Count
of
references:
10Cancer
immunotherapy
has
made
significant
strides
in
developing
immune
checkpoint
inhibitors
and
Chimeric
Antigen
Receptor
(CAR)-based
cellular
therapies
recent
years.Despite
these
advancements,
the
immunosuppressive
nature
tumor
microenvironment
(TME)
its
metabolic
complexity
continue
to
present
substantial
challenges.Within
this
hostile
environment,
tumor-infiltrating
T
cells
often
experience
severe
functional
impairment
reduced
cytotoxic
potential.One
main
barriers
effective
long-lasting
control
is
cell
exhaustiona
state
characterized
by
diminished
effector
functions,
impaired
proliferation,
sustained
expression
inhibitory
receptors
like
PD-1,
TIM-3
LAG-3.Although
CAR-T
therapy
revolutionized
treatment
hematological
malignancies,
relapse
was
constantly
reported
limited
efficacy
observed
treating
solid
tumors,
largely
due
TME
rapid
onset
exhaustion.To
better
understand
mechanisms
behind
responses,
a
large-scale
single-cell
multi-omics
study
profiled
over
one
million
pre-infusion
CAR
collected
from
82
acute
lymphoblastic
leukemia
patients,
with
clinical
follow-up
extending
up
10
years
[1].The
analysis
highlighted
that
elevated
type
II
cytokine
activity
infusion
products
linked
patients
maintaining
8-year
remission.At
chromatin
level,
higher
increased
accessibility
found
at
loci
GATA3,
while
IFNG,
STAT1,
STAT4
TBX21
showed
negligible
differences.Remarkably,
also
identified
small
Abstract
Adoptive
T
cell
therapy
(ACT)
using
chimeric
antigen
receptor
(CAR)
engineered
cells
is
currently
being
explored
in
multiple
cancer
types
beyond
leukemia/lymphoma.
A
key
step
CAR-T
manufacturing
the
activation
and
expansion
of
cells,
which
facilitates
viral
transduction,
however,
may
hamper
fitness
reduce
vivo
persistence.
We
developed
“T-Expand”
for
expansion,
comprising
dextran-based
nanoparticles
(NPs)
conjugated
with
anti-CD3
anti-CD28
antibodies.
The
NPs
triggered
robust
polyclonal
human
efficiency
range
commercial
microbeads
(Dynabeads™).
Engineered
presence
T-Expand,
CD19
CAR
exhibited
enhanced
proliferative
capacity,
cytotoxicity
persistence
vitro
,
furthermore,
showed
superior
anti-lymphoma
activity
mouse
models
resulting
complete
tumor
clearance
at
one
fourth
dose.
Importantly,
T-Expand
biocompatible
no
observed
toxicity,
circumventing
removal
steps
after
compared
to
Dynabeads
TM
.
As
a
platform,
simplifies
process
while
enhancing
functionality,
thereby
holding
promise
increasing
clinical
efficacy
therapy.
Graphical
abstract/Cover
figure:
Illustration
T-Expands
ex
Current Issues in Molecular Biology,
Journal Year:
2025,
Volume and Issue:
47(5), P. 321 - 321
Published: April 30, 2025
CAR-T
cell
therapy
is
a
personalized
immunotherapy
that
has
shown
promising
results
in
treating
hematologic
cancers.
However,
its
therapeutic
efficacy
solid
cancers
often
limited
by
tumor
evasion
mechanisms,
resistance
pathways,
and
an
immunosuppressive
microenvironment.
These
challenges
highlight
the
need
for
advanced
predictive
models
to
better
capture
intricate
interactions
between
cells
tumors
enhance
their
potential.
Digital
Twins
represent
transformative
approach
optimizing
providing
virtual
representation
of
therapy-tumor
trajectory
using
high-dimensional
patient
data.
In
this
review,
we
first
define
outline
fundamental
steps
development.
We
then
explore
critical
parameters
required
designing
CAR-T-specific
Twins.
examine
published
case
studies
demonstrating
few
applications
addressing
key
therapy,
including
impact
on
clinical
trials
manufacturing
processes.
Finally,
discuss
limitations
associated
with
integrating
into
therapy.
As
Twin
technology
continues
evolve,
potential
through
precision
modeling
real-time
adaptation
could
redefine
landscape
cancer
treatment.
Clinical and Translational Medicine,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: Dec. 31, 2024
The
immune
system
serves
a
vital
function
in
safeguarding
the
body
against
external
pathogens
and
eradicating
cancerous
cells.
Depending
on
nature
of
encountered,
orchestrates
distinct
immunological
strategies:
type
1
immunity
primarily
targets
intracellular
pathogens,
including
viruses
certain
bacteria;
2
is
adept
at
combating
parasites
within
mucosal
tissues
dermis;
while
3
instrumental
clearance
extracellular
fungi
bacteria.1
Nevertheless,
mechanisms
by
which
influences
cancer
initiation,
progression,
therapeutic
intervention
remain
partially
elucidated.
