WO2013185552A1 - Dual-signal independent chimeric antigen receptor and use thereof - Google Patents
Dual-signal independent chimeric antigen receptor and use thereof Download PDFInfo
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- WO2013185552A1 WO2013185552A1 PCT/CN2013/076774 CN2013076774W WO2013185552A1 WO 2013185552 A1 WO2013185552 A1 WO 2013185552A1 CN 2013076774 W CN2013076774 W CN 2013076774W WO 2013185552 A1 WO2013185552 A1 WO 2013185552A1
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
- C07K16/3076—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells against structure-related tumour-associated moieties
- C07K16/3092—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells against structure-related tumour-associated moieties against tumour-associated mucins
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/177—Receptors; Cell surface antigens; Cell surface determinants
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/12—Antivirals
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
- C07K14/70503—Immunoglobulin superfamily
- C07K14/7051—T-cell receptor (TcR)-CD3 complex
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- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
- C07K14/7056—Lectin superfamily, e.g. CD23, CD72
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- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/60—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
- C07K2317/62—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
- C07K2317/622—Single chain antibody (scFv)
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- C07—ORGANIC CHEMISTRY
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- C07K2319/00—Fusion polypeptide
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- C07K2319/00—Fusion polypeptide
- C07K2319/32—Fusion polypeptide fusions with soluble part of a cell surface receptor, "decoy receptors"
Definitions
- the present invention relates to a chimeric antigen receptor, in particular a dual signal independent chimeric antigen receptor, the present invention also relates to an immunoreactive cell expressing said chimeric antigen receptor, and said immune response cell for use in the preparation of a therapeutic Use in drugs for malignant tumors and viral infectious diseases. Background technique
- Adoptive cell therapy is a method of returning treated autologous or allogeneic immune cells (mainly autologous cells) to a tumor patient to enhance the patient's immune function and achieve therapeutic goals.
- Current tumor ACT progresses rapidly, using tumor infiltrating lymphocytes
- TIL tumor-infiltrating lymphocyte
- the TCR-CD3 complex binds to the antigen peptide-MHC molecule and provides the first signal of T cell activation, which determines the kill specificity of T cells; the costimulatory molecule on the surface of T cells (such as CD28) binds to the corresponding ligand (such as B7).
- the costimulatory molecule on the surface of T cells such as CD28
- binds to the corresponding ligand such as B7.
- the lack of or the decreased expression of the first signal stimulus source (such as MHC molecule) and the second signal ligand (such as B7) in tumor cells cannot effectively provide T cell activation-related signals, thereby activating T cell immune response. Therefore, it is necessary to genetically engineer T cells.
- T cell receptor transgenic TCR
- CAR chimeric antigen receptors
- the TCR modification has a relatively large restriction.
- the transgenic TCR chain may be mismatched with the patient's endogenous TCR chain, resulting in a decrease in the TCR density of tumor-reactive T cells on the surface of the T cell;
- TCR recognizes the antigen presented by the MHC molecule, However, different patients have different MHC molecules, so it is necessary to isolate TCR specific for all MHC haplotypes, and the operability is low; 3 most TCRs cannot recognize carbohydrates or glycolipid antigens, and the antigen selection range is narrow; 4 The first signal related to T cell activation is provided, and the second signal is not provided, and the therapeutic effect is insufficient. Thus, chimeric antigen receptor CAR receptors are more favored.
- Chimeric antigen receptor CAR consists of a scFv single-chain antibody (from the amino acid sequence of the VL region of the antibody and The amino acid sequence of the VH region is linked by Linker, and is constructed by a hinge structure linked to a transmembrane and intracellular signal structure derived from a TCR complex or an IgE high affinity receptor. T cells expressing CAR can react with antigens via a non-MHC restricted pathway.
- CAR is not limited to protein antigens compared to protein antigens that can only be targeted by conventional TCRs, but also includes sugars and glycolipids, TAA, which are not as susceptible to mutations as protein antigens (Curr Opin Immunol 2009; 21 : 215-23; Blood 2010; 116: 1035-44; Cancer Res 2011; 71: 3175-81; J Cancer 2011; 2: 378-82). Since 1989, Eshhar and his colleagues first proposed the concept of CAR, which has undergone three different stages of development. The first generation of CAR receptors, including scFv fragments that specifically recognize tumor antigens, and intracellular activation signals by IT3 of CD3 or FcsRIy
- the immunoreceptor tyrosine-based activation motifs are transmitted by signal chains.
