Chen Zhaozhao, Ren Anqi, Li Yingying, Shu Jinhui, Wu Jianghua, Huang Hekuan, Wang Jingming, Hu Yu, Mei Heng
Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Hubei Clinical Medical Center of Cell Therapy for Neoplastic Disease, Wuhan, China.
Br J Haematol. 2025 Feb;206(2):628-643. doi: 10.1111/bjh.19988. Epub 2025 Jan 6.
Chimeric antigen receptor T-cell (CAR-T) therapy has shown transformative potential in treating malignant tumours, with increasing global approval of CAR-T products. However, high-production costs and risks associated with viral vector-based CAR-T cells-such as insertional mutagenesis and secondary tumour formation-remain challenges. Our study introduces an innovative CAR-T engineering approach using mRNA delivered via lipid nanoparticles (LNPs), aiming to reduce costs and enhance safety while maintaining strong anti-tumour efficacy. We developed an LNP-based transfection protocol for efficient delivery of mRNA encoding full-human CAR constructs, achieving high CAR expression and significant cytotoxicity against leukaemic cells in vitro. Co-culture with Raji cells showed increased cytokine secretion and tumour cell killing by mRNA-LNP CAR-T cells. Therapeutic efficacy was further demonstrated in an NOD-scid-IL2Rγnull (NSG) mouse model with Raji engraftment, where treated mice exhibited marked tumour regression and extended survival. These findings underscore the potential of mRNA-LNPs as a non-viral, effective CAR-T engineering platform, offering a promising alternative to traditional methods that could improve CAR-T safety, efficacy and accessibility in clinical cancer immunotherapy.
嵌合抗原受体T细胞(CAR-T)疗法在治疗恶性肿瘤方面已显示出变革潜力,全球对CAR-T产品的批准也日益增多。然而,与基于病毒载体的CAR-T细胞相关的高生产成本和风险,如插入诱变和继发性肿瘤形成,仍然是挑战。我们的研究引入了一种创新的CAR-T工程方法,即使用通过脂质纳米颗粒(LNP)递送的mRNA,旨在在保持强大抗肿瘤功效的同时降低成本并提高安全性。我们开发了一种基于LNP的转染方案,用于高效递送编码全人CAR构建体的mRNA,在体外实现了高CAR表达和对白血病细胞的显著细胞毒性。与Raji细胞共培养显示,mRNA-LNP CAR-T细胞的细胞因子分泌增加且肿瘤细胞杀伤能力增强。在接种了Raji细胞的NOD-scid-IL2Rγnull(NSG)小鼠模型中进一步证明了治疗效果,接受治疗的小鼠表现出明显的肿瘤消退和生存期延长。这些发现强调了mRNA-LNP作为一种非病毒、有效的CAR-T工程平台的潜力,为传统方法提供了一种有前景的替代方案,有望改善临床癌症免疫治疗中CAR-T的安全性、疗效和可及性。