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使用负载CRISPR的功能化纳米载体在体内生成CAR-T细胞用于治疗B细胞系急性淋巴细胞白血病的综述。

An overview on in-vivo generation of CAR-T cells using CRISPR-loaded functionalized nanocarriers for treating B-cell lineage acute lymphoblastic leukemia.

作者信息

Saha Tushara, Saha Rudra Prasad, Singh Manoj Kumar, Priya Kanu, Singh Shareen, Rajeev Mithul, Bhattacharya Debasmita, Nag Moupriya, Lahiri Dibyajit

机构信息

Department of Biotechnology, School of Life Science & Biotechnology, Adamas University, Kolkata, 700126, India.

Centre for Phytochemical Research, Department of Life Science, School of Basic Science and Research, Sharda University, Greater Noida, UP, India.

出版信息

Mol Biol Rep. 2025 Jun 14;52(1):596. doi: 10.1007/s11033-025-10674-1.

DOI:10.1007/s11033-025-10674-1
PMID:40515942
Abstract

Chimeric antigen receptor T (CAR-T) cell therapy has become a milestone in the management of B cell lineage acute lymphoblastic leukemia. Yet, the traditional method-dependent on ex vivo manipulation, amplification, and reinfusion of autologous T cells-is high-cost, low-scalability, and severely immune-related toxicity. Here, we report a new nano-immunoengineering platform that allows in vivo production of chimeric antigen receptor T cells through the use of functionalized nanoparticles carrying clustered regularly interspaced short palindromic repeats (CRISPR) and CRISPR-associated protein 9 (Cas9) gene editing elements. These nanoparticles are engineered to specifically target blood circulating T lymphocytes and deliver CRISPR/Cas9 complexes that have the ability to integrate chimeric antigen receptor constructs into the TRAC locus and knock out immune checkpoint genes like programmed cell death protein 1 (PD-1) simultaneously. Targeted delivery, endosomal escape, and efficient genome editing with minimal off-target effects are ensured through gold-based and DNA nanostructure-based carriers. Preclinical models show effective in vivo programming of functional chimeric antigen receptor T cells with vigorous antitumor efficacy, improved persistence, and decreased cytokine release syndrome. This method is a revolutionary breakthrough in cancer immunotherapy that provides a scalable, economical, and clinically flexible replacement for conventional chimeric antigen receptor T cell production.

摘要

嵌合抗原受体T(CAR-T)细胞疗法已成为B细胞系急性淋巴细胞白血病治疗的一个里程碑。然而,传统方法依赖于体外对自体T细胞的操作、扩增和回输,成本高、可扩展性低,且存在严重的免疫相关毒性。在此,我们报告了一种新的纳米免疫工程平台,该平台通过使用携带成簇规律间隔短回文重复序列(CRISPR)和CRISPR相关蛋白9(Cas9)基因编辑元件的功能化纳米颗粒,实现体内嵌合抗原受体T细胞的产生。这些纳米颗粒经过工程改造,能够特异性靶向血液循环中的T淋巴细胞,并递送CRISPR/Cas9复合物,该复合物能够将嵌合抗原受体构建体整合到TRAC基因座中,并同时敲除程序性细胞死亡蛋白1(PD-1)等免疫检查点基因。通过基于金和基于DNA纳米结构的载体,确保了靶向递送、内体逃逸以及具有最小脱靶效应的高效基因组编辑。临床前模型显示,功能性嵌合抗原受体T细胞在体内的编程有效,具有强大的抗肿瘤功效、更好的持久性以及降低的细胞因子释放综合征。该方法是癌症免疫疗法的一项革命性突破,为传统嵌合抗原受体T细胞生产提供了一种可扩展、经济且临床灵活的替代方案。

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本文引用的文献

1
From ex vivo to in vivo chimeric antigen T cells manufacturing: new horizons for CAR T-cell based therapy.从体外到体内嵌合抗原T细胞制造:基于CAR-T细胞疗法的新视野
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Dual-targeting CAR T cells for B-cell acute lymphoblastic leukemia and B-cell non-Hodgkin lymphoma.用于治疗B细胞急性淋巴细胞白血病和B细胞非霍奇金淋巴瘤的双靶点嵌合抗原受体T细胞
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Optimizing cancer treatment: the synergistic potential of CAR-T cell therapy and CRISPR/Cas9.
优化癌症治疗:CAR-T 细胞疗法和 CRISPR/Cas9 的协同潜力。
Front Immunol. 2024 Nov 8;15:1462697. doi: 10.3389/fimmu.2024.1462697. eCollection 2024.
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CAR-T cell-derived exosomes: a new perspective for cancer therapy.CAR-T 细胞衍生的外泌体:癌症治疗的新视角。
Stem Cell Res Ther. 2024 Jun 18;15(1):174. doi: 10.1186/s13287-024-03783-4.
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In vivo CAR T-cell generation in nonhuman primates using lentiviral vectors displaying a multidomain fusion ligand.在非人类灵长类动物中使用展示多结构域融合配体的慢病毒载体进行体内 CAR T 细胞生成。
Blood. 2024 Aug 29;144(9):977-987. doi: 10.1182/blood.2024024523.
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The Fate(s) of CAR T-Cell Therapy: Navigating the Risks of CAR+ T-Cell Malignancy.嵌合抗原受体 T 细胞疗法的命运:应对嵌合抗原受体 T 细胞肿瘤的风险。
Blood Cancer Discov. 2024 Jul 1;5(4):249-257. doi: 10.1158/2643-3230.BCD-23-0272.
7
Cost-Effectiveness of Lovotibeglogene Autotemcel (Lovo-Cel) Gene Therapy for Patients with Sickle Cell Disease and Recurrent Vaso-Occlusive Events in the United States.Lovotibeglogene Autotemcel(Lovo-Cel)基因疗法治疗美国镰状细胞病和复发性血管阻塞性事件患者的成本效益分析。
Pharmacoeconomics. 2024 Jun;42(6):693-714. doi: 10.1007/s40273-024-01385-9. Epub 2024 Apr 29.
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In vivo manufacture and manipulation of CAR-T cells for better druggability.体内 CAR-T 细胞的制造和操作以提高药物可控性。
Cancer Metastasis Rev. 2024 Sep;43(3):1075-1093. doi: 10.1007/s10555-024-10185-8. Epub 2024 Apr 9.
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Profiling targets and potential target pairs of CAR-T cell therapy in clinical trials.在临床试验中分析 CAR-T 细胞治疗的靶点和潜在靶点对。
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