Department of Microbiology, Immunology & Molecular Genetics, University of California, Los Angeles, Los Angeles, CA 90095, USA.
Department of Microbiology, Immunology & Molecular Genetics, University of California, Los Angeles, Los Angeles, CA 90095, USA; Division of Cardiology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095, USA.
Mol Ther. 2024 Jun 5;32(6):1849-1874. doi: 10.1016/j.ymthe.2024.04.005. Epub 2024 Apr 6.
The clinical potential of current FDA-approved chimeric antigen receptor (CAR)-engineered T (CAR-T) cell therapy is encumbered by its autologous nature, which presents notable challenges related to manufacturing complexities, heightened costs, and limitations in patient selection. Therefore, there is a growing demand for off-the-shelf universal cell therapies. In this study, we have generated universal CAR-engineered NKT (CAR-NKT) cells by integrating iNKT TCR engineering and HLA gene editing on hematopoietic stem cells (HSCs), along with an ex vivo, feeder-free HSC differentiation culture. The CAR-NKT cells are produced with high yield, purity, and robustness, and they display a stable HLA-ablated phenotype that enables resistance to host cell-mediated allorejection. These CAR-NKT cells exhibit potent antitumor efficacy to blood cancers and solid tumors, both in vitro and in vivo, employing a multifaceted array of tumor-targeting mechanisms. These cells are further capable of altering the tumor microenvironment by selectively depleting immunosuppressive tumor-associated macrophages and myeloid-derived suppressor cells. In addition, CAR-NKT cells demonstrate a favorable safety profile with low risks of graft-versus-host disease and cytokine release syndrome. Collectively, these preclinical studies underscore the feasibility and significant therapeutic potential of CAR-NKT cell products and lay a foundation for their translational and clinical development.
目前已获得 FDA 批准的嵌合抗原受体(CAR)修饰 T(CAR-T)细胞疗法的临床潜力受到其自体性质的限制,这带来了与制造复杂性、成本增加和患者选择限制相关的显著挑战。因此,人们对现成的通用细胞疗法的需求不断增长。在这项研究中,我们通过在造血干细胞(HSCs)上整合 iNKT TCR 工程和 HLA 基因编辑,以及体外无饲养细胞的 HSC 分化培养,生成了通用的 CAR 修饰自然杀伤 T(CAR-NKT)细胞。CAR-NKT 细胞的产量、纯度和稳定性都很高,并且表现出稳定的 HLA 缺失表型,使其能够抵抗宿主细胞介导的同种异体排斥反应。这些 CAR-NKT 细胞在体外和体内均对血液癌和实体瘤表现出强大的抗肿瘤疗效,采用了多种肿瘤靶向机制。这些细胞还可以通过选择性耗尽免疫抑制性肿瘤相关巨噬细胞和髓源抑制性细胞来改变肿瘤微环境。此外,CAR-NKT 细胞具有良好的安全性,移植物抗宿主病和细胞因子释放综合征的风险较低。总之,这些临床前研究强调了 CAR-NKT 细胞产品的可行性和重大治疗潜力,并为其转化和临床开发奠定了基础。
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