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The Application of Nanobody in CAR-T Therapy.
文献信息
| DOI | 10.3390/biom11020238 |
|---|---|
| PMID | 33567640 |
| 期刊 | Biomolecules |
| 影响因子 | 4.8 |
| JCR 分区 | Q1 |
| 发表年份 | 2021 |
| 被引次数 | 56 |
| 关键词 | BCMA, CAR-T, VHH, 纳米抗体 |
| 文献类型 | Journal Article, Research Support, Non-U.S. Gov't, Review |
| ISSN | 2218-273X |
| 期号 | 11(2) |
| 作者 | Chaolemeng Bao, Quanli Gao, Lin-Lin Li, Lu Han, Bingxiang Zhang, Yijin Ding, Zongpei Song, Ruining Zhang, Jishuai Zhang, Xian-Hui Wu |
一句话小结
本研究探讨了纳米抗体在嵌合抗原受体(CAR)T细胞疗法中的应用,发现基于纳米抗体的CAR-T细胞在多种肿瘤靶点上展现出与传统单链可变片段(scFv)相似的抗肿瘤效果。这一发现不仅验证了纳米抗体的临床潜力,也为CAR-T疗法的进一步发展提供了新的思路。
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摘要
嵌合抗原受体(CAR)T细胞疗法是一种具有临床疗效和特定靶点的免疫细胞疗法。典型的嵌合抗原受体(CAR)结构由抗原结合域、跨膜域和细胞质域组成。由于其小巧的尺寸、优良的稳定性、高亲和力和制造可行性,纳米抗体已被广泛应用于CAR-T的抗原结合域。基于纳米抗体的CAR结构在十多种不同的肿瘤特异性靶点中已证明其功能。经过转导至Jurkat细胞、自然杀伤细胞或原代T细胞后,所产生的基于纳米抗体的CAR-T或CAR-NK细胞在体外和体内均显示出抗肿瘤效果。有趣的是,由单一纳米抗体或双价纳米抗体调节的抗BCMA CAR-T,其临床效果与单链可变片段(scFv)调节的CAR-T相当。纳米抗体在CAR-T疗法中的应用已从基础研究到临床实践得到充分验证,并在应对更具挑战性的任务时展现出巨大的潜力。
英文摘要
Chimeric antigen receptor (CAR) T therapy represents a form of immune cellular therapy with clinical efficacy and a specific target. A typical chimeric antigen receptor (CAR) construct consists of an antigen binding domain, a transmembrane domain, and a cytoplasmic domain. Nanobodies have been widely applied as the antigen binding domain of CAR-T due to their small size, optimal stability, high affinity, and manufacturing feasibility. The nanobody-based CAR structure has shown a proven function in more than ten different tumor-specific targets. After being transduced in Jurkat cells, natural killer cells, or primary T cells, the resulting nanobody-based CAR-T or CAR-NK cells demonstrate anti-tumor effects both in vitro and in vivo. Interestingly, anti-BCMA CAR-T modulated by a single nanobody or bi-valent nanobody displays comparable clinical effects with that of single-chain variable fragment (scFv)-modulated CAR-T. The application of nanobodies in CAR-T therapy has been well demonstrated from bench to bedside and displays great potential in forming advanced CAR-T for more challenging tasks.
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主要研究问题
- 纳抗体在CAR-T治疗中的具体机制是什么,它如何影响T细胞的功能?
- 与传统的单链可变片段(scFv)相比,纳抗体在CAR-T疗法中有哪些优势和劣势?
- 在不同类型的肿瘤中,纳抗体基因工程CAR-T细胞的疗效是否存在显著差异?
- 如何优化纳抗体的设计以提高CAR-T细胞的抗肿瘤效果?
- 纳抗体在CAR-T治疗中的应用是否会对患者的免疫系统产生长期影响?
核心洞察
研究背景和目的
CAR-T细胞疗法是一种有效的免疫细胞疗法,主要用于治疗血液肿瘤。尽管其在某些血液恶性肿瘤中显示出良好的临床效果,但在实体瘤中的应用仍面临挑战。纳米抗体(nanobody)因其小尺寸、高亲和力和稳定性,逐渐成为CAR-T疗法中抗原结合域的理想选择。本研究旨在探讨纳米抗体在CAR-T疗法中的应用及其潜在优势。
主要方法/材料/实验设计
研究通过文献综述和案例分析,系统总结了纳米抗体在CAR-T疗法中的应用。实验设计主要包括以下几个步骤:
- 文献回顾:分析纳米抗体的结构和功能特点。
- 纳米抗体特性分析:研究其在CAR-T疗法中的优势,包括稳定性、亲和力和生产可行性。
- 纳米抗体在CAR-T中的应用:总结已有的纳米抗体CAR-T构建案例。
- 临床试验数据汇总:对比不同纳米抗体CAR-T的临床效果。
- 比较不同CAR-T疗法的效果:分析纳米抗体与传统scFv的比较。
关键结果和发现
- 纳米抗体具有较小的分子量和较高的稳定性,能够有效结合多种肿瘤特异性抗原。
- 研究表明,纳米抗体在CAR-T细胞中展现出与scFv相似的抗肿瘤效果。
- 临床数据表明,基于纳米抗体的CAR-T疗法在治疗复发/难治性多发性骨髓瘤(如PRG1801)中表现出良好的疗效。
主要结论/意义/创新性
纳米抗体为CAR-T疗法提供了一种新的抗原结合域选择,具有较低的免疫原性和更好的稳定性。纳米抗体构建的CAR-T细胞在临床上显示出与传统scFv构建的CAR-T细胞相似的疗效,并可能在未来的肿瘤免疫治疗中发挥重要作用。这一研究为CAR-T疗法的优化提供了新的思路和方向。
研究局限性和未来方向
- 目前关于纳米抗体的临床数据仍较为有限,需要更多的临床试验来验证其长期效果和安全性。
- 未来研究可集中在优化纳米抗体的选择、改进CAR-T细胞的制造工艺以及探索其在其他类型肿瘤中的应用潜力。
| 研究方面 | 结果描述 |
|---|---|
| 纳米抗体特性 | 小尺寸、高亲和力、低免疫原性 |
| CAR-T疗法效果 | 与scFv构建的CAR-T细胞效果相似 |
| 临床试验 | PRG1801显示出良好的疗效,适用于复发/难治性多发性骨髓瘤 |
通过这一研究,纳米抗体在CAR-T细胞治疗中的应用前景得到了进一步的验证,未来有望在更广泛的癌症治疗中发挥重要作用。
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