Bioengineered immunocompetent preclinical trial-on-chip tool enables screening of CAR T cell therapy for leukaemia

Chao Ma1,2,3, Huishu Wang1, Lunan Liu1

  • 1Department of Mechanical and Aerospace Engineering, Tandon School of Engineering, New York University, Brooklyn, NY, USA.

PubMed

Insights

A new "pre-clinical-trial-on-chip" platform models human leukemia bone marrow niches to optimize chimeric antigen receptor (CAR) T cell therapy, predicting treatment responses and guiding personalized medicine.

Area of Science:

  • Biomedical Engineering
  • Immunotherapy Research
  • Cancer Modeling

Background:

  • Chimeric antigen receptor (CAR) T cell immunotherapy shows promise for blood cancers but faces unpredictable clinical benefits.
  • Current preclinical models lack the physiological relevance needed to optimize CAR T cell products.

Purpose of the Study:

  • To engineer an organotypic immunocompetent chip that mimics human leukemia bone marrow microenvironments.
  • To establish a platform for real-time, spatiotemporal monitoring of CAR T cell functionality in a human-relevant context.

Main Methods:

  • Development of an organotypic immunocompetent chip replicating human leukemia bone marrow stromal and immune niches.
  • Utilizing the chip for real-time monitoring of CAR T cell extravasation, leukemia recognition, immune activation, and cytotoxicity.
  • Modeling heterogeneous clinical responses including remission, resistance, and relapse.

Main Results:

  • The chip successfully models clinically observed heterogeneous responses to CAR T cell therapy.
  • Factors driving therapeutic success or failure in CAR T cell treatment were mapped.
  • Functional performance of CAR T cells from diverse donors, cancer patients, and varying designs/protocols was systematically evaluated.

Conclusions:

  • The developed leukemia chip serves as an effective '(pre-)clinical-trial-on-chip' tool for CAR T cell development.
  • This platform has the potential to advance personalized CAR T cell therapies and improve clinical decision-making.

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