Identifying highly active anti-CCR4 CAR T cells for the treatment of T-cell lymphoma.

Identifying highly active anti-CCR4 CAR T cells for the treatment of T-cell lymphoma.
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DOI:
10.1182/bloodadvances.2022008327
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发表时间:
2023-07-25
期刊:
影响因子:
7.5
通讯作者:
June, Carl H.
June, Carl H.
中科院分区:
医学1区
文献类型:
--
作者:
Watanabe, Keisuke;Gomez, Angela M.;Kuramitsu, Shunichiro;Siurala, Mikko;Da, Tong;Agarwal, Sangya;Song, Decheng;Scholler, John;Rotolo, Antonia;Posey Jr, Avery D.;Rook, Alain H.;Haun, Paul L.;Ruella, Marco;Young, Regina M.;June, Carl H.

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CCR 4 CAR对T细胞淋巴瘤有活性。由CCR 4 CAR诱导的杀兄弟选择性地消耗Th 2、Th 17和Treg,同时保留Th 1。当用嵌合抗原受体(CAR)T细胞疗法靶向T细胞淋巴瘤时的挑战是靶抗原通常在T细胞和肿瘤细胞之间共享,导致CAR T细胞之间的自相残杀和对正常T细胞的靶细胞毒性。CC趋化因子受体4(CCR 4)在许多成熟T细胞恶性肿瘤中高度表达,如成人T细胞白血病/淋巴瘤(ATLL)和皮肤T细胞淋巴瘤(CTCL),并且在正常T细胞中具有独特的表达谱。CCR 4主要由2型和17型辅助性T细胞(Th 2和Th 17)和调节性T细胞(Treg)表达,但很少由其他T辅助性(Th)亚群和CD 8+细胞表达。尽管CAR T细胞中的自相残杀通常被认为对抗癌功能有害,但在这项研究中,我们证明了抗CCR 4 CAR T细胞特异性地耗尽了Th 2和Tcl 3,同时保留了CD 8+和Th 1 T细胞。此外,杀兄弟增加了最终产物中CAR+ T细胞的百分比。CCR 4-CAR T细胞的特征在于高转导效率、稳健的T细胞扩增以及在CAR转导和扩增期间CCR 4阳性T细胞的快速自相残杀消耗。此外,基于mogamulizumab的CCR 4-CAR T细胞在植入人T细胞淋巴瘤细胞的小鼠中诱导了上级抗肿瘤功效和长期缓解。总之,CCR 4耗尽的抗CCR 4 CAR T细胞富含Th 1和CD 8 + T细胞,并对表达CCR 4的T细胞恶性肿瘤表现出高抗肿瘤功效。
CCR4 CAR is active against T-cell lymphoma. Fratricide induced by CCR4 CAR selectively depletes Th2, Th17, and Treg while sparing Th1. A challenge when targeting T-cell lymphoma with chimeric antigen receptor (CAR) T-cell therapy is that target antigens are often shared between T cells and tumor cells, resulting in fratricide between CAR T cells and on-target cytotoxicity on normal T cells. CC chemokine receptor 4 (CCR4) is highly expressed in many mature T-cell malignancies, such as adult T-cell leukemia/lymphoma (ATLL) and cutaneous T-cell lymphoma (CTCL), and has a unique expression profile in normal T cells. CCR4 is predominantly expressed by type-2 and type-17 helper T cells (Th2 and Th17) and regulatory T cells (Treg), but it is rarely expressed by other T helper (Th) subsets and CD8+ cells. Although fratricide in CAR T cells is generally thought to be detrimental to anticancer functions, in this study, we demonstrated that anti-CCR4 CAR T cells specifically depleted Th2 and Tregs, while sparing CD8+ and Th1 T cells. Moreover, fratricide increased the percentage of CAR+ T cells in the final product. CCR4-CAR T cells were characterized by high transduction efficiency, robust T-cell expansion, and rapid fratricidal depletion of CCR4-positive T cells during CAR transduction and expansion. Furthermore, mogamulizumab-based CCR4-CAR T cells induced superior antitumor efficacy and long-term remission in mice engrafted with human T-cell lymphoma cells. In summary, CCR4–depleted anti-CCR4 CAR T cells are enriched in Th1 and CD8+ T cells and exhibit high antitumor efficacy against CCR4–expressing T-cell malignancies.
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发表时间: 2018-09
期刊: Leukemia
影响因子: 11.4
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期刊: The Journal of experimental medicine
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DOI: 10.1016/j.immuni.2016.01.021
发表时间: 2016-02-16
期刊: IMMUNITY
影响因子: 32.4
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发表时间: 2019-01-02
期刊: MOLECULAR THERAPY
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