- the first-generation CAR receptor lacks the costimulatory signal of T cells, which leads to T cells only exerting transient effects, short time in the body and less secretion of cytokines.
- the second generation of CAR receptors adds an intracellular domain of a costimulatory signaling molecule to the first generation of CAR, providing two signals for T cell activation, including CD28, CD134/OX40, CD137/4-1BB, Lymphocyte-specific protein tyrosine kinase (LCK), inducible T-cell co-stimulator (ICOS) and
- the DNAX-activation protein 10 (DAP10) and other domains enhance the proliferation of T cells and the secretion of cytokines, and increase IL-2, IFN- ⁇ and GM-CSF, thereby breaking the immunosuppression of the tumor microenvironment and prolonging AICD. (activate induced cell death, AICD).
- the third-generation CAR receptor based on the second-generation CAR, adds an intracellular domain of another co-stimulatory signaling molecule, such as recombining a second-level co-stimulation between the co-stimulatory structure CD28 and the ITAM signal chain. Stimulating molecules such as 4-1BB produce a triple-signal CAR receptor, and third-generation CAR receptor-modified T cells have better effector function and survival time in vivo.
- the first generation of CAR only provides the first signal of T cell activation
- the second and third generation of CAR combines the two signals required for T cell activation
- the second signal CD28 or / and The 4-1BB intracellular signal region is directly linked to the CD3z molecule, thereby bypassing the tumor cell.
- the second signal such as B7, lacks the barrier that T cells cannot activate. The combination of the first signal and the second signal greatly improves the pair. T cell activation, proliferation and killing ability, so that its efficacy is greatly increased.
- the present invention provides a dual signal independent chimeric antigen receptor, an immunoreactive cell expressing the chimeric antigen receptor, and the use of the immune response cell. specifically,
- a first aspect of the invention relates to a dual-signal chimeric antigen receptor (dsCAR) consisting of two independent chimeric antigen receptors, each of which transmits two signals
- Antigen receptor 1 is comprised of one or several (eg, two) chimeric antigens comprising a ligand capable of binding a tumor-specific antigen or a tumor-associated antigen, a transmembrane region, and an intracellular immunoreceptor tyrosine activation motif.
- chimeric antigen receptor 2 consists of one or several (eg, two) ligands that bind to membrane receptors that are widely expressed by tumor cells, transmembrane regions, and intracellular domains of intracellular costimulatory signaling molecules. Combined with antigen receptor composition.
- the two signals refer to a first signal and a second signal of T cell activation.
- the two independent chimeric antigen receptors are those in which the chimeric antigen receptors that transmit the T cell activation first signal and the second signal are independent of each other, and transmit the first signal and the second signal of T cell activation, respectively.
- the tumor-specific antigen or tumor-associated antigen is selected from the group consisting of CD19, CD20, CEA, GD 2 (also known as B4GALNT1, beta-l, 4-N-acetyl-galactosaminyl Transferase 1 ) , FR ( Flavin reductase ) , PSMA ( Prostate-specific membrane antigen ) , gpl00 ( PMEL premelanosome protein ) , CA9 ( carbonic anhydrase IX ) , CD171/L1-CAM , IL-13Ra2 , MART-1 (also known as melan -A ), ERBB2, NY-ESO-K, also known as CTAG1B, cancer/testis Antigen IB ) , MAGE ( Melanoma-associated antigen El ) family protein, BAGE ( B melanoma antigen family ) family protein, GAGE ( growth hormone releasing factor releasing factor
- EGP-2, EGP-40, FBP, GD 3 also known as ST8SIA1, ST8 alpha-N-acetyl-neuraminide alpha- 2,8-sialyltransferase 1
- PSCA promoting stem cell antigen
- FSA also known as KIAA1109
- PSA also known as KLK3 , kallikrein-related peptidase 3
- HMGA2 fetal acetylcholine receptor
- LeY also known as FUT3
- EpCAM also known as FUT3
- MSLN mesothelin
- IGFR1 EGFR
- EGFRvIII IGFR1
- ERBB3, ERBB4, CA125 also known as MUC16, mucin 16, cell surface associated ), CA15-3, CA19-9, CA72-4, CA242, CA50, CYFRA21-1, SCC (also known as SERPINB3), AFU (also known as FUCA1), EBV-VCA, POA (also known as VDR, vitamin D (1,25- dihydroxyvitamin D3) receptor), P2-MG (beta-2-microglobulin) and PROGRP ( GRP ga One or several of strin-releasing peptides.
- the tumor-specific antigen or tumor-associated antigen is MUC1.
