Chu Gerard J, Bailey Charles G, Nagarajah Rajini, Sagnella Sharon M, Adelstein Stephen, Rasko John E J
Gene and Stem Cell Therapy Program Centenary Institute, Camperdown, NSW, Australia.
Department of Clinical Immunology and Allergy, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
Cancer Cell Int. 2023 Dec 18;23(1):327. doi: 10.1186/s12935-023-03171-7.
BACKGROUND: Chimeric antigen receptor (CAR) T-cells have revolutionized the treatment of CD19- and B-cell maturation antigen-positive haematological malignancies. However, the effect of a CAR construct on the function of T-cells stimulated via their endogenous T-cell receptors (TCRs) has yet to be comprehensively investigated. METHODS: Experiments were performed to systematically assess TCR signalling and function in CAR T-cells using anti-mesothelin human CAR T-cells as a model system. CAR T-cells expressing the CD28 or 4-1BB costimulatory endodomains were manufactured and compared to both untransduced T-cells and CAR T-cells with a non-functional endodomain. These cell products were treated with staphylococcal enterotoxin B to stimulate the TCR, and in vitro functional assays were performed by flow cytometry. RESULTS: Increased proliferation, CD69 expression and IFNγ production were identified in CD8+ 4-1BBζ CAR T-cells compared to control untransduced CD8+ T-cells. These functional differences were associated with higher levels of phosphorylated ZAP70 after stimulation. In addition, these functional differences were associated with a differing immunophenotype, with a more than two-fold increase in central memory cells in CD8+ 4-1BBζ CAR T-cell products. CONCLUSION: Our data indicate that the 4-1BBζ CAR enhances CD8+ TCR-mediated function. This could be beneficial if the TCR targets epitopes on malignant tissues or infectious agents, but detrimental if the TCR targets autoantigens.
背景:嵌合抗原受体(CAR)T细胞彻底改变了CD19和B细胞成熟抗原阳性血液系统恶性肿瘤的治疗方法。然而,CAR构建体对通过其内源性T细胞受体(TCR)刺激的T细胞功能的影响尚未得到全面研究。 方法:以抗间皮素人CAR T细胞作为模型系统,进行实验以系统评估CAR T细胞中的TCR信号传导和功能。制备表达CD28或4-1BB共刺激内结构域的CAR T细胞,并与未转导的T细胞和具有无功能内结构域的CAR T细胞进行比较。这些细胞产物用葡萄球菌肠毒素B处理以刺激TCR,并通过流式细胞术进行体外功能测定。 结果:与对照未转导的CD8 + T细胞相比,在CD8 + 4-1BBζCAR T细胞中鉴定出增殖增加、CD69表达增加和IFNγ产生增加。这些功能差异与刺激后磷酸化ZAP70水平升高有关。此外,这些功能差异与不同的免疫表型有关,CD8 + 4-1BBζCAR T细胞产物中的中央记忆细胞增加了两倍以上。 结论:我们的数据表明4-1BBζCAR增强了CD8 + TCR介导的功能。如果TCR靶向恶性组织或传染原上的表位,这可能是有益的,但如果TCR靶向自身抗原,则是有害的。
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