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自然杀伤细胞的基因转导及其临床应用。

Gene Transduction of Natural Killer Cells for Clinical Application.

机构信息

Departments of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

出版信息

Methods Mol Biol. 2022;2463:311-328. doi: 10.1007/978-1-0716-2160-8_21.

DOI:10.1007/978-1-0716-2160-8_21
PMID:35344183
Abstract

Autologous T cells expressing chimeric antigen receptor (CAR) have produced a spectacular response in hematological malignancies. This success of cellular therapy has inspired the exploration of the therapeutic potential of other immune cell types. In this regard, natural killer (NK) cells hold great potential as they can identify tumor cells by mechanisms that are different from those used by T cells and have a high cytotoxic capacity. Their capacity to recognize tumors and killing potency can be further enhanced by genetic modification. Our laboratory has developed a clinically adaptable method to manufacture genetically modified NK cells using retroviral vectors in compliance with current good manufacturing practice regulations. Here, we describe relevant technical procedures, including isolation of peripheral blood mononucleated cells from a leukapheresis product, T-cell depletion, stimulation and transduction of NK cells, and preparation of transduced NK cells for infusion.

摘要

嵌合抗原受体 (CAR) 表达的自体 T 细胞在血液系统恶性肿瘤中产生了显著的反应。细胞治疗的成功激发了对其他免疫细胞类型治疗潜力的探索。在这方面,自然杀伤 (NK) 细胞具有很大的潜力,因为它们可以通过不同于 T 细胞的机制识别肿瘤细胞,并且具有高细胞毒性。通过遗传修饰可以进一步增强它们识别肿瘤和杀伤的能力。我们的实验室开发了一种临床可适应的方法,使用逆转录病毒载体制造符合现行良好生产规范法规的基因修饰 NK 细胞。在这里,我们描述了相关的技术程序,包括从白细胞分离产品中分离外周血单个核细胞、T 细胞耗竭、NK 细胞的刺激和转导,以及转导的 NK 细胞输注的准备。

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本文引用的文献

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Exploring the NK cell platform for cancer immunotherapy.探索自然杀伤细胞平台在癌症免疫疗法中的应用。
Nat Rev Clin Oncol. 2021 Feb;18(2):85-100. doi: 10.1038/s41571-020-0426-7. Epub 2020 Sep 15.
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The cancer-natural killer cell immunity cycle.癌症-自然杀伤细胞免疫周期。
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Phase I Trial of Expanded, Activated Autologous NK-cell Infusions with Trastuzumab in Patients with HER2-positive Cancers.曲妥珠单抗联合扩增激活的自体自然杀伤细胞输注用于HER2阳性癌症患者的I期试验
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Use of CAR-Transduced Natural Killer Cells in CD19-Positive Lymphoid Tumors.嵌合抗原受体修饰的自然杀伤细胞在 CD19 阳性淋巴肿瘤中的应用。
N Engl J Med. 2020 Feb 6;382(6):545-553. doi: 10.1056/NEJMoa1910607.
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Engineering of Natural Killer Cells for Clinical Application.自然杀伤细胞的临床应用工程。
Methods Mol Biol. 2020;2097:91-105. doi: 10.1007/978-1-0716-0203-4_6.
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Blocking expression of inhibitory receptor NKG2A overcomes tumor resistance to NK cells.阻断抑制性受体 NKG2A 的表达可克服肿瘤对 NK 细胞的抵抗。
J Clin Invest. 2019 Mar 12;129(5):2094-2106. doi: 10.1172/JCI123955. Print 2019 May 1.
7
IL-15 enhanced antibody-dependent cellular cytotoxicity mediated by NK cells and macrophages.IL-15 增强 NK 细胞和巨噬细胞介导的抗体依赖性细胞细胞毒性。
Proc Natl Acad Sci U S A. 2018 Nov 13;115(46):E10915-E10924. doi: 10.1073/pnas.1811615115. Epub 2018 Oct 29.
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Human iPSC-Derived Natural Killer Cells Engineered with Chimeric Antigen Receptors Enhance Anti-tumor Activity.人诱导多能干细胞来源的嵌合抗原受体修饰自然杀伤细胞增强抗肿瘤活性。
Cell Stem Cell. 2018 Aug 2;23(2):181-192.e5. doi: 10.1016/j.stem.2018.06.002. Epub 2018 Jun 28.
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Long-Term Follow-up of CD19 CAR Therapy in Acute Lymphoblastic Leukemia.急性淋巴细胞白血病中CD19嵌合抗原受体疗法的长期随访
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Tisagenlecleucel in Children and Young Adults with B-Cell Lymphoblastic Leukemia.替沙格赛定用于治疗儿童和年轻成人B细胞淋巴细胞白血病
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