Traditionally,
has
been
regarded
as
foremost
defence
cancers,
current
immunotherapeutic
approaches
checkpoint
blockade
(ICB)2
chimeric
antigen
receptor
T-cell
(CAR-T)
therapy3
are
crafted
to
activate
or
enhance
responses
cancer.
Despite
clinical
success,
curative
response
1-centric
immunotherapies
limited,
frequently
resulting
low
patient
rate
high
relapse
with
diminished
durability
response.
CAR-T
therapy
targeting
CD19
exhibited
exceptional
initial
rates
various
malignancies
derived
from
B-cell
lineages;
however,
remains
formidable
challenge.
To
elucidate
underlying
factors
contributing
relapse,
we
conducted
comprehensive
single-cell
multi-omics
analysis
over
one
million
pre-infusion
cells
sourced
82
pediatric
patients
B-acute
lymphoblastic
leukaemia
(B-ALL)
six
healthy
donors.4
were
participants
two
pioneering
global
trials
for
B-ALL
(NCT01626495
NCT02906371),
follow-up
duration
extending
beyond
ten
years.
While
some
experienced
years
post-treatment,
others
achieved
remarkable
long-term
cancer-free
survival,
enduring
up
eight
years,
thereby
being
considered
cured
their
malignancy.
Clustering
revealed
that
cell
products
who
demonstrated
significantly
higher
proportion
characterized
signatures
(type
cells);
conversely,
no
noteworthy
differences
observed
exhibiting
signatures.4
Furthermore,
preclinical
experiments
indicated
proliferative
capacity
surpassed
more
than
tenfold,
indicative
superior
memory
characteristics
signs
exhaustion.4
In
recurrent
model,
effectively
mitigated
relapse.4
These
findings
underscore
pivotal
previously
underappreciated
role
fostering
sustained
efficacy
haematologic
(Figure
1A).
Compared
hematologic
malignancies,
solid
tumours
pose
an
even
challenge
immunotherapy
due
intricate
immunosuppressive
tumour
microenvironments
(TME).
quality
functionality
CD8+
T
cells—the
principal
cytotoxic
effectors—are
crucial
determinants
success
interventions
tumours.
However,
prolonged
exposure
TME
drives
towards
exhaustion,
leading
effector
functions
compromised
persistence.5
Notably,
cytokine
interferon-γ
associated
induction
exhaustion
selective
depletion
tumour-specific
cells,6
suggesting
excessive
may
paradoxically
undermine
antitumor
efficacy.7
Given
regulatory
modulating
hypothesized
could
alleviate
test
this
hypothesis,
engineered
fusion
protein
combining
IL-4
Fc
fragment
(Fc–IL-4)
assessed
its
effects
tumor-infiltrating
cells8
1B).
Remarkably,
Fc–IL-4
selectively
enriched
terminally
exhausted
(PD-1+TIM-3+TCF-1−
TTE)
cells,
augmenting
cytotoxicity
functions.
Mechanistically,
acted
directly
TTE
elevated
expression
α
(IL-4Rα)
compared
progenitors,
activating
signal
transducer
activator
transcription
6
(STAT6)
mammalian
target
rapamycin
(mTOR)
signalling
pathways.
This
activation
profoundly
enhanced
glycolytic
metabolism
upregulated
suite
enzymes,
particularly
lactate
dehydrogenase
A
(LDHA),
revitalizing
these
Subsequently,
potential
immunotherapies,
ICB,
across
models.
results
combination
therapies
robust
multiple
syngeneic
xenograft
models
elicited
effects.
For
instance,
administration
alongside
OT1
complete
(100%)
YUMM1.7-OVA
melanoma
model.
MC38-HER2
colon
HER2-CAR-T
resulted
87%
eradication.
Raji
lymphoma
pairing
CD19-CAR-T
led
75%
clearance.
ICB
MC38
all
mice
achieving
resistance
subsequent
rechallenge,
underscoring
long-lasting
memory.
As
representative
factor,
not
only
revitalizes
but
also
complements
immunity-centric
strategies,
facilitating
durable
We
found
that,
another
immunity,
interleukin-10
(IL-10)–Fc
can
through
metabolic
reprogramming.9
Additionally,
CAR
be
metabolically
optimized
engineering
them
secrete
IL-10,
metastases.10
IL-10-secreting
anti-CD19
currently
tested
several
ongoing
first-in-human
investigator-initiated
treatment
relapsed
refractory
diffuse
large
2A).
