The efficacy of anti-CD19 chimeric antigen receptor T cells for B-cell malignancies

Immunotherapy with chimeric antigen receptor T (CAR-T) cells has proved remarkably effective in recently published clinical trials. In this meta-analysis, we performed a systematic review in terms of the clinical response treated with CAR-T cells in acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL) and lymphomas patients. Thirty-eight published clinical studies including 665 patients were eligible for response rate (RR) evaluation. The overall pooled RR of CD19-CAR-T cells was 72% (95% confidence interval: 62–77%). The various clinical parameters were analyzed. RR was 81% in ALL, 68% in lymphoma and 70% in CLL. RR in patients who received interleukin (IL)-2 was 70%, whereas in those who did not receive IL-2, it was 74%. RR was 75% with lymphodepletion and 56% without lymphodepletion. RR with autologous cells was 76% and 57% with allogeneic cells. In conclusion, this meta-analysis showed a high clinical RR of CD19-CAR-T cell–based immunotherapy in patients with refractory B-cell malignancies.     

Adenoviral vector-directed expression of neurotrophin-3 in rat dorsal root ganglion explants results in a robust neurite outgrowth response

The neurotrophins are a family of proteins that promote neuronal survival and neurite outgrowth during development and can also enhance the regeneration of injured adult neurons. The local and continuous delivery of these proteins at the site of injury is problematic, since this requires repeated intraparenchymal injections or the use of invasive canula-micropump devices. In the present study we report the generation and characterization of an adenoviral vector for a member of the neurotrophins, neurotrophin-3 (Ad-NT-3). Using Ad-NT-3, we examined the expression and biological activity of NT-3 in dorsal root ganglia (DRG) explant cultures. Gene transfer with Ad-NT-3 results in the synthesis of genuine NT-3 and in a dosage-dependent neurite outgrowth response in DRG explants. Transduction of DRG explants with a viral vector dosage of 5 × 10⁵ to 5 × 10⁶ plaque-forming units induced the formation of a dense halo of neurites comparable to outgrowth observed following the addition of 100 ng/mL exogenous NT-3. In addition, a single infection with Ad-NT-3 produced biologically active NT-3 for at least 20 days in culture, as evidenced by continued neurite extension. This indicates that adenoviral vector-mediated expression of NT-3 results in high-level production of biologically active NT-3 and could therefore be used as a strategy to promote the regeneration of injured peripheral and central nerve projections. © 1997 John Wiley & Sons, Inc. J Neurobiol 33: 172–184, 1997     

带有蛋白转导结构域的Bcr/Abl癌蛋白片段的表达及其跨膜转运

HIV 1编码的反式激活蛋白TAT具有将细胞外蛋白转导进入细胞的基序 ,称为蛋白转导结构域 (PTD) .为研究PTD介导的PTD Bcr Abl融合蛋白的跨膜转运 ,合成了编码PTD的基因片段 ,并与PCR扩增的慢性粒细胞白血病癌蛋白bcr abl基因片段融合 .在大肠杆菌中表达纯化了融合蛋白 ,将纯化的融合蛋白加入培养的HL60细胞和C2C12细胞后 ,发现PTD基序可以介导Bcr Abl蛋白自由从细胞外跨膜转导进入细胞内 .研究结果可能为用外源蛋白负载 (loading)免疫活性细胞如抗原提呈细胞提供新的途径 .     

辅助病毒依赖型腺病毒载体研究进展

摘要：辅助病毒依赖型腺病毒载体（helper-dependent adenoviral vector,HDAd）缺乏所有腺病毒的编码序列,与非复制型的第一代腺病毒载体（first-generation adenovirus vector,FGAd）相比,具有载体免疫原性低、安全、转移容量大和持续表达等特点,现广泛用于遗传性疾病、神经退行性疾病和肿瘤等的基因治疗和特异性靶向治疗研究。本文综述了HDAd构建和应用等方面的研究进展及未来的发展方向。     

苏尼替尼治疗46例慢性粒细胞白血病的临床分析

目的比较和评价苏尼替尼治疗慢性粒细胞白血病（CML）的临床效果。方法回顾分析近7年来收治我院的46例CML患者的临床诊疗资料,统计其完全缓解（CR）率、生存期及影响因素。结果完全缓解35例,占总病例数的76.09%;部分缓解7例,占15.22%;未缓解4例,占8.69%。统计至2010年12月,五年存活26例,五年生存率56.52%。结论苏尼替尼是早期治疗CML的有效手段,能较为明显的缓解病情,减少并发症的发生率,提高患者的生存率,治疗过程中仍需要患者及其家属的密切配合。     

