Department of Chemical Engineering, Stanford University, Stanford, CA 94305, USA.
Department of Bioengineering, Stanford University, Stanford, CA 94305, USA.
Sci Adv. 2022 Apr 8;8(14):eabn8264. doi: 10.1126/sciadv.abn8264.
Adoptive cell therapy (ACT) has proven to be highly effective in treating blood cancers, but traditional approaches to ACT are poorly effective in treating solid tumors observed clinically. Novel delivery methods for therapeutic cells have shown promise for treatment of solid tumors when compared with standard intravenous administration methods, but the few reported approaches leverage biomaterials that are complex to manufacture and have primarily demonstrated applicability following tumor resection or in immune-privileged tissues. Here, we engineer simple-to-implement injectable hydrogels for the controlled co-delivery of CAR-T cells and stimulatory cytokines that improve treatment of solid tumors. The unique architecture of this material simultaneously inhibits passive diffusion of entrapped cytokines and permits active motility of entrapped cells to enable long-term retention, viability, and activation of CAR-T cells. The generation of a transient inflammatory niche following administration affords sustained exposure of CAR-T cells, induces a tumor-reactive CAR-T phenotype, and improves efficacy of treatment.
过继细胞疗法(ACT)已被证明在治疗血液癌症方面非常有效,但传统的 ACT 方法在治疗临床上观察到的实体瘤方面效果不佳。与标准静脉给药方法相比,治疗细胞的新型输送方法在治疗实体瘤方面显示出了前景,但少数报道的方法利用了制造复杂的生物材料,并且主要在肿瘤切除或免疫豁免组织中表现出适用性。在这里,我们设计了简单易用的可注射水凝胶,用于共递送 CAR-T 细胞和刺激细胞因子,以改善实体瘤的治疗效果。该材料的独特结构同时抑制了包封细胞因子的被动扩散,并允许包封细胞的主动运动,从而实现了 CAR-T 细胞的长期保留、活力和激活。给药后形成短暂的炎症微环境,为 CAR-T 细胞提供持续暴露,诱导肿瘤反应性 CAR-T 表型,并提高治疗效果。