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肿瘤固有 CD21 表达影响 B 细胞恶性肿瘤细胞对 CD19-CAR-T 细胞的反应。

Tumor-intrinsic CD21 expression impacts the response of B-cell malignancy cells to CD19-CAR-T cells.

机构信息

Shanghai Institute of Hematology, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine at Shanghai, Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

J Leukoc Biol. 2022 Oct;112(4):913-918. doi: 10.1002/JLB.5MA0122-474R. Epub 2022 Mar 25.


DOI:10.1002/JLB.5MA0122-474R
PMID:35338522
Abstract

CD19-chimeric antigen receptor (CAR)-based T-cell therapy has produced promising clinical responses in patients with relapsed or refractory B-cell malignancies. However, a significant portion of patients with mature B cell-derived malignancies, including chronic lymphocytic leukemia (CLL) and non-Hodgkin's lymphoma (NHL), do not respond to CD19-CAR-T cell therapy. Whether any characteristics and biomarkers intrinsic to cancer cells themselves can predict the CD19-CAR-T cell therapeutic response remains largely unknown. Surprisingly, by using experimental models, we show here that malignant B cells bearing CD21, a mature B cell marker, could not be efficiently killed by CD19-CAR-T cells. CD19, CD21, and CD81, together with CD225, form the B cell coreceptor complex that enhances B cell-mediated signaling. Our results indicated that CD21 affected the recognition of CD19-positive tumor cells by CD19-CAR-T cells and impaired the antitumor capacities of these effector cells. We have not only uncovered a mechanism underlying the impairment of CD19-CAR-T cells in mature B cell-derived CLL and NHL, but also proposed a pretreatment biomarker that may predict CD19-CAR-T cell therapeutic response, thus preventing foreseeable therapy failure and suggesting optimal personized therapies.

摘要

嵌合抗原受体(CAR)T 细胞疗法在复发性或难治性 B 细胞恶性肿瘤患者中产生了有前景的临床反应。然而,包括慢性淋巴细胞白血病(CLL)和非霍奇金淋巴瘤(NHL)在内的成熟 B 细胞来源恶性肿瘤患者中,相当一部分对 CD19-CAR-T 细胞治疗没有反应。癌症细胞本身是否存在任何固有特征和生物标志物可以预测 CD19-CAR-T 细胞治疗反应,在很大程度上仍然未知。令人惊讶的是,通过使用实验模型,我们在这里表明,携带成熟 B 细胞标志物 CD21 的恶性 B 细胞不能被 CD19-CAR-T 细胞有效杀伤。CD19、CD21 和 CD81 与 CD225 一起形成 B 细胞共受体复合物,增强 B 细胞介导的信号转导。我们的结果表明,CD21 影响 CD19-CAR-T 细胞对 CD19 阳性肿瘤细胞的识别,并损害这些效应细胞的抗肿瘤能力。我们不仅揭示了 CD19-CAR-T 细胞在成熟 B 细胞来源的 CLL 和 NHL 中受损的机制,还提出了一种预处理生物标志物,该标志物可能预测 CD19-CAR-T 细胞治疗反应,从而防止可预见的治疗失败,并建议最佳个性化治疗。

相似文献

[1]
Tumor-intrinsic CD21 expression impacts the response of B-cell malignancy cells to CD19-CAR-T cells.

J Leukoc Biol. 2022-10

[2]
Loop CD20/CD19 CAR-T cells eradicate B-cell malignancies efficiently.

Sci China Life Sci. 2023-4

[3]
CD19 Chimeric Antigen Receptor T Cells From Patients With Chronic Lymphocytic Leukemia Display an Elevated IFN-γ Production Profile.

J Immunother. 2018

[4]
[Research Progress of CAR-T Cell Immunotherapy in B-Cell Non-Hodgkin's Lymphoma--Review].

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2024-6

[5]
Chimeric Antigen Receptor (CAR) T Cells: Lessons Learned from Targeting of CD19 in B-Cell Malignancies.

Drugs. 2017-3

[6]
Head-to-head comparison of in-house produced CD19 CAR-T cell in ALL and NHL patients.

J Immunother Cancer. 2020-3

[7]
Efficiency of CD19 chimeric antigen receptor-modified T cells for treatment of B cell malignancies in phase I clinical trials: a meta-analysis.

Oncotarget. 2015-10-20

[8]
Antitumor Potency of an Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy, Lisocabtagene Maraleucel in Combination With Ibrutinib or Acalabrutinib.

J Immunother. 2020-5

[9]
Safety and tolerability of conditioning chemotherapy followed by CD19-targeted CAR T cells for relapsed/refractory CLL.

JCI Insight. 2019-4-2

[10]
In Vivo Fate and Activity of Second- versus Third-Generation CD19-Specific CAR-T Cells in B Cell Non-Hodgkin's Lymphomas.

Mol Ther. 2018-9-13

引用本文的文献

[1]
Role of FHOD1 in tumor cells and tumor immune microenvironment.

Front Immunol. 2025-4-29

[2]
Preclinical development of anti-CD21 chimeric antigen receptor T cells to treat T cell acute lymphoblastic leukemia.

Sci Transl Med. 2025-4-16

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