多表位肽抗原诱导特异性CTL抗慢性髓性白血病细胞的体外实验研究

目的：在应用基因工程技术人工表达获得多表位BCR-ABL融合蛋白的基础上,对该融合抗原在体外诱导对自血病细胞的特异性杀伤效应进行检测,探索慢性髓性自血病（CML）免疫治疗的新途径。方法：从外周血单个核细胞培养树突细胞（DC）,以BCR-ABL融合抗原脉冲刺激DC,诱导特异性细胞毒T淋巴细胞（CTL）产生;MTT法检测CTL对白血病靶细胞的特异性杀伤活性。结果：以BCR-ABL融合抗原刺激产生的CTL能特异性抑制b3a2＋的靶细胞生长,包括K562细胞（P〈0．01）和HIJA-A2＋／b3a2＋的CML原代细胞（P〈0．05）,而对HIA-A2-或b2a2＋靶细胞无明显抑制作用。结论：设计表达的多表位BCR-ABL融合抗原能在体外诱导特异性抗CML免疫反应,抑制b3a2＋自血病细胞生长,有望为进一步的体内实验奠定基础。     

Investigation of therapy resistance mechanisms in myeloid leukemia by protein profiling of bone marrow extracellular fluid

Evaluation of: Pizzatti L, Panis C, Lemos G et al. Label-free MS(E) proteomic analysis of chronic myeloid leukemia bone marrow plasma: disclosing new insights from therapy resistance. Proteomics 12(17), 2618–2631 (2012).

In spite of the effective chronic myeloid leukemia (CML) therapy, a small percentage will fail on therapy and develop acute myeloid leukemia-like blast crisis. Understanding the underlying biology of therapy resistance is probably needed to develop better blood cancer therapy, and CML may be an ideal disease model for future therapy that targets resistance mechanisms. Cell-stromal interactions and dissection of the interstitial tissue fluid is a relatively new source for understanding the resistance mechanisms. Abdelhay’s team have compared the proteome of bone marrow plasma in CML imatinib (Gleevec) responders and nonresponders. We discuss their findings of dysregulated redox and Wnt signaling in imatinib resistance, illustrating how powerful proteomics may be in the discovery of new therapeutic mechanisms.     

复制缺陷型腺病毒载体介导的人凝血因子Ⅷ基因在体内外的高效转移和表达

为了构建含人凝血因子Ⅷ基因的重组腺病毒载体系统,首先构建了含ＦⅧ（Ｂ结构域缺失型）的载体质粒ｐＡｄ－ｈＦⅧ和插入内含子结构的ｐＡｄＩ－ｈＦⅧ,经脂质体介导,证明两质粒的目的基因均能在ＣＯＳ－７细胞中表达有凝血活性的ＦⅧ因子,其中经纯化的载体质粒ｐＡｄ－ｈＦⅧ与ｐＢＨＧ１０经脂质体介导,共转染至２９３包装细胞,经同源重组和Ｅ１蛋白反式互补,形成Ｅ１／Ｅ３缺失型重组腺病毒载体颗粒Ａｄ－ｈＦⅧ．ＰＣＲ检则到病理２９３培养液上清的病毒ＤＮＡ中具有目的基因扩增片段,证明病毒ＤＮＡ含有ＦⅧ基因．经扩增、纯化、滴度测定,用于感染离体细胞ＣＯＳ－７、Ａ５４９、Ｌ９２９、２９３．证实该病毒能在上述细胞中高效转移和表达目的基因,其表达量具有一定范围内的剂量依赖性．ＣＯＳ－７细胞中,ＭＯＩ＞１０００时,有细胞毒效应,表达量反而下降．经耳缘静脉注射Ａｄ－ｈＦⅧ至家兔后,１～４周能测到一定水平的ＦⅧ蛋白,１周内升至最高峰．免疫组化研究表明感染的离体细胞和家兔肝等组织均有ＦⅧ表达,其中肝脏表达最高．为甲型血友病的基因治疗开辟了新途径     

慢粒白血病中c-abl 癌基因的重排

作者采用α-³²P-dCTP标记的v-abl癌基因探针与7例慢粒白血病细胞DNA的PvuⅡ、Hind Ⅲ和Bg 1 Ⅱ酶切片段杂交。结果发现其中3例慢粒病例的Pvu Ⅱ和Hind Ⅲ酶切杂交图谱与正常对照相比有明显变化,且Pvu Ⅱ酶切位点有多处改变。表明在慢粒白血病中,Ph染色体重排亦可累及 c-abl癌基因内部,并可能有多次多点重排发生。