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