Torres Chavez Alejandro G, McKenna Mary K, Gupta Anmol, Daga Neha, Vera Juan, Leen Ann M, Bajgain Pradip
Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, United States.
Front Immunol. 2025 Jul 30;16:1618404. doi: 10.3389/fimmu.2025.1618404. eCollection 2025.
INTRODUCTION: Clinical studies of T cells engineered with chimeric antigen receptor (CAR) targeting CD19 in B-cell malignancies have demonstrated that relapse due to target antigen (CD19) loss or limited CAR T cell persistence is a common occurrence. The possibility of such events is greater in solid tumors, which typically display more heterogeneous antigen expression patterns and are known to directly suppress effector cell proliferation and persistence. T cell engineering strategies to overcome these barriers are being explored. However, strategies to simultaneously address both antigen heterogeneity and T cell longevity, while localizing anti-tumor effects at disease sites, remain limited. METHODS: In this study we explore a dual antigen targeting strategy by directing independent CARs against the solid tumor targets PSCA and MUC1. To enhance functional persistence in a tumor-localized manner, we expressed the transgenic IL-7 cytokine and receptor (IL-7Rα) in respective CAR products. RESULTS: This binary strategy, which incorporates dual antigen targeting with transgenic cytokine support, resulted in enhanced potency, T cell expansion, and durable antitumor effects in a pancreatic tumor model compared to single antigen targeting or dual antigen targeting in absence of the transgenic cytokine support. DISCUSSION: The transgenic IL-7 armed binary CAR T cell approach could improve the efficacy of CAR-based therapies for solid tumors.
引言:对在B细胞恶性肿瘤中经工程改造表达靶向CD19的嵌合抗原受体(CAR)的T细胞进行的临床研究表明,因靶抗原(CD19)丢失或CAR T细胞持久性有限而导致的复发很常见。此类事件在实体瘤中发生的可能性更大,实体瘤通常表现出更异质的抗原表达模式,并且已知会直接抑制效应细胞的增殖和持久性。目前正在探索克服这些障碍的T细胞工程策略。然而,在将抗肿瘤作用定位在疾病部位的同时,兼顾解决抗原异质性和T细胞寿命的策略仍然有限。 方法:在本研究中,我们通过构建分别靶向实体瘤靶点PSCA和MUC1的独立CAR,探索了一种双抗原靶向策略。为了以肿瘤局部定位的方式增强功能持久性,我们在各自的CAR产物中表达了转基因IL-7细胞因子和受体(IL-7Rα)。 结果:与单一抗原靶向或在没有转基因细胞因子支持的情况下的双抗原靶向相比,这种结合了双抗原靶向与转基因细胞因子支持的二元策略在胰腺肿瘤模型中产生了更强的效力、T细胞扩增和持久的抗肿瘤作用。 讨论:转基因IL-7武装的二元CAR T细胞方法可以提高基于CAR的实体瘤治疗的疗效。
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