脾 SORT LNP 体内生成的 CAR T 细胞可延长淋巴丰富型 B 细胞淋巴瘤小鼠模型的存活期。

Spleen SORT LNP Generated in situ CAR T Cells Extend Survival in a Mouse Model of Lymphoreplete B Cell Lymphoma.

机构信息

Department of Biomedical Engineering, Department of Biochemistry, Simmons Comprehensive Cancer Center and Program in Genetic Drug Engineering, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA.

Department of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Viale di San Paolo, 15, 00146, Roma, Italy.

出版信息

Angew Chem Int Ed Engl. 2023 Oct 26;62(44):e202310395. doi: 10.1002/anie.202310395. Epub 2023 Sep 18.

Abstract

Chimeric Antigen Receptor (CAR) T cell immunotherapy is revolutionizing treatment for patients suffering from B-cell lymphoma (BL). However, the current method of CAR T cell production is complicated and expensive, requiring collection of patient blood to enrich the T cell population, ex vivo engineering/activation, and quality assessment before the patient can receive the treatment. Herein we leverage Spleen Selective ORgan Targeted (SORT) Lipid Nanoparticles (LNPs) to produce CAR T cells in situ and bypass the extensive and laborious process currently used. Optimized Spleen SORT LNPs containing 10 % 18 : 1 PA transfected CD3+, CD8+, and CD4+ T cells in wild-type mice. Spleen SORT LNPs delivered Cre recombinase mRNA and CAR encoding mRNA to T cells in reporter mice and in a lymphoreplete B cell lymphoma model (respectively) after intravenous injection without the need for active targeting ligands. Moreover, in situ CAR T cells increased the overall survival of mice with a less aggressive form of B cell lymphoma. In addition, in situ transfected CAR T cells reduced tumor metastasis to the liver by increasing tumor infiltrating lymphocytes. Overall, these results offer a promising alternative method for CAR T cell production with pre-clinical potential to treat hematological malignancies.

摘要

嵌合抗原受体 (CAR) T 细胞免疫疗法正在彻底改变 B 细胞淋巴瘤 (BL) 患者的治疗方法。然而,目前的 CAR T 细胞生产方法复杂且昂贵,需要采集患者血液以富集 T 细胞群体,进行体外工程/激活,并在患者接受治疗之前进行质量评估。在这里,我们利用脾脏选择性 ORgan 靶向 (SORT) 脂质纳米颗粒 (LNPs) 在体内产生 CAR T 细胞,从而避免了目前广泛而繁琐的过程。在野生型小鼠中,优化的脾脏 SORT LNPs 含有 10%的 18:1 PA 转染的 CD3+、CD8+和 CD4+T 细胞。脾脏 SORT LNPs 经静脉注射后,向报告基因小鼠和淋巴丰富的 B 细胞淋巴瘤模型中的 T 细胞递送 Cre 重组酶 mRNA 和 CAR 编码 mRNA,而无需使用主动靶向配体。此外,原位 CAR T 细胞增加了具有侵袭性较弱的 B 细胞淋巴瘤的小鼠的总生存率。此外,原位转染的 CAR T 细胞通过增加肿瘤浸润淋巴细胞来减少肿瘤转移到肝脏。总体而言,这些结果为 CAR T 细胞的生产提供了一种有前途的替代方法,具有治疗血液恶性肿瘤的临床前潜力。

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