- the membrane receptor widely expressed by the tumor cell is selected from the group consisting of CD19, CD20, MUCl. EGFR, EGFRvIII. ERBB2, ERBB3, ERBB4, VEGFR1. VEGFR2, EpCAM, CD44 and One or several of IGFR.
- the tumor-specific antigen or tumor-associated antigen is different from a membrane receptor widely expressed by tumor cells.
- the ligand capable of binding to a membrane receptor widely expressed by a tumor cell is capable of simultaneously binding to two or more of the above membrane receptors, so that the present invention
- the chimeric antigen receptor is capable of undergoing signal stimulation of a heterogeneous tumor cell population to prolong the effect time of the immune response cell.
- the ligand capable of binding to a tumor cell to express a membrane receptor broadly refers to a ligand capable of binding to an EGFR family protein (including EGFR, ERBB2, and/or ERBB4) and the EGFR mutant EGFRvIII;
- the ligand is HERIN.
- a chimeric antigen receptor according to the first aspect of the invention wherein said intracellular immunoreceptor tyrosine activating motif comprises an immunoreceptor tyrosine activating motif signal chain selected from the group consisting of CD3 and FCSRIY;
- the intracellular domain of the intracellular costimulatory signal molecule comprises an intracellular domain selected from the group consisting of CD28, CD134/OX40, CD137/4-lBB, LCK, ICOS, DAP10, preferably, the above.
- the intracellular immunoreceptor tyrosine activation motif comprises
- the intracellular domain of the intracellular costimulatory signaling molecule comprises the intracellular domain of CD28 and CD137/4-1BB.
- a chimeric antigen receptor according to the first aspect of the invention wherein said transmembrane region refers to a portion of a membrane protein within a cell membrane, such as CD28, CD8, CD3, CD134, CD137, ICOS, and DAP10 transmembrane regions
- the transmembrane regions of the two chimeric antigen receptors are different to prevent mismatching.
- the transmembrane region of the chimeric antigen receptor 1 is a CD8 transmembrane region
- the transmembrane region of the chimeric antigen receptor 2 is a CD28 transmembrane region.
- the ligand is a molecule which specifically binds to the tumor-specific antigen or tumor-associated antigen, and a membrane receptor widely expressed by a tumor cell, and may be, for example, a protein.
- a polypeptide or an antibody the antibody may be, for example, a monoclonal antibody, a single chain antibody, a Fab antibody, or the like, and in one embodiment of the invention, the antibody is a single chain antibody (ScFv); in another embodiment of the present invention
- the ligand is a polypeptide, and in a specific embodiment, the polypeptide is a HERIN molecule.
- the ligand is single copy or multiple copies, and the multiple copies are, for example, double copies.
- a chimeric antigen receptor according to the first aspect of the invention which is co-expressed by a vector or separately expressed by two identical or different vectors. In one embodiment of the invention, it is co-expressed by a vector.
- a protein precursor processing enzyme recognition sequence such as Furin-2A
- Furin-2A is ligated between the two chimeric antigen receptors, and when the two chimeric antigen receptors are expressed, they are cleaved into two independent proteins. Transported to the cell membrane separately.
- the vector of the present invention is a vector known in the art and can be used for protein cloning and expression, for example, a eukaryotic expression plasmid, a recombinant virus; and the eukaryotic expression plasmid can be, for example, pSV2, pRSV, pcDNA3.1, pCI and pVAXl.
- the transposon plasmid; the recombinant virus may be, for example, a recombinant retrovirus, a recombinant lentivirus, or a recombinant adenovirus.
- the vector is pcDNA3.1(+).
- cells are genetically modified by introducing a vector expressing a chimeric antigen receptor into an immunoreactive cell to express a chimeric antigen receptor.
- the method for introducing a vector into an immunoreactive cell can be a method commonly used in the art, for example, a gene gun method, a transfection method, an electrotransfer method, and a virus transduction method.
- the chimeric antigen receptor 1 is a ScFv, a CD8 transmembrane region, a CD3 signal chain of MUC1.
- the chimeric antigen receptor 2 is the amino acid sequence HERIN, the CD28 transmembrane region, the CD28 intracellular region, and the 4-1BB costimulatory peptide encoded by the eighth intron of the human Her2 gene.
- the amino acid sequence of the chimeric antigen receptor 1 comprises the amino acid sequence of SEQ ID NO: 31, and the amino acid sequence of the chimeric antigen receptor 2 comprises SEQ ID NO: The amino acid sequence shown by 33.
