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CD33-CD123 条件性门控可降低毒性,同时增强靶向急性髓系白血病的嵌合抗原受体 T 细胞的特异性和记忆表型。

CD33-CD123 IF-THEN Gating Reduces Toxicity while Enhancing the Specificity and Memory Phenotype of AML-Targeting CAR-T Cells.

作者信息

Jambon Samy, Sun Jianping, Barman Shawn, Muthugounder Sakunthala, Bito Xue Rachel, Shadfar Armita, Kovach Alexandra E, Wood Brent L, Thoppey Manoharan Varsha, Morrissy A Sorana, Bhojwani Deepa, Wayne Alan S, Pulsipher Michael A, Kim Yong-Mi, Asgharzadeh Shahab, Parekh Chintan, Moghimi Babak

机构信息

Division of Hematology and Oncology, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.

Department of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

Blood Cancer Discov. 2025 Jan 8;6(1):55-72. doi: 10.1158/2643-3230.BCD-23-0258.

DOI:10.1158/2643-3230.BCD-23-0258
PMID:39624992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11707512/
Abstract

Our study demonstrates the use of "IF-THEN" SynNotch-gated CAR-T cells targeting CD33 and CD123 in AML reduces off-tumor toxicity. This strategy enhances T-cell phenotype, improves expansion, preserves HSPCs, and mitigates cytokine release syndrome-addressing critical limitations of existing AML CAR-T therapies.

摘要

我们的研究表明,在急性髓系白血病(AML)中使用靶向CD33和CD123的“如果-那么”(IF-THEN)合成Notch受体门控嵌合抗原受体(CAR)T细胞可降低肿瘤外毒性。该策略增强了T细胞表型,改善了细胞扩增,保护了造血干细胞,并减轻了细胞因子释放综合征,解决了现有AML CAR-T疗法的关键局限性。

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本文引用的文献

1
Structural surfaceomics reveals an AML-specific conformation of integrin β as a CAR T cellular therapy target.结构表面组学揭示了整合素β作为 CAR T 细胞治疗靶点的 AML 特异性构象。
Nat Cancer. 2023 Nov;4(11):1592-1609. doi: 10.1038/s43018-023-00652-6. Epub 2023 Oct 30.
2
Cooperative CAR targeting to selectively eliminate AML and minimize escape.协同 CAR 靶向治疗以选择性消除 AML 并最小化逃逸。
Cancer Cell. 2023 Nov 13;41(11):1871-1891.e6. doi: 10.1016/j.ccell.2023.09.010. Epub 2023 Oct 5.
3
Co-opting signalling molecules enables logic-gated control of CAR T cells.信号分子的协同作用使 CAR T 细胞的逻辑门控控制成为可能。
Nature. 2023 Mar;615(7952):507-516. doi: 10.1038/s41586-023-05778-2. Epub 2023 Mar 8.
4
The proteogenomic subtypes of acute myeloid leukemia.急性髓系白血病的蛋白质基因组亚型
Cancer Cell. 2022 Mar 14;40(3):301-317.e12. doi: 10.1016/j.ccell.2022.02.006. Epub 2022 Mar 3.
5
NOT-Gated CD93 CAR T Cells Effectively Target AML with Minimized Endothelial Cross-Reactivity.非门控 CD93 CAR T 细胞可有效靶向 AML,同时最小化内皮细胞交叉反应性。
Blood Cancer Discov. 2021 Sep 16;2(6):648-665. doi: 10.1158/2643-3230.BCD-20-0208. eCollection 2021 Nov.
6
CD33-directed immunotherapy with third-generation chimeric antigen receptor T cells and gemtuzumab ozogamicin in intact and CD33-edited acute myeloid leukemia and hematopoietic stem and progenitor cells.第三代嵌合抗原受体 T 细胞和吉妥珠单抗奥佐米星联合针对未修饰和 CD33 编辑的急性髓系白血病及造血干细胞和祖细胞的 CD33 导向免疫治疗。
Int J Cancer. 2022 Apr 1;150(7):1141-1155. doi: 10.1002/ijc.33865. Epub 2021 Nov 23.
7
SynNotch CAR circuits enhance solid tumor recognition and promote persistent antitumor activity in mouse models.SynNotch CAR 电路增强实体瘤识别并促进小鼠模型中的持续抗肿瘤活性。
Sci Transl Med. 2021 Apr 28;13(591). doi: 10.1126/scitranslmed.abd8836.
8
SynNotch-CAR T cells overcome challenges of specificity, heterogeneity, and persistence in treating glioblastoma.SynNotch-CAR T 细胞在治疗脑胶质瘤中克服了特异性、异质性和持久性方面的挑战。
Sci Transl Med. 2021 Apr 28;13(591). doi: 10.1126/scitranslmed.abe7378.
9
Transient rest restores functionality in exhausted CAR-T cells through epigenetic remodeling.短暂休息通过表观遗传重塑恢复衰竭的 CAR-T 细胞的功能。
Science. 2021 Apr 2;372(6537). doi: 10.1126/science.aba1786.
10
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Nat Commun. 2021 Jan 21;12(1):511. doi: 10.1038/s41467-020-20785-x.