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核心技术专利:CN118964589B侵权必究
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一种用于CAR T细胞疗法的多尺度半机制性CK/PD模型。

A multi-scale semi-mechanistic CK/PD model for CAR T-cell therapy.

作者信息

Minucci Sarah, Gruver Scott, Subramanian Kalyanasundaram, Renardy Marissa

机构信息

Applied BioMath, Concord, MA, United States.

Differentia Biotech, San Francisco, CA, United States.

出版信息

Front Syst Biol. 2024 Aug 29;4:1380018. doi: 10.3389/fsysb.2024.1380018. eCollection 2024.


DOI:10.3389/fsysb.2024.1380018
PMID:40809127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12341985/
Abstract

Chimeric antigen receptor T (CAR T) cell therapy has shown remarkable success in treating various leukemias and lymphomas. Cellular kinetic (CK) and pharmacodynamic (PD) behavior of CAR T cell therapy is distinct from other therapies due to its living nature. CAR T CK is typically characterized by an exponential expansion driven by target binding, fast initial decline (contraction), and slow long-term decline (persistence). Due to the dependence of CK on target binding, CK and PD of CAR T therapies are inherently and bidirectionally linked. In this work, we develop a semi-mechanistic model of CAR T CK/PD, incorporating molecular-scale binding, T cell dynamics with multiple phenotypes, and tumor growth and killing. We calibrate this model to published CK and PD data for a CD19-targeting CAR T cell therapy. Using sensitivity analysis, we explore variability in response due to patient- and drug-specific properties. We further explore the impact of tumor characteristics on CAR T-cell expansion and efficacy through individual- and population-level parameter scans.

摘要

嵌合抗原受体T(CAR T)细胞疗法在治疗各种白血病和淋巴瘤方面已取得显著成功。由于CAR T细胞疗法具有活性,其细胞动力学(CK)和药效学(PD)行为与其他疗法不同。CAR T细胞的CK通常表现为受靶点结合驱动的指数级扩增、快速的初始下降(收缩)和缓慢的长期下降(持久性)。由于CK依赖于靶点结合,CAR T疗法的CK和PD在本质上是双向关联的。在这项工作中,我们开发了一个CAR T细胞CK/PD的半机制模型,该模型纳入了分子尺度的结合、具有多种表型的T细胞动力学以及肿瘤生长和杀伤。我们将该模型校准为针对靶向CD19的CAR T细胞疗法已发表的CK和PD数据。通过敏感性分析,我们探讨了由于患者和药物特异性特性导致的反应变异性。我们还通过个体和群体水平的参数扫描,进一步探讨了肿瘤特征对CAR T细胞扩增和疗效的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/770dce61ef0d/fsysb-04-1380018-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/3455c1f7d02e/fsysb-04-1380018-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/33b01297dc76/fsysb-04-1380018-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/681aef63b203/fsysb-04-1380018-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/5fffd0688f76/fsysb-04-1380018-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/169aa68b228e/fsysb-04-1380018-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/770dce61ef0d/fsysb-04-1380018-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/3455c1f7d02e/fsysb-04-1380018-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/33b01297dc76/fsysb-04-1380018-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/681aef63b203/fsysb-04-1380018-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/5fffd0688f76/fsysb-04-1380018-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/169aa68b228e/fsysb-04-1380018-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/926d/12341985/770dce61ef0d/fsysb-04-1380018-g006.jpg

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本文引用的文献

[1]
Development of a multiscale mechanistic modeling framework integrating differential cellular kinetics of CAR T-cell subsets and immunophenotypes in cancer patients.

CPT Pharmacometrics Syst Pharmacol. 2023-9

[2]
Uncovering the Role of CD4+ CAR T Cells in Cancer Immunotherapy.

Cancer Res. 2023-9-1

[3]
CAR-T: What Is Next?

Cancers (Basel). 2023-1-21

[4]
CAR T cell manufacturing from naive/stem memory T lymphocytes enhances antitumor responses while curtailing cytokine release syndrome.

J Clin Invest. 2022-6-15

[5]
Decade-long leukaemia remissions with persistence of CD4 CAR T cells.

Nature. 2022-2

[6]
Efficient killing of tumor cells by CAR-T cells requires greater number of engaged CARs than TCRs.

J Biol Chem. 2021-9

[7]
CAR T cells with dual targeting of CD19 and CD22 in adult patients with recurrent or refractory B cell malignancies: a phase 1 trial.

Nat Med. 2021-8

[8]
A Systematic Review of the Efforts and Hindrances of Modeling and Simulation of CAR T-cell Therapy.

AAPS J. 2021-4-9

[9]
TNB-486 induces potent tumor cell cytotoxicity coupled with low cytokine release in preclinical models of B-NHL.

MAbs. 2021

[10]
Modeling CAR T-Cell Therapy with Patient Preconditioning.

Bull Math Biol. 2021-3-19

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