- the amino acid sequence of the chimeric antigen receptor 1 is the amino acid sequence set forth in SEQ ID NO:31.
- the amino acid sequence of the chimeric antigen receptor 2 is the amino acid sequence set forth in SEQ ID NO:33.
- a second aspect of the invention relates to an engineered immunoreactive cell expressing the chimeric antigen receptor of any one of the first aspects of the invention.
- the immunoreactive cell may be selected, for example, from a T cell, a monocyte, a natural killer cell (NK cell), a neutrophil cell; wherein the T cell can be, for example, For cytotoxic T lymphocytes, KT cells, helper T cells, or inhibitory/regulatory T cells.
- a third aspect of the invention relates to a kit comprising the immunoreactive cell of any of the second aspects of the invention, and optionally instructions for use.
- a fourth aspect of the invention relates to the chimeric antigen receptor of any one of the first aspect of the invention, or the immunoreactive cell of any one of the second aspect, for use in the preparation of a prophylactic and/or therapeutic malignancy and viral infectivity Use in medicines for diseases.
- the malignant tumor can be any malignant tumor, such as lung cancer, hepatocellular carcinoma, lymphoma, colon cancer, rectal cancer, breast cancer, ovarian cancer, cervical cancer, gastric cancer, bile duct Cancer, biliary cancer, esophageal cancer, kidney cancer, glioma, melanoma, pancreatic cancer or prostate cancer.
- a malignant tumor such as lung cancer, hepatocellular carcinoma, lymphoma, colon cancer, rectal cancer, breast cancer, ovarian cancer, cervical cancer, gastric cancer, bile duct Cancer, biliary cancer, esophageal cancer, kidney cancer, glioma, melanoma, pancreatic cancer or prostate cancer.
- a fifth aspect of the invention relates to a method of modifying an immunoreactive cell, comprising the step of expressing the chimeric antigen receptor of any one of the first aspects of the invention on an immunoreactive cell.
- the immune response cell is selected from the group consisting of a T cell, a monocyte, a natural killer cell, and a neutrophil; wherein the T cell can be, for example, a cytotoxic T lymphocyte or an NKT. Cells, helper T cells, or inhibitory/regulatory T cells.
- a sixth aspect of the invention relates to a method of preventing and/or treating a malignant tumor and a viral infectious disease, the method comprising preventing or treating a subject in need thereof an effective amount of any one of the first aspects of the invention A step of a chimeric antigen receptor or an immune response cell according to any one of the preceding aspects.
- the malignant tumor can be any malignant tumor, such as lung cancer, hepatocellular carcinoma, lymphoma, colon cancer, rectal cancer, breast cancer, ovarian cancer, cervical cancer, gastric cancer, bile duct Cancer, biliary cancer, esophageal cancer, kidney cancer, glioma, melanoma, pancreatic cancer or prostate cancer.
- a malignant tumor such as lung cancer, hepatocellular carcinoma, lymphoma, colon cancer, rectal cancer, breast cancer, ovarian cancer, cervical cancer, gastric cancer, bile duct Cancer, biliary cancer, esophageal cancer, kidney cancer, glioma, melanoma, pancreatic cancer or prostate cancer.
- the virus may be any virus that infects cells, such as HIV (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and Epstein-Barr virus ( Epstein-Barr virus), Papillomavirus, Herpesvirus or cytomegalovirus.
- HIV HIV
- HBV hepatitis B virus
- HCV hepatitis C virus
- Epstein-Barr virus Epstein-Barr virus
- Papillomavirus Herpesvirus or cytomegalovirus.
- chimeric antigen receptor in the present invention is an artificially engineered receptor capable of anchoring a specific molecule (such as an antibody) that recognizes a tumor antigen to an immune cell (such as a T cell), so that the immune cell recognizes a tumor antigen or virus. Antigen and cells that kill tumor cells or virus infection.
- T cell activation-associated signal in the present invention means that two signals required for activation of T cells, that is, a TCR-CD3 complex on the surface of a T cell, bind to an antigen peptide-MHC molecule, and provide a first signal for T cell activation, which is determined. Killing specificity of T cells; co-stimulatory molecules on the surface of T cells (such as CD28) bind to the corresponding ligand (such as B7), providing a second signal of T cell activation, promoting T cell activation, proliferation and survival.
- TAM immunoreceptor tyrosine activation motif
- FcaR and FcRy etc.
- co-stimulating molecule in the present invention means some adhesion molecules on the surface of an immune cell, such as CD28, CD134/OX40. CD137/4-1BB. CD40, etc., activated by binding to its ligand.
