Hosking Martin P, Shirinbak Soheila, Omilusik Kyla, Chandra Shilpi, Kaneko Mika K, Gentile Angela, Yamamoto Susumu, Shrestha Bishwas, Grant Joy, Boyett Megan, Cardenas Demetrio, Keegan Hannah, Ibitokou Samad, Pavon Carolina, Mizoguchi Takahiro, Ihara Tatsuya, Nakayama Daisuke, Abujarour Ramzey, Lee Tom T, Clarke Raedun, Goodridge Jode, Peralta Eigen, Maeda Tatsuo, Takagi Junichi, Arimori Takao, Kato Yukinari, Valamehr Bahram
Fate Therapeutics, Inc., San Diego, CA, USA.
Fate Therapeutics, Inc., San Diego, CA, USA.
Cell Stem Cell. 2025 Jul 3;32(7):1087-1101.e4. doi: 10.1016/j.stem.2025.05.007. Epub 2025 Jun 4.
Chimeric antigen receptor (CAR) T cell therapies in solid tumors have been limited by on-target, off-tumor toxicity, antigen heterogeneity, and an inability to simultaneously overcome multiple diverse resistance mechanisms within the tumor microenvironment that attenuate anti-tumor activity. Here, we describe an induced pluripotent stem cell (iPSC)-derived CAR T cell that combines a human epidermal growth factor receptor 2 (HER2)-targeting CAR-differentially recognizing tumor from normal cells and enabling detection of both truncated and misfolded HER2-with multiplex editing designed to address and overcome obstacles to maximize efficacy in solid tumor indications. The iPSC-derived, HER2-directed CAR T cells maintained potent HER2-specific anti-tumor activity in both in vitro and in vivo settings, with limited cytolytic targeting of HER2+ normal targets. Combination with therapeutic antibodies enabled comprehensive multi-antigen targeting through both the CAR and a high-affinity, non-cleavable CD16a Fc receptor. Additionally, specific engineering of interleukin (IL)-7R-fusion, transforming growth factor β (TGF-β)-IL-18R, and CXCR2 enabled sustained persistence, resistance to TGF-β-mediated suppression, and specific migration to the tumor.
实体瘤中的嵌合抗原受体(CAR)T细胞疗法受到以下因素的限制:靶向肿瘤外毒性、抗原异质性以及无法同时克服肿瘤微环境中多种不同的抗性机制,这些机制会削弱抗肿瘤活性。在此,我们描述了一种诱导多能干细胞(iPSC)衍生的CAR T细胞,它结合了靶向人表皮生长因子受体2(HER2)的CAR——能够区分肿瘤细胞与正常细胞,并能检测截短型和错误折叠型HER2——以及多重编辑,旨在解决和克服相关障碍,以在实体瘤适应症中最大化疗效。iPSC衍生的、靶向HER2的CAR T细胞在体外和体内环境中均保持了强大的HER2特异性抗肿瘤活性,对HER2阳性正常靶点的溶细胞靶向作用有限。与治疗性抗体联合使用,可通过CAR和高亲和力、不可裂解的CD16a Fc受体实现全面的多抗原靶向。此外,白细胞介素(IL)-7R融合、转化生长因子β(TGF-β)-IL-18R和CXCR2的特定工程改造,使得细胞能够持续存在、抵抗TGF-β介导的抑制作用,并特异性迁移至肿瘤部位。
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