bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Aug. 6, 2023
Abstract
The
potential
to
harness
regulatory
T
cells
(Tregs)
for
the
treatment
of
autoimmune
diseases
and
transplant
rejection
has
been
restricted
by
several
barriers:
donor
variability,
manufacturing
complications,
time-consuming
expansion
processes.
These
issues
further
complicate
use
autologous
Tregs
during
acute
disease
phases
or
when
are
low
in
number
dysfunctional.
Here
we
explore
‘off-the-shelf’
allogeneic
Tregs,
from
healthy
donors
universal
sources,
provide
a
more
practical
solution.
We
discover
that
efficacy
these
is
undermined
recipient’s
immune
response,
rigorous
matching
HLA
classes
I
II
overcomes
this
barrier.
Importantly,
genetically
manipulating
expression
enables
unmatched
with
vivo
efficacy.
Our
findings
underscore
transformative
HLA-engineered
offering
novel,
ready-to-use
therapeutic
avenue
treating
wide
array
inflammatory
diseases.
One-Sentence
Summary
Matching
engineering
HLA-I
HLA-II
facilitates
immunoregulation.
Cellular and Molecular Immunology,
Journal Year:
2024,
Volume and Issue:
21(4), P. 315 - 331
Published: March 5, 2024
Abstract
Natural
killer
(NK)
cell-based
immunotherapies
are
attracting
increasing
interest
in
the
field
of
cancer
treatment.
Early
clinical
trials
have
shown
promising
outcomes,
alongside
satisfactory
product
efficacy
and
safety.
Recent
developments
greatly
increased
therapeutic
potential
NK
cells
by
endowing
them
with
enhanced
recognition
cytotoxic
capacities.
This
review
focuses
on
surface
receptor
engineering
cell
therapy
discusses
its
impact,
challenges,
future
directions.
Most
approaches
based
chimeric
antigen
receptors
to
allow
target
specific
tumor
antigens
independent
human
leukocyte
restriction.
approach
has
precision
potency
NK-mediated
elimination
cells.
In
addition,
T-cell
also
mediates
intracellular
epitopes,
which
broadens
range
peptides.
Indirect
peptide
been
improved
optimizing
immunoglobulin
constant
fragment
expression
signaling.
Indeed,
engineered
an
ability
recognize
destroy
coated
antibodies,
thereby
their
antibody-dependent
cellular
cytotoxicity.
The
promote
expansion,
persistence,
infiltration
transferred
microenvironment
explored.
Receptor-based
strategies
for
sustained
functionality
within
environment
discussed,
these
providing
perspectives
counteract
tumor-induced
immunosuppression.
Overall,
led
significant
advances
immunotherapies.
As
technical
challenges
addressed,
innovative
treatments
will
likely
reshape
immunotherapy.
Cells,
Journal Year:
2024,
Volume and Issue:
13(2), P. 146 - 146
Published: Jan. 12, 2024
This
last
decade,
chimeric
antigen
receptor
(CAR)
T-cell
therapy
has
become
a
real
treatment
option
for
patients
with
B-cell
malignancies,
while
multiple
efforts
are
being
made
to
extend
this
other
malignancies
and
broader
patient
populations.
However,
several
limitations
remain,
including
those
associated
the
time-consuming
highly
personalized
manufacturing
of
autologous
CAR-Ts.
Technologies
establish
"off-the-shelf"
allogeneic
CAR-Ts
low
alloreactivity
currently
developed,
strong
focus
on
gene-editing
technologies.
Although
these
technologies
have
many
advantages,
they
also
limitations,
double-strand
breaks
in
DNA
safety
risks
as
well
lack
modulation.
As
an
alternative,
non-gene-editing
provide
interesting
approach
support
development
future,
possibilities
fine-tuning
gene
expression
easy
development.
Here,
we
will
review
different
ways
can
be
manufactured
discuss
which
used.
The
biggest
hurdles
successful
summarized,
finally,
overview
current
clinical
evidence
comparison
its
counterpart
given.
Genome biology,
Journal Year:
2023,
Volume and Issue:
24(1)
Published: April 24, 2023
Multiple
genetic
modifications
may
be
required
to
develop
potent
off-the-shelf
chimeric
antigen
receptor
(CAR)
T
cell
therapies.