- the second signal of immune cells enhances the proliferative capacity of immune cells and the secretory function of cytokines, prolonging the survival time of activated immune cells.
- TSA tumor specific antigen
- TAA tumor-associated antigen
- single-chain antibody variable region fragment refers to an antibody fragment having the ability to bind antigen by linking the amino acid sequence of the VL region of the antibody and the amino acid sequence of the VH region via Linker.
- EGFR refers to the human epidermal growth factor receptor, also referred to as ERBB1 or HER1, and its family members include EGFR, ERBB2 (HER2), ERBB3 (HER3), and ERBB4 (HER4).
- Herin in the present invention refers to a DNA sequence encoding the C-terminal 79 amino acids of Herstatin in the 8th intron of human Her2, which encodes the C-terminus of Herstatin in the 8th intron of human Her2.
- the dual signal independent means that the chimeric antigen receptor that transmits the first signal of T cell activation and the chimeric antigen receptor of the second signal are independent of each other, respectively bind to the respective ligands, and respectively generate signals after binding. Transfer into the cells.
- the Linker is a polypeptide fragment that links between different proteins or polypeptides, the purpose of which is to maintain the spatial conformation of the linked protein or polypeptide to maintain the function or activity of the protein or polypeptide.
- the polypeptide generally refers to a peptide chain molecule having a length of from 1 to 100 amino acids; a protein generally refers to a peptide chain molecule having a length of more than 100 amino acids.
- the T cell is taken as an example, and the second generation and the third generation CAR which are the most popular in the world are reconstructed, and the first signal and the second signal are separated from the single CAR to construct a double Signal-independent chimeric antigen receptors (dsCAR).
- the two CARs identify antigens from two different families of tumor cells, respectively, and transmit two signals related to T cell activation.
- a CAR transmits a first signal related to T cell activation by binding a single-chain antibody or peptide of a tumor-specific antigen or a tumor-associated antigen to determine T cell killing specificity; another CAR is widely expressed by binding to tumor cells.
- Single-chain antibodies or peptides of membrane receptors transmit a second signal associated with T cell activation, promoting T cell activation, proliferation, and survival. It is ensured that the T cells modified by dsCAR proliferate in a large amount in the tumor environment in which the first signal and the second signal source coexist, thereby specifically killing the tumor cells; and the normal cells do not simultaneously express the receptors of the two stimulation signals, even the normal cells.
- Low expression of the first source only mild accidental injury, will not cause a "fall" over-expression of CAR+ T cells, leading to serious consequences; and in some normal tissue environments with only the second source, T The cells do not exert a killing effect, so the safety is greatly improved.
- the present invention can avoid potential safety problems while maintaining the efficacy of second and third generation CAR.
- the invention is equally applicable to other immune response cells, such as monocytes, NK cells, neutrophils.
- the chimeric antigen receptor 2 of the present invention comprises a ligand capable of binding to a membrane receptor widely expressed by tumor cells, and thus is suitable for various malignant tumors, viral infectious diseases, and the same type of malignant cells or
- the virus-infected cells express different membrane receptors due to heterogeneity, thereby achieving the effect of prolonging the effect time of the immune response cells.
- Figure 1 Schematic diagram of CAR1 (CARIMUCI) binding to MUC1 and CAR2 (CAR2 EGFR ) binding to EGFR family proteins, and third generation CAR (G3-CAR MU ci) binding to MUC1.
- CAR1 CARIMUCI
- CAR2 CAR2 EGFR
- G3-CAR MU ci third generation CAR
- SP signal peptide
- LI - L5 Linker 1 - Linker 5;
- FIG. 2 Structure of the expression vector for CAR1 C1 CAR2 EGFR (abbreviation) pcDNA3.1-CARl: 2).
- FIG. 3 Proliferation of Jurkat cells (Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2, and Jurkat 3G - CAR ) treated with different treatments after exposure to A431, MCF7, and U-20S.
- FIG. 4 Secretion of INFry after co-culture with A431, MCF7, and U-20S cells by Jurkat cells (Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2, and Jurkat 3G - CAR ) treated with different treatments.
