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Células T CAR de doble objetivo y ping-pong: Aprovechamiento de la expansión periférica para mejorar la inmunoterapia
Amanda V Finck1,2, Ziming Wang1,2, Donna Gonzales1,2
1Department of Pathology and Laboratory Medicine, Center for Cellular Immunotherapies, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104.
Las células T CAR de doble objetivo diseñadas mejoran la expansión periférica y la actividad antitumoral en tumores sólidos al reconocer las células B CD19+. Esta estrategia mejora los resultados de la terapia con células T CAR para tumores sólidos sin linfoeliminación.
Área de la Ciencia:
- Immunology; Oncology; Biotechnology
Sus antecedentes:
- Clinical responses to CD19-directed CAR T cell therapy correlate with CAR T cell expansion in peripheral blood.
- CAR T cells targeting solid tumors exhibit limited peripheral expansion due to lack of peripheral antigen recognition.
Objetivo del estudio:
- To engineer dual-targeted and dual-costimulated CAR T cells (CD19/28ζ-M5BBζ) to overcome limitations in solid tumor CAR T cell therapy.
- To enhance peripheral expansion and anti-tumor efficacy of CAR T cells for solid tumors.
Principales métodos:
- Engineered dual-targeted CAR T cells recognizing both CD19+ B cells and solid tumor antigens.
- Tested dual-targeted CAR T cells in immunocompetent mouse models of pancreatic ductal adenocarcinoma and melanoma.
- Validated findings in a human CAR T cell pancreatic/xenograft model with peripheral CD19+ B cells.
Principales resultados:
- Dual-targeted CAR T cells demonstrated enhanced peripheral expansion in mouse models.
- Improved anti-tumor efficacy and increased survival were observed with dual-targeted CAR T cells compared to single-targeted CAR T cells.
- Dual CAR T cells significantly enhanced tumor clearance and survival in the humanized xenograft model.
Conclusiones:
- Dual-targeted CAR T cells boost peripheral expansion and anti-tumor efficacy.
- This strategy enhances CAR T cell pool for tumor infiltration without lymphodepletion.
- Provides a novel approach to improve outcomes for patients receiving CAR T cell therapy for solid tumors.
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