not HLA-restricted and have the potential to serve as a unique source of universal TCR sequences to be broadly applicable in TCR-based ACT as their targets are presented by the monomorphic CD1 or MR1 molecules on a wide variety of tumor types. For each cell type, we will summarize the stage of preclinical and clinical development and discuss opportunities and challenges to deliver off-the-shelf targeted cellular therapies against cancer.
嵌合抗原受体 (CAR) 工程化 T 细胞疗法是为每位患者使用自体 T 细胞个体化制备的,最近改变了 B 细胞恶性肿瘤治疗的临床实践。尽管用于将多克隆 T 细胞重新导向肿瘤的 CAR 不受 HLA 限制,但 CAR T 细胞也具有其内源性 T 细胞受体 (TCR) 库。临床试验中基于肿瘤抗原靶向 TCR 的 T 细胞疗法迄今为止使用的是识别主要组织相容性复合体中呈递为肽的抗原的“常规”αβ-TCR。因此,CAR 和 TCR 为基础的过继性 T 细胞疗法 (ACT) 都取决于供体和受者之间高度多态性 HLA 分子的兼容性,以避免移植物抗宿主病和排斥反应。开发第三方健康供体来源的特征明确的现成现货细胞治疗产品,这些产品易于获得且广泛适用,是一个密集的研究领域。虽然基因组工程提供了生成可重新定向至癌症的“通用”供体细胞的工具,但我们将注意力集中在第三方现成的 T 细胞策略上,这些 T 细胞具有独特的天然特征,并且不需要基因组编辑即可安全给药。具体而言,我们将讨论病毒特异性 T 细胞、脂质限制 (CD1) T 细胞、MR1 限制 T 细胞和 γδ-TCR T 细胞的应用。CD1 和 MR1 限制 T 细胞不受 HLA 限制,并且有可能作为广泛适用于 TCR 为基础的 ACT 的通用 TCR 序列的独特来源,因为它们的靶标由多种肿瘤类型上的单态 CD1 或 MR1 分子呈递。对于每种细胞类型,我们将总结临床前和临床开发的阶段,并讨论提供现成靶向细胞疗法治疗癌症的机会和挑战。