- Figure 5 Killing effect of differently treated Jurkat cells (Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and Jurkat 3G - CAR ) on A431, MCF7, U-20S. detailed description
- amino acid sequence and coding sequence constituting each component of CAR the entire fused amino acid sequence and the coding DNA expression frame are spliced, wherein:
- amino acid residue sequence of HERI is:
- CD28 transmembrane and intracellular regions are:
- CD28 transmembrane and intracellular regions (CD28) is:
- the amino acid residue sequence of the 4-1BB costimulatory signal domain peptide (41BB) is:
- the coding sequence of the 4-1BB costimulatory signal domain peptide (41BB) is:
- the amino acid residue sequence of CD3 is:
- CD3 The coding sequence of CD3 is:
- amino acid residue sequence of MUC1 scFv-VH ( VHMUCI ) is:
- the coding sequence of MUC1 scFv-VH ( VHMUCI ) is: GAGGTCCAGCTGCAGCAGTCAGGAGGAGGCTTGGTGCAACC
- VLMUCI amino acid residue sequence
- VLMUCI The coding sequence of MUC1 scFv-VL ( VLMUCI ) is:
- CAAACTGACTGTCCTAGGATCCGAG SEQ ID NO: 12
- CD8TM The amino acid residue sequence of the CD8 transmembrane region peptide (CD8TM) is:
- CD8TM The coding sequence of the CD8 transmembrane region peptide (CD8TM) is:
- amino acid residue sequence of signal peptide 1 is:
- the signal peptide 1 coding sequence is:
- the signal peptide 2 coding sequence is:
- GGSGSGGSGSGGSGS (SEQ ID NO: 19)
- Linker2 The amino acid residue sequence of Linker2 is:
- EPKSCDKTHTCPPCPAPE (SEQ ID NO: 21)
- Linker2 The coding sequence of Linker2 is:
- Linker3 The amino acid residue sequence of Linker3 is:
- Linker3 The coding sequence of Linker3 is:
- the amino acid residue sequence of Linker 4 is:
- the Linker 4 coding sequence is:
- the amino acid residue sequence of Linker 5 is:
- Linker 5 The coding sequence of Linker 5 is:
- RAKRAPVKQTLNFDLLKLAGDVESNPGP (SEQ ID NO: 29)
- the coding sequence of Furin-2A is: CGTGCTAAACGAGCTCCTGTTAAACAGACTTTGAATTTTGAC CTTCTCAAGTTGGCGGGAGACGTCGAGTCCAACCCTGGGCCC
- CARIMUCI is composed of signal-like l-VH M uci-Linkerl-VL M uci-Linker2-CD8TM-Linker3-CD3 fusion (see Figure 1), and its amino acid sequence is:
- CAGGCCCTGCCCCCTCGC (SEQ ID NO: 32)
- CAR2 EGFR is composed of the signal peptide 2-HERIN-Linker4-CD28-Linker5-41BB fusion (see Figure 1), and its amino acid sequence is:
- the coding sequence of CAR2 EGFR is:
- CAR1MUCICAR2 E GFR consists of CAR1MU C1 and CAR2 EGFR linked by Furin-2A.
- the amino acid sequence is:
- the coding sequence of CARl MUC1 CAR2 EeFR is:
- the control G3-CAR MUC1 was composed of the signal peptide l-VH M uci-Linkerl-VL M uci-Linker2-CD28-Linker4-41BB-Linker3-CD3 fusion (see Figure 2), and its amino acid sequence was:
- G3-CARMUCI The coding sequence of G3-CARMUCI is:
- DNA coding sequence of ⁇ (SEQ ID NO: 32), DNA coding sequence of CAR2 EGFR (SEQ ID NO: 34), DNA coding sequence of CAR1 MUC1 CAR2 EGFR (SEQ ID NO: 36).
- G3-CAR MUC1 The DNA coding sequence (SEQ ID NO: 38) was entrusted to Biotech Engineering (Shanghai) Co., Ltd. to synthesize its entire expression cassette and insert the pCDNA3.1 ( + ) vector ( Invitrogen ) EcoRl-Xbal site (see Figure 2). After transformation to E. coli (DH5a), after sequencing, the plasmid was extracted and purified using Qiagen's plasmid purification kit to obtain a high quality plasmid of each recombinant expression vector.
- Example 2 Genetic modification of T cell lines
- Example 3 High quality plasmids of each recombinant expression vector constructed and purified in Example 1 were transfected into Jurkat E6.1 (T lymphocyte strain, purchased from American Type Collection, ATCC) using Lipofectamine 2000 (Invitrogen), respectively. Two days later, the transfected Jurkat E6.1 cells were transferred to RPMI 1640 medium with neomycin and the cells were cloned by limiting dilution. After 21 days of screening, Jurkat E6.1 cell line Jurkat CAR1 , Jurkat CAR2 , Jurkat c dish with neomycin resistance and genetic modification by CAR1 MUC1 , CAR2 EGFR , CAR1 MUC1 CAR2 EGFR and G3-CAR M uci were established . AR2 and J U rkat G3 CAR .
