Department of Obstetrics and Gynecology, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Department of Obstetrics and Gynecology, Guangyuan Traditional Chinese Medicine Hospital, Guangyuan, China.
Int J Biol Sci. 2021 Oct 22;17(15):4365-4376. doi: 10.7150/ijbs.63181. eCollection 2021.
Given the heterogeneity of solid tumors, single-target CAR-T cell therapy often leads to recurrence, especially in ovarian cancer (OV). Here, we constructed a Tandem-CAR targeting two antigens with secretory activity (IL-12) to improve the effects of CAR-T cell therapy. Twenty coexpressed upregulated genes were identified from the GEO database, and we found FOLR1 (folate receptor 1) and MSLN (mesothelin) were specifically and highly expressed in cancer tissues and only 11.25% of samples were negative for both antigens. We observed an increased proliferation rate for these three CAR-T cells, and Tandem CAR-T cells could efficiently lyse antigen-positive OV cells and secrete higher levels of cytokines than single-target CAR-T cells. More importantly, experiments indicated that Tandem CAR-T cells markedly decreased tumor volume, exhibited enhanced antitumor activity, and prolonged mouse survival. Furthermore, the infiltration and persistence of T cells in the Tandem-CAR group were higher than those in the MSLN-CAR and Control-T groups but comparable to those in the FOLR1-CAR group. Collectively, this study demonstrated that Tandem CAR-T cells secreting IL-12 could enhance immunotherapeutic effects by reducing tumor antigen escape and increasing T cell functionality, which could be a promising therapeutic strategy for OV and other solid tumors.
鉴于实体瘤的异质性,单靶点 CAR-T 细胞疗法常常导致复发,尤其是在卵巢癌(OV)中。在这里,我们构建了一种靶向两种具有分泌活性(IL-12)的抗原的串联 CAR,以提高 CAR-T 细胞治疗的效果。我们从 GEO 数据库中鉴定了 20 个共表达上调的基因,发现 FOLR1(叶酸受体 1)和 MSLN(间皮素)在癌症组织中特异性和高度表达,只有 11.25%的样本两种抗原均为阴性。我们观察到这三种 CAR-T 细胞的增殖率增加,串联 CAR-T 细胞能够有效裂解抗原阳性的 OV 细胞,并分泌比单靶点 CAR-T 细胞更高水平的细胞因子。更重要的是,实验表明,串联 CAR-T 细胞显著降低了肿瘤体积,表现出增强的抗肿瘤活性,并延长了小鼠的存活时间。此外,串联-CAR 组中 T 细胞的浸润和持久性高于 MSLN-CAR 和对照-T 组,但与 FOLR1-CAR 组相当。总之,这项研究表明,分泌 IL-12 的串联 CAR-T 细胞可以通过减少肿瘤抗原逃逸和增强 T 细胞功能来增强免疫治疗效果,这可能是治疗 OV 和其他实体瘤的一种有前途的治疗策略。
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