Conventional
CRISPR-Cas
nucleases
install
sequence-specific
DNA
double-strand
breaks
(DSBs),
enabling
gene
knock-out
or
targeted
transgene
knock-in.
However,
simultaneous
DSBs
provoke
a
high
rate
of
genomic
rearrangements
which
impede
the
safety
edited
cells.
Blood,
Journal Year:
2024,
Volume and Issue:
143(25), P. 2599 - 2611
Published: March 17, 2024
Abstract
Chimeric
antigen
receptor
(CAR)-redirected
immune
cells
hold
significant
therapeutic
potential
for
oncology,
autoimmune
diseases,
transplant
medicine,
and
infections.
All
approved
CAR-T
therapies
rely
on
personalized
manufacturing
using
undirected
viral
gene
transfer,
which
results
in
nonphysiological
regulation
of
CAR-signaling
limits
their
accessibility
due
to
logistical
challenges,
high
costs
biosafety
requirements.
Random
transfer
modalities
pose
a
risk
malignant
transformation
by
insertional
mutagenesis.
Here,
we
propose
novel
approach
utilizing
CRISPR-Cas
editing
redirect
T
natural
killer
(NK)
with
CARs.
By
transferring
shorter,
truncated
CAR-transgenes
lacking
main
activation
domain
into
the
human
CD3ζ
(CD247)
gene,
functional
CAR
fusion-genes
are
generated
that
exploit
endogenous
as
CAR’s
domain.
Repurposing
this
T/NK-cell
lineage
facilitated
physiological
expression
redirection
various
cell
types,
including
conventional
cells,
TCRγ/δ
regulatory
NK
cells.
In
in-frame
fusion
eliminated
TCR
surface
expression,
reducing
graft-versus-host
disease
allogeneic
off-the-shelf
settings.
CD3ζ-CD19-CAR-T
exhibited
comparable
leukemia
control
TCRα
chain
constant
(TRAC)-replaced
lentivirus-transduced
vivo.
Tuning
CD3ζ-CAR-expression
levels
significantly
improved
vivo
efficacy.
Notably,
enabled
without
impairing
canonical
functions.
Thus,
is
promising
platform
development
redirected
lymphocytes.
Cancer Immunology Immunotherapy,
Journal Year:
2024,
Volume and Issue:
73(1)
Published: Jan. 1, 2024
Abstract
Background
Although
chimeric
antigen
receptor
T
(CAR-T)
cells
have
been
proven
to
be
an
effective
way
of
treating
B
cell
malignancies,
a
lot
patients
could
not
benefit
from
it
because
failure
in
CAR-T
manufacturing,
disease
progression,
and
unaffordable
price.
The
study
aimed
explore
universal
products
extend
the
clinical
accessibility.
Methods
antitumor
activity
CRISPR/Cas9-edited
allogeneic
anti-CD19
(CAR-T19)
was
assessed
vitro,
animal
models,
with
relapsed/refractory
(R/R)
acute
lymphoblastic
leukemia
(B-ALL)
or
diffuse
large
lymphoma.
Results
B2M
−
/TRAC
CAR-T19
(U-CAR-T19)
exhibited
powerful
anti-leukemia
abilities
both
vitro
as
did
primary
CD19
+
patients.
However,
expansion,
efficacy,
graft-versus-host-disease
(GvHD)
observed
six
R/R
malignancies
after
U-CAR-T19
infusion.
Accordingly,
significant
activation
natural
killer
(NK)
by
clinically
vitro.
HLA-A
/B
novel
(nU-CAR-T19)
were
constructed
similar
tumoricidal
capacity
but
resistance
NK
Surprisingly,
robust
expansion
nU-CAR-T19
cells,
along
rapid
eradication
abnormal
peripheral
blood
bone
marrow
another
three
B-ALL.
achieved
complete
remission
no
detectable
minimal
residual
14
days
infusion
cells.
Two
had
grade
2
cytokine
release
syndrome,
which
managed
using
IL-6
blocker.
Most
importantly,
GvHD
any
patient,
suggesting
safety
TRAC
-disrupted
generated
CRISPR/Cas9
method
for
application.
Conclusions
showed
strong
response
potential
promising
new
approach
malignancies.