Interdisciplinary Program for Bioengineering, Seoul National University, Seoul, 08826, Republic of Korea.
Department of Smart Health Science and Technology, Kangwon National University, Chuncheon, 24341, Republic of Korea.
Adv Mater. 2021 Oct;33(43):e2103258. doi: 10.1002/adma.202103258. Epub 2021 Sep 12.
Chimeric antigen receptor-T (CAR-T) cell immunotherapy has shown impressive clinical outcomes for hematologic malignancies. However, its broader applications are challenged due to its complex ex vivo cell-manufacturing procedures and low therapeutic efficacy against solid tumors. The limited therapeutic effects are partially due to limited CAR-T cell infiltration to solid tumors and inactivation of CAR-T cells by the immunosuppressive tumor microenvironment. Here, a facile approach is presented to in vivo program macrophages, which can intrinsically penetrate solid tumors, into CAR-M1 macrophages displaying enhanced cancer-directed phagocytosis and anti-tumor activity. In vivo injected nanocomplexes of macrophage-targeting nanocarriers and CAR-interferon-γ-encoding plasmid DNA induce CAR-M1 macrophages that are capable of CAR-mediated cancer phagocytosis, anti-tumor immunomodulation, and inhibition of solid tumor growth. Together, this study describes an off-the-shelf CAR-macrophage therapy that is effective for solid tumors and avoids the complex and costly processes of ex vivo CAR-cell manufacturing.
嵌合抗原受体 T(CAR-T)细胞免疫疗法在血液恶性肿瘤方面显示出了令人瞩目的临床疗效。然而,由于其复杂的体外细胞制造程序以及对实体瘤的低治疗效果,其更广泛的应用受到了挑战。治疗效果有限的部分原因是 CAR-T 细胞对实体瘤的浸润有限,以及 CAR-T 细胞被免疫抑制的肿瘤微环境所失活。在这里,提出了一种简便的方法,可将固有穿透实体瘤的巨噬细胞在体内编程为具有增强的靶向癌症吞噬作用和抗肿瘤活性的 CAR-M1 巨噬细胞。体内注射的巨噬细胞靶向纳米载体和 CAR-干扰素-γ 编码质粒 DNA 的纳米复合物诱导产生能够进行 CAR 介导的癌症吞噬、抗肿瘤免疫调节以及抑制实体瘤生长的 CAR-M1 巨噬细胞。总之,这项研究描述了一种现成的 CAR 巨噬细胞疗法,可有效治疗实体瘤,同时避免了体外 CAR 细胞制造过程的复杂性和高成本。
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