合成生物学与工程化T细胞治疗

谢君鸿; 何晶晶; 周鹏辉

doi:10.12211/2096-8280.2022-063

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合成生物学与工程化T细胞治疗

特约评述 | 更新时间：2025-03-20

- 合成生物学与工程化T细胞治疗
- Synthetic biology and engineered T cell therapy
- 合成生物学 2023年4卷第2期页码：373-393
- 作者机构：
  
  1.广西医科大学，广西生物靶向诊治重点实验室，国家生物靶向诊治国际联合研究中心，广西南宁 530021
  2.广东医学科学院，广东省人民医院医学研究部，广东广州 510055
  3.中山大学肿瘤防治中心，华南肿瘤学国家重点实验室，广东广州 510060
- 作者简介：
  
  [ "谢君鸿（1996—），男，硕士研究生，研究方向为肿瘤免疫治疗。E-mail：jhxietw@163.com" ]
  [ "何晶晶（1987—），博士，特聘副研究员。主要研究方向为肿瘤免疫学和肿瘤免疫治疗。E-mail：hejingjing@gdph.org.cn" ]
  [ "周鹏辉（1974—），男，博士，教授，博士生导师。研究方向为肿瘤免疫学和肿瘤免疫治疗。E-mail：zhouph@sysucc.org.cn" ]
- 基金信息：
  
  国家自然科学基金(82130086;82192892;82101860);广东省自然科学基金(2017A030308007);广东省特支计划项目(2016LJ06S464);广东省引进创新创业团队(2016ZT06S638)
- DOI：10.12211/2096-8280.2022-063
  中图分类号： R318
- 收稿：2022-11-17，
  
  修回：2023-02-01，
  
  纸质出版：2023-04-30
- 稿件说明：
移动端阅览
谢君鸿，何晶晶，周鹏辉. 合成生物学与工程化T细胞治疗［J］. 合成生物学， 2023， 4（2）： 373-393

XIE Junhong， HE Jingjing， ZHOU Penghui. Synthetic biology and engineered T cell therapy［J］. Synthetic Biology Journal， 2023， 4（2）： 373-393
谢君鸿，何晶晶，周鹏辉. 合成生物学与工程化T细胞治疗［J］. 合成生物学， 2023， 4（2）： 373-393 DOI： 10.12211/2096-8280.2022-063.

XIE Junhong， HE Jingjing， ZHOU Penghui. Synthetic biology and engineered T cell therapy［J］. Synthetic Biology Journal， 2023， 4（2）： 373-393 DOI： 10.12211/2096-8280.2022-063.

摘要

近年来，工程化T细胞治疗在肿瘤免疫治疗领域取得了重大进展。工程化T细胞治疗主要包括T细胞受体基因工程T细胞（T-cell receptor-engineered T cell， TCR-T）疗法和嵌合抗原受体T细胞（chimeric antigen receptor T cell， CAR-T）疗法，其中，CAR-T疗法在恶性血液肿瘤中展现出了巨大的潜力和应用价值，而TCR-T疗法则在部分实体瘤中呈现出了较好的治疗效果。然而，针对大部分肿瘤，特别是实体肿瘤，当前工程化T细胞疗法还存在效率低、安全性不足等问题。通过合成生物学手段使工程化T细胞克服当前限制，将为研制更安全、高效的工程化T细胞带来新的机遇。本文将从工程化T细胞的结构和信号激活、靶点选择、亲和力优化、安全性改造以及基因编辑改造等方面综述工程化T细胞的合成生物学改造策略，并探讨这些优化措施在肿瘤免疫治疗应用中的最新进展。

Abstract

In recent years

engineering T cell therapy has made great progress in tumor immunotherapy

which mainly includes T-cell receptor-engineered T cell (TCR-T) therapy and chimeric antigen receptor T cell (CAR-T) therapy. Due to their structure difference

TCR-T and CAR-T cells show different characteristics in signal activation and antigen recognition. CAR has scFv derived from antibody

containing CD3ζ and costimulatory domain(s)

making engineered CAR able to recognize specific tumor associated antigens. Therefore

CAR has an ability to bind unprocessed tumor surface antigens without MHC processing

while TCR engages with both tumor intracellular and surface antigens embedded in MHC. While CAR-T cell therapy has demonstrated a significant clinical effect against malignant blood tumors

TCR-T cell therapies have been tested in hematological and solid tumors. Even though clinical results are encouraging for both approaches

several major challenges have been identified

including: target antigen selection such as less tumor toxicity and antigen escape

T cell homing to the tumor

T cell infiltration into the tumor

T cell persistence

and local immunosuppression in the tumor microenvironment. Synthetic biology technologies have enabled flexible reprogramming of engineered T cells to overcome the aforementioned limitations

bringing new opportunities for improving their safety and effectiveness

but the choice of a suitable target antigen is still a key for success. Moreover

improved preclinical TCR/CAR screening is likely to enhance the safety of engineered T cell therapies

and additional T cell engineering to further enhance engineered T cells at various levels has generated promising results

including: (1) modulation of affinity

(2) safety control elements

and (3) targeting TME components. Future developments will likely harness combinatorial strategies to overcome challenges posed by the tumors. In this article

we address structure and signal activation

target selection

affinity optimization

safety modification and gene editing strategies for engineered T cells

and also review the potential synthetic biological approaches and latest progress of engineered T cell therapy in the application of tumor immunotherapy.

关键词

Keywords

references

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