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四重基因工程自然杀伤细胞能够实现多抗原靶向,从而针对多发性骨髓瘤产生持久的抗肿瘤活性。

Quadruple gene-engineered natural killer cells enable multi-antigen targeting for durable antitumor activity against multiple myeloma.

机构信息

University of Minnesota, Department of Medicine, Minneapolis, MN, 55455, USA.

Fate Therapeutics, San Diego, CA, 92121, USA.

出版信息

Nat Commun. 2022 Nov 29;13(1):7341. doi: 10.1038/s41467-022-35127-2.


DOI:10.1038/s41467-022-35127-2
PMID:36446823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9709157/
Abstract

Allogeneic natural killer (NK) cell adoptive transfer is a promising treatment for several cancers but is less effective for the treatment of multiple myeloma. In this study, we report on quadruple gene-engineered induced pluripotent stem cell (iPSC)-derived NK cells designed for mass production from a renewable source and for dual targeting against multiple myeloma through the introduction of an NK cell-optimized chimeric antigen receptor (CAR) specific for B cell maturation antigen (BCMA) and a high affinity, non-cleavable CD16 to augment antibody-dependent cellular cytotoxicity when combined with therapeutic anti-CD38 antibodies. Additionally, these cells express a membrane-bound interleukin-15 fusion molecule to enhance function and persistence along with knock out of CD38 to prevent antibody-mediated fratricide and enhance NK cell metabolic fitness. In various preclinical models, including xenogeneic adoptive transfer models, quadruple gene-engineered NK cells consistently demonstrate durable antitumor activity independent of exogenous cytokine support. Results presented here support clinical translation of this off-the-shelf strategy for effective treatment of multiple myeloma.

摘要

异体自然杀伤 (NK) 细胞过继转移是治疗多种癌症的一种很有前途的方法,但对多发性骨髓瘤的治疗效果较差。在这项研究中,我们报告了四重基因工程诱导多能干细胞 (iPSC) 衍生的 NK 细胞,旨在从可再生资源中进行大规模生产,并通过引入针对 B 细胞成熟抗原 (BCMA) 的 NK 细胞优化嵌合抗原受体 (CAR) 进行双重靶向,同时结合治疗性抗 CD38 抗体,提高抗体依赖性细胞毒性。此外,这些细胞表达一种膜结合的白细胞介素 15 融合分子,以增强功能和持久性,同时敲除 CD38,以防止抗体介导的自相残杀,并增强 NK 细胞的代谢适应性。在各种临床前模型中,包括异种过继转移模型,四重基因工程 NK 细胞均表现出持久的抗肿瘤活性,无需外源性细胞因子支持。这里呈现的结果支持这种现成策略的临床转化,以有效治疗多发性骨髓瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/fe82f7769fcf/41467_2022_35127_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/16d1adcd63b2/41467_2022_35127_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/935f955e2a90/41467_2022_35127_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/f9a367a31324/41467_2022_35127_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/072d5d776290/41467_2022_35127_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/2750715d56b7/41467_2022_35127_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/eca72c2f6548/41467_2022_35127_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/fe82f7769fcf/41467_2022_35127_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/16d1adcd63b2/41467_2022_35127_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/935f955e2a90/41467_2022_35127_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/f9a367a31324/41467_2022_35127_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/072d5d776290/41467_2022_35127_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/2750715d56b7/41467_2022_35127_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/eca72c2f6548/41467_2022_35127_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/997c/9709157/fe82f7769fcf/41467_2022_35127_Fig7_HTML.jpg

相似文献

[1]
Quadruple gene-engineered natural killer cells enable multi-antigen targeting for durable antitumor activity against multiple myeloma.

Nat Commun. 2022-11-29

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

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Toggling of NKG2A expression drives functional specialization of iPSC-derived CAR NK cells.

bioRxiv. 2025-8-23

[2]
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J Immunother Cancer. 2025-7-23

[3]
Human iPSC-derived NK cells armed with CCL19, CCR2B, high-affinity CD16, IL-15, and NKG2D complex enhance anti-solid tumor activity.

Stem Cell Res Ther. 2025-7-15

[4]
Genetically engineered T cell membrane-camouflaged nanoparticles triggered cuproptosis for synergistic bladder cancer photothermal-immunotherapy.

J Nanobiotechnology. 2025-6-7

[5]
Onboard, tethered IL-12 boosts potency of the Tmod NOT gate and preserves selectivity.

J Immunother Cancer. 2025-5-21

[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Systemic IL-15 promotes allogeneic cell rejection in patients treated with natural killer cell adoptive therapy.

Blood. 2022-2-24

[2]
Clinical experience of CAR T cells for multiple myeloma.

Best Pract Res Clin Haematol. 2021-9

[3]
Harnessing features of adaptive NK cells to generate iPSC-derived NK cells for enhanced immunotherapy.

Cell Stem Cell. 2021-12-2

[4]
Ciltacabtagene autoleucel, a B-cell maturation antigen-directed chimeric antigen receptor T-cell therapy in patients with relapsed or refractory multiple myeloma (CARTITUDE-1): a phase 1b/2 open-label study.

Lancet. 2021-7-24

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Idecabtagene Vicleucel in Relapsed and Refractory Multiple Myeloma.

N Engl J Med. 2021-2-25

[6]
Homozygous BCMA gene deletion in response to anti-BCMA CAR T cells in a patient with multiple myeloma.

Nat Med. 2021-4

[7]
Biallelic loss of BCMA as a resistance mechanism to CAR T cell therapy in a patient with multiple myeloma.

Nat Commun. 2021-2-8

[8]
iPSC-derived NK cells maintain high cytotoxicity and enhance in vivo tumor control in concert with T cells and anti-PD-1 therapy.

Sci Transl Med. 2020-11-4

[9]
The clinical significance of CD49e and CD56 for multiple myeloma in the novel agents era.

Med Oncol. 2020-10-17

[10]
Chimeric antigen receptor T cell therapy in multiple myeloma: promise and challenges.

Bone Marrow Transplant. 2021-1

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