嵌合 HLA 抗体受体 T 细胞用于移植中抗体介导排斥反应的靶向治疗。
Chimeric HLA antibody receptor T cells for targeted therapy of antibody-mediated rejection in transplantation.
机构信息
Department of Immunology, Clinic Barcelona, Barcelona, Spain.
Laboratori Experimental de Nefrologia i Trasplantament (LENIT), Fundació de Recerca Clinic Barcelona-Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Spain.
出版信息
HLA. 2023 Oct;102(4):449-463. doi: 10.1111/tan.15156. Epub 2023 Jul 28.
The presence of donor-specific antibodies (DSA), mainly against HLA, increases the risk of allograft rejection. Moreover, antibody-mediated rejection (ABMR) remains an important barrier to optimal long-term outcomes after solid organ transplantation. The development of chimeric autoantibody receptor T lymphocytes has been postulated for targeted therapy of autoimmune diseases. We aimed to develop a targeted therapy for DSA desensitization and ABMR, generating T cells with a chimeric HLA antibody receptor (CHAR) that specifically eliminates DSA-producing B cells. We have genetically engineered an HLA-A2-specific CHAR (A2-CHAR) and transduced it into human T cells. Then, we have performed in vitro experiments such as cytokine measurement, effector cell activation, and cytotoxicity against anti-HLA-A2 antibody-expressing target cells. In addition, we have performed A2-CHAR-Tc cytotoxic assays in an immunodeficient mouse model. A2-CHAR expressing T cells could selectively eliminate HLA-A2 antibody-producing B cells in vitro. The cytotoxic capacity of A2-CHAR expressing T cells mainly depended on Granzyme B release. In the NSG mouse model, A2-CHAR-T cells could identify and eradicate HLA-A2 antibody-producing B cells even when those cells are localized in the bone marrow. This ability is effector:target ratio dependent. CHAR technology generates potent and functional human cytotoxic T cells to target alloreactive HLA class I antibody-producing B cells. Thus, we consider that CHAR technology may be used as a selective desensitization protocol or an ABMR therapy in transplantation.
供体特异性抗体(DSA)的存在,主要针对 HLA,增加了移植物排斥的风险。此外,抗体介导的排斥反应(ABMR)仍然是实体器官移植后获得最佳长期效果的重要障碍。嵌合自身抗体受体 T 淋巴细胞的发展已被提出用于自身免疫性疾病的靶向治疗。我们旨在开发针对 DSA 脱敏和 ABMR 的靶向治疗方法,生成具有嵌合 HLA 抗体受体(CHAR)的 T 细胞,该受体可特异性消除产生 DSA 的 B 细胞。我们已经对 HLA-A2 特异性 CHAR(A2-CHAR)进行了基因工程改造,并将其转导到人类 T 细胞中。然后,我们进行了体外实验,如细胞因子测量、效应细胞激活和针对表达抗 HLA-A2 抗体的靶细胞的细胞毒性。此外,我们在免疫缺陷小鼠模型中进行了 A2-CHAR-Tc 细胞毒性测定。表达 A2-CHAR 的 T 细胞可以在体外选择性地消除 HLA-A2 抗体产生的 B 细胞。表达 A2-CHAR 的 T 细胞的细胞毒性能力主要取决于颗粒酶 B 的释放。在 NSG 小鼠模型中,即使 HLA-A2 抗体产生的 B 细胞位于骨髓中,A2-CHAR-T 细胞也可以识别并清除这些细胞。这种能力依赖于效应物:靶细胞比值。CHAR 技术可产生强效且功能正常的人细胞毒性 T 细胞,以靶向同种反应性 HLA Ⅰ类抗体产生的 B 细胞。因此,我们认为 CHAR 技术可用于移植中的选择性脱敏方案或 ABMR 治疗。