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IL-7 和 CCL19 分泌型 CAR-T 细胞疗法治疗糖蛋白 3 或间皮素阳性肿瘤。

IL-7 and CCL19-secreting CAR-T cell therapy for tumors with positive glypican-3 or mesothelin.

机构信息

Department of Radiology; Translational Medicine Center and Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

Department of Nutrition; Guangdong Provincial Key Laboratory of Food, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong, China.

出版信息

J Hematol Oncol. 2021 Jul 29;14(1):118. doi: 10.1186/s13045-021-01128-9.


DOI:10.1186/s13045-021-01128-9
PMID:34325726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8323212/
Abstract

Although chimeric antigen receptor (CAR)-engineered T cells have shown great success in the treatment of B cell malignancies, this strategy has limited efficacy in patients with solid tumors. In mouse CAR-T cells, IL-7 and CCL19 expression have been demonstrated to improve T cell infiltration and CAR-T cell survival in mouse tumors. Therefore, in the current study, we engineered human CAR-T cells to secrete human IL-7 and CCL19 (7 × 19) and found that these 7 × 19 CAR-T cells showed enhanced capacities of expansion and migration in vitro. Furthermore, 7 × 19 CAR-T cells showed superior tumor suppression ability compared to conventional CAR-T cells in xenografts of hepatocellular carcinoma (HCC) cell lines, primary HCC tissue samples and pancreatic carcinoma (PC) cell lines. We then initiated a phase 1 clinical trial in advanced HCC/PC/ovarian carcinoma (OC) patients with glypican-3 (GPC3) or mesothelin (MSLN) expression. In a patient with advanced HCC, anti-GPC3-7 × 19 CAR-T treatment resulted in complete tumor disappearance 30 days post intratumor injection. In a patient with advanced PC, anti-MSLN-7 × 19 CAR-T treatment resulted in almost complete tumor disappearance 240 days post-intravenous infusion. Our results demonstrated that the incorporation of 7 × 19 into CAR-T cells significantly enhanced the antitumor activity against human solid tumor. Trial registration: NCT03198546. Registered 26 June 2017, https://clinicaltrials.gov/ct2/show/NCT03198546?term=NCT03198546&draw=2&rank=1.

摘要

尽管嵌合抗原受体 (CAR) 修饰的 T 细胞在治疗 B 细胞恶性肿瘤方面取得了巨大成功,但该策略在实体瘤患者中的疗效有限。在小鼠 CAR-T 细胞中,已证明 IL-7 和 CCL19 的表达可改善小鼠肿瘤中 T 细胞浸润和 CAR-T 细胞的存活。因此,在本研究中,我们对人 CAR-T 细胞进行了工程改造,使其分泌人 IL-7 和 CCL19(7×19),发现这些 7×19 CAR-T 细胞在体外具有增强的扩增和迁移能力。此外,与常规 CAR-T 细胞相比,7×19 CAR-T 细胞在肝癌(HCC)细胞系、原发性 HCC 组织样本和胰腺癌(PC)细胞系的异种移植模型中显示出更强的肿瘤抑制能力。随后,我们在具有糖蛋白 3 (GPC3) 或间皮素 (MSLN) 表达的晚期 HCC/PC/卵巢癌 (OC) 患者中启动了一项 1 期临床试验。在一名晚期 HCC 患者中,抗-GPC3-7×19 CAR-T 治疗在肿瘤内注射后 30 天导致完全肿瘤消失。在一名晚期 PC 患者中,抗-MSLN-7×19 CAR-T 治疗导致几乎完全肿瘤消失,静脉输注后 240 天。我们的结果表明,将 7×19 纳入 CAR-T 细胞可显著增强对人实体瘤的抗肿瘤活性。试验注册:NCT03198546。于 2017 年 6 月 26 日注册,https://clinicaltrials.gov/ct2/show/NCT03198546?term=NCT03198546&draw=2&rank=1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5887/8323212/cbd51742b273/13045_2021_1128_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5887/8323212/a0069c6218ee/13045_2021_1128_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5887/8323212/cbd51742b273/13045_2021_1128_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5887/8323212/a0069c6218ee/13045_2021_1128_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5887/8323212/cbd51742b273/13045_2021_1128_Fig2_HTML.jpg

相似文献

[1]
IL-7 and CCL19-secreting CAR-T cell therapy for tumors with positive glypican-3 or mesothelin.

J Hematol Oncol. 2021-7-29

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[3]
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[5]
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[6]
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[7]
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[10]
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引用本文的文献

[1]
Targeting Glypican-3 for Liver Cancer Therapy: Clinical Applications and Detection Methods.

J Clin Transl Hepatol. 2025-8-28

[2]
CAR-T cell engineered with TCR-like antibody specific for HBV surface antigen epitope E183-91/HLA-A *0201 exhibit potent activity against HBV-HCC.

Oncoimmunology. 2025-12

[3]
hCCL19-expressing recombinant Newcastle disease virus boosts CAR T cell infiltration and efficacy in solid tumor.

J Immunother Cancer. 2025-7-25

[4]
Barriers and solutions for CAR-T therapy in solid tumors.

Cancer Gene Ther. 2025-6-27

[5]
The challenges and progress of CAR-T cell therapy in the treatment of solid tumors.

Mol Cell Biochem. 2025-6-23

[6]
Nanomaterials Mediated Enhancement of CAR-T for HCC: Revolutionizing Immunotherapy Strategies.

Int J Nanomedicine. 2025-6-13

[7]
Immune microenvironment in hepatocellular carcinoma: from pathogenesis to immunotherapy.

Cell Mol Immunol. 2025-6-11

[8]
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Apoptosis. 2025-6-9

[9]
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J Nanobiotechnology. 2025-5-27

[10]
Interleukin-7 enhances recruitment of MDSCs by regulating MCP-1 via JAK1/STAT3 signaling pathway in non-small cell lung cancer.

Sci Rep. 2025-5-15

本文引用的文献

[1]
CD19 CAR-T expressing PD-1/CD28 chimeric switch receptor as a salvage therapy for DLBCL patients treated with different CD19-directed CAR T-cell therapies.

J Hematol Oncol. 2021-2-16

[2]
Recent advances in CAR-T cell engineering.

J Hematol Oncol. 2020-7-2

[3]
Mesothelin is a target of chimeric antigen receptor T cells for treating gastric cancer.

J Hematol Oncol. 2019-2-18

[4]
CAR T cell immunotherapy for human cancer.

Science. 2018-3-23

[5]
IL-7 and CCL19 expression in CAR-T cells improves immune cell infiltration and CAR-T cell survival in the tumor.

Nat Biotechnol. 2018-3-5

[6]
A novel generation 1928zT2 CAR T cells induce remission in extramedullary relapse of acute lymphoblastic leukemia.

J Hematol Oncol. 2018-2-20

[7]
Toll-like receptor 2 costimulation potentiates the antitumor efficacy of CAR T Cells.

Leukemia. 2017-8-3

[8]
Anti-GPC3-CAR T Cells Suppress the Growth of Tumor Cells in Patient-Derived Xenografts of Hepatocellular Carcinoma.

Front Immunol. 2017-1-11

[9]
Toxicities of chimeric antigen receptor T cells: recognition and management.

Blood. 2016-6-30

[10]
Multimerization of a chimeric anti-CD20 single-chain Fv-Fc fusion protein is mediated through variable domain exchange.

Protein Eng. 2001-12

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