脂质纳米颗粒在体内产生嵌合抗原受体 T 细胞,同时敲低白细胞介素-6。

Lipid nanoparticles produce chimeric antigen receptor T cells with interleukin-6 knockdown in vivo.

机构信息

Institute of Biomedical Engineering and Technology, Shanghai Engineering Research Center of Molecular Therapeutics and New Drug Development, School of Chemistry and Molecular Engineering, East China Normal University, Shanghai 200062, PR China.

Institute of Biomedical Engineering and Technology, Shanghai Engineering Research Center of Molecular Therapeutics and New Drug Development, School of Chemistry and Molecular Engineering, East China Normal University, Shanghai 200062, PR China.

出版信息

J Control Release. 2022 Oct;350:298-307. doi: 10.1016/j.jconrel.2022.08.033. Epub 2022 Aug 25.

Abstract

Chimeric receptor T cells (CAR-T) can effectively cure leukemia; however, there are two limitations: a complicated preparation process ex vivo and cytokine release syndrome (CRS). In this study, we constructed a lipid nanoparticle system modified by CD3 antibody on the surface, loading with the plasmid containing the combination gene of interleukin 6 short hairpin RNA (IL-6 shRNA) and CD19-CAR (AntiCD3-LNP/CAR19 + shIL6). The system targeted T cells by the mediation of CD3 antibody and stably transfected T cells to transform them into CAR-T cells with IL-6 knockdown, thus killing CD19-highly expressed leukemia tumor cells and reducing CRS caused by IL-6. In vivo experiments showed that AntiCD3-LNP/CAR19 + shIL6 could stably transfect T cells and produce CAR-T within 90 days to kill the tumor. This significantly prolonged the survival time of leukemia model mice and demonstrated the prepared LNP exhibited the same anti-tumor effect as the traditional CAR-T cells prepared ex vivo. In this study, CAR-T cells were directly produced in vivo after intravenous injection of the lipid nanoparticles, without the need of using the current complex process ex vivo. Additionally, IL-6 expression was silenced, which would be helpful to reduce the CRS and improve the safety of CAR-T therapy. This method improves the convenience of using CAR-T technology and is helpful in further promoting the clinical application of CAR-T.

摘要

嵌合抗原受体 T 细胞(CAR-T)可有效治疗白血病,但存在两个局限性:体外制备过程复杂和细胞因子释放综合征(CRS)。在本研究中,我们构建了一种表面修饰有 CD3 抗体的脂质纳米颗粒系统,负载含有白细胞介素 6 短发夹 RNA(IL-6 shRNA)和 CD19-CAR 组合基因的质粒。该系统通过 CD3 抗体介导靶向 T 细胞,并稳定转染 T 细胞,将其转化为 IL-6 敲低的 CAR-T 细胞,从而杀死 CD19 高表达的白血病肿瘤细胞,并减少由 IL-6 引起的 CRS。体内实验表明,AntiCD3-LNP/CAR19+shIL6 可稳定转染 T 细胞,并在 90 天内产生 CAR-T 杀死肿瘤。这显著延长了白血病模型小鼠的存活时间,并证明了所制备的 LNP 具有与传统体外制备的 CAR-T 细胞相同的抗肿瘤作用。在本研究中,脂质纳米颗粒静脉注射后可直接在体内产生 CAR-T,无需使用当前复杂的体外过程。此外,沉默了 IL-6 的表达,这有助于减少 CRS 并提高 CAR-T 治疗的安全性。该方法提高了使用 CAR-T 技术的便利性,有助于进一步推动 CAR-T 的临床应用。

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