Collectively,
Fc–IL-4,
advance
therapies,
centric
immunity.
investigation
synergy
opens
new
paradigm
clinic
2B).
Li
Tang
acknowledges
grant
support
Swiss
National
Science
Foundation
(315230_204202,
IZLCZ0_206035
CRSII5_205930)
EPFL.
All
schematics
created
BioRender.com.
co-founder,
shareholder,
advisor
Leman
Biotech.
interests
reviewed
managed
remaining
authors
declare
competing
interests.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 6, 2024
Abstract
Dendritic
cells
(DC)
are
pivotal
for
initiating
adaptive
immunity,
a
process
triggered
by
the
activation
of
DC
via
pathogen
products
or
damage.
Here,
we
describe
an
additional
layer
to
this
process,
essential
when
pathogen-derived
signals
alone
cannot
directly
achieve
full
activation.
Immunisation
with
sporozoites
from
Plasmodium
leads
CD8
T
cell
priming
in
complex
response
that
is
initiated
collaboration
between
conventional
type
1
(cDC1)
and
γδ
cells.
We
unveil
role
Vγ1
+
cells,
as
they
supply
IL-4
synergises
CD4
cell-derived
CD40L
signal
induce
IL-12
production
cDC1.
Both
then
synergy
these
cytokines
driving
enhanced
receptor
expression
expansion
responding
This
study
reveals
key
Vγl
immunity
.
More
broadly,
it
shows
responses
some
pathogens
require
help
innate-like
pass
initiation
threshold
further
amplify
underscored
production.
Abstract
Objectives
To
evaluate
the
manufacturability,
efficacy
and
safety
of
allogeneic
CD19
chimeric
antigen
receptor
double‐negative
T
cells
(CD19‐CAR‐DNTs)
as
an
off‐the‐shelf
therapeutic
cell
product.
Methods
A
membrane
proteome
array
was
used
to
assess
off‐target
binding
CD19‐CAR.
DNTs
derived
from
healthy
donors
were
transduced
with
lentiviral
vectors
encoding
The
manufacture
CD19‐CAR‐DNTs
under
GMP
conditions,
their
surface
molecule
expression
patterns
characterised
using
flow
cytometry.
We
investigated
potential
by
evaluating
cryopreserved
in
terms
viability
well
cytotoxicity
against
various
+
target
lines
primary
patient
blasts
vitro.
evaluated
persistence
xenograft
models
vivo
.
Results
GMP‐grade
manufactured
for
use
advance.
maintain
antitumor
activity
blasts.
These
significantly
prolonged
survival
Raji‐Luc‐xenografted
NOG
mice.
Multiple
infusions
can
further
augment
efficacy.
Remarkably,
following
a
single
infusion
mice,
rapidly
got
distributed
among
well‐perfused
organs
initially,
progressively
spread
most
tissues,
peaking
at
Day
43.
In
toxicity
studies,
reduced
tumor
burden
ameliorated
tissue
damage
tumor‐bearing
Critically,
no
immunotoxicity
or
graft
versus
host
disease
observed
non‐tumor‐bearing
Conclusions
fulfil
requirements
product,
offering
promising
new
approach
treatment
haematological
malignancies.
Count
of
references:
10Cancer
immunotherapy
has
made
significant
strides
in
developing
immune
checkpoint
inhibitors
and
Chimeric
Antigen
Receptor
(CAR)-based
cellular
therapies
recent
years.Despite
these
advancements,
the
immunosuppressive
nature
tumor
microenvironment
(TME)
its
metabolic
complexity
continue
to
present
substantial
challenges.Within
this
hostile
environment,
tumor-infiltrating
T
cells
often
experience
severe
functional
impairment
reduced
cytotoxic
potential.One
main
barriers
effective
long-lasting
control
is
cell
exhaustiona
state
characterized
by
diminished
effector
functions,
impaired
proliferation,
sustained
expression
inhibitory
receptors
like
PD-1,
TIM-3
LAG-3.Although
CAR-T
therapy
revolutionized
treatment
hematological
malignancies,
relapse
was
constantly
reported
limited
efficacy
observed
treating
solid
tumors,
largely
due
TME
rapid
onset
exhaustion.To
better
understand
mechanisms
behind
responses,
a
large-scale
single-cell
multi-omics
study
profiled
over
one
million
pre-infusion
CAR
collected
from
82
acute
lymphoblastic
leukemia
patients,
with
clinical
follow-up
extending
up
10
years
[1].The
analysis
highlighted
that
elevated
type
II
cytokine
activity
infusion
products
linked
patients
maintaining
8-year
remission.At
chromatin
level,
higher
increased
accessibility
found
at
loci
GATA3,
while
IFNG,
STAT1,
STAT4
TBX21
showed
negligible
differences.Remarkably,
also
identified
small