- Example 3 Determination of proliferation of T cell strain after genetic modification
- Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and J U rkat G3 CAR and unmodified Jurkat E6.1 cells (5xl0 5 /well, RPMI 1640 medium, containing 20U/ml IL-2) were added to pre-plated radiation Treatment (without disrupting the overall structure, the cells lose the activity of dividing proliferation, see Clin Cancer Res. 2011; 17(7): 1664-73) 6-well plates of A431, MCF7, U-20S (cells) Suspended Jurkat cells were counted on day 3 and day 7, respectively, from ATCC, 5xl0 5 /well.
- dsCAR-modified T cells can proliferate in a large amount; when the first signal is present, the second signal is weak (such as MUC1 positive) , EGFR weakly positive, representing a small number of tumor cells), modified by dsCAR The cells can also proliferate effectively; when the first signal is weak, the second signal is present (such as MUC1 weak yang, EGFR weak yang, representing normal tissue cells), and dsCAR-modified T cells do not proliferate.
- Example 4 Determination of IFNy secretion in T cell strain after genetic modification
- the ⁇ secretion of Jurkat CAR1CAR2 is similar to that of Jurkat CAR1 , which is lower than that of Jurkat G3-CAR .
- Jurkat CAR1CAR2 does not secrete IFNy, and Jurkat G3 - CAR can still Secreted more IFNy (see Figure 4).
- Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and Jurkat G3-CAR and unmodified Jurkat E6.1 cells were plated with A431 at different target ratios (50:1, 25:1, 5:1, 1:1).
- the method is as follows: The target cells are plated in 96-well plates (5 ⁇ 10 3 /well), medium background, volume correction, spontaneous LDH release from target cells, maximum LDH release from target cells, control cells spontaneous LDH release control wells, treatment group wells (groups) Prepare according to the kit instructions), repeat 3 wells per group, the final volume of each well is the same and not less than ⁇ 250g for 4 min, and incubated at 37 ° C, 5% C02 for at least 4 h. 45 min before centrifugation, lOx lysate was added to the largest release well of the target cells, and an equal amount of lysate was added to the volume-corrected well.
- Cytotoxicity (%) [( D experimental well - D medium background well) - (D effector cell spontaneous LDH release well - D medium background well) - (D target cell spontaneous LDH release well - D medium background well) ⁇ / [ ( D target cell maximum LDH release hole - D volume correction hole) - (D target cell spontaneous LDH release hole - D medium background hole)] xl00 results show that Jurkat CAR1CAR2 can effectively kill MUC1 and EGFR double positive A431 Tumor cells; the killing effect of MCF7, which is highly positive for MUC1 and weakly positive for EGFR family protein, is similar to Jurkat CAR1 , lower than Jurkat G3-CAR ; U-20S cells with weak positive MUC1 and EGFR positive are not killed (see Figure 5).
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Description
双信号独立的嵌合抗原受体及其用途 技术领域 Dual-signal independent chimeric antigen receptor and use thereof
本发明涉及一种嵌合抗原受体, 特别是双信号独立的嵌合抗原受体, 本发明还涉及表达所述嵌合抗原受体的免疫反应细胞, 以及所述免疫反应 细胞用于制备治疗恶性肿瘤及病毒感染性疾病的药物中的用途。 背景技术 The present invention relates to a chimeric antigen receptor, in particular a dual signal independent chimeric antigen receptor, the present invention also relates to an immunoreactive cell expressing said chimeric antigen receptor, and said immune response cell for use in the preparation of a therapeutic Use in drugs for malignant tumors and viral infectious diseases. Background technique
肿瘤过继细胞治疗 ( adoptive cell therapy, ACT )是将经处理的自体或 异体免疫细胞(主要是自体细胞) 回输给肿瘤患者, 以增强患者免疫功能, 达到治疗目的的方法。 当前肿瘤 ACT进展迅速, 利用肿瘤浸润淋巴细胞 Adoptive cell therapy (ACT) is a method of returning treated autologous or allogeneic immune cells (mainly autologous cells) to a tumor patient to enhance the patient's immune function and achieve therapeutic goals. Current tumor ACT progresses rapidly, using tumor infiltrating lymphocytes
( tumor-infiltrating lymphocyte, TIL )开展的过继免疫治疗方案针对黑色素 瘤取得了非常好的临床效果( Science 2002; 298: 850-4 )。 然而, T细胞活化 需要两个信号的刺激, 即两种 T细胞活化相关信号。 其中, T细胞表面 The adoptive immunotherapy program (tumor-infiltrating lymphocyte, TIL) has achieved very good clinical results for melanoma (Science 2002; 298: 850-4). However, T cell activation requires stimulation of two signals, two signals related to T cell activation. Among them, T cell surface
TCR-CD3复合体与抗原肽 -MHC分子结合, 提供 T细胞活化的第一信号, 决定 T细胞的杀伤特异性; T细胞表面的共刺激分子(如 CD28 )与相应配 体(如 B7 )结合, 提供 T细胞活化的第二信号, 促进 T细胞活化、 增殖与 存活。但肿瘤细胞第一信号刺激源(如 MHC分子)与第二信号配体(如 B7 ) 等缺乏或表达下降, 无法有效提供 T细胞活化相关的信号, 从而激活 T细胞 免疫反应。 因而, 需要对 T细胞进行基因改造。 目前主要通过转基因 TCR ( T cell receptor )及嵌合抗原受体 CAR ( chimeric antigen receptors, CAR ) 两种方式来实现这种 T细胞的基因改造 ( Blood 2010; 116: 1035-44; Nat Rev Clin Oncol 2011; 8: 577-85 ) 。 The TCR-CD3 complex binds to the antigen peptide-MHC molecule and provides the first signal of T cell activation, which determines the kill specificity of T cells; the costimulatory molecule on the surface of T cells (such as CD28) binds to the corresponding ligand (such as B7). Provides a second signal of T cell activation that promotes T cell activation, proliferation and survival. However, the lack of or the decreased expression of the first signal stimulus source (such as MHC molecule) and the second signal ligand (such as B7) in tumor cells cannot effectively provide T cell activation-related signals, thereby activating T cell immune response. Therefore, it is necessary to genetically engineer T cells. At present, genetic modification of this T cell is mainly achieved by transgenic TCR (T cell receptor) and chimeric antigen receptors (CAR) (Blood 2010; 116: 1035-44; Nat Rev Clin Oncol 2011; 8: 577-85).
TCR改造具有比较大的限制性, ①转基因 TCR链可能与病人的内源性 的 TCR链发生错配, 从而导致 T细胞表面肿瘤反应性的 TCR密度减少; ② TCR识别 MHC分子递呈的抗原, 但不同的病人 MHC分子是不同的, 所 以必须分离对所有 MHC单体型特异的 TCR, 可操作性低; ③大部分 TCR 不能识别糖类或糖脂类抗原, 抗原选择范围较窄; ④只提供 T细胞活化相关 的第一信号, 没有提供第二信号, 疗效不足。 因而, 嵌合抗原受体 CAR受 体受到更多的青睐。 The TCR modification has a relatively large restriction. 1 The transgenic TCR chain may be mismatched with the patient's endogenous TCR chain, resulting in a decrease in the TCR density of tumor-reactive T cells on the surface of the T cell; 2 TCR recognizes the antigen presented by the MHC molecule, However, different patients have different MHC molecules, so it is necessary to isolate TCR specific for all MHC haplotypes, and the operability is low; 3 most TCRs cannot recognize carbohydrates or glycolipid antigens, and the antigen selection range is narrow; 4 The first signal related to T cell activation is provided, and the second signal is not provided, and the therapeutic effect is insufficient. Thus, chimeric antigen receptor CAR receptors are more favored.
嵌合抗原受体 CAR由一个 scFv单链抗体(由抗体 VL区氨基酸序列和 VH区氨基酸序列经 Linker连接而成) , 通过铰链结构与源于 TCR复合体 或者 IgE 高亲和受体的跨膜和胞内信号结构连接构成。 表达 CAR的 T细胞 可通过非 MHC限制性途径与抗原反应。 此外, 与常规的 TCR只能针对的 蛋白抗原相比, CAR并不局限于蛋白抗原, 还包括糖类和糖脂类 TAA, 而 这些抗原不像蛋白抗原那么容易突变( Curr Opin Immunol 2009; 21: 215-23; Blood 2010; 116: 1035-44; Cancer Res 2011; 71: 3175-81 ; J Cancer 2011; 2: 378-82 ) 。 自 1989年, 由 Eshhar和其同事首次提出 CAR的概念以来, 其 已经历了三个不同的发展阶段。 第一代 CAR受体, 包含胞外特异识别肿瘤 抗原的 scFv片段, 胞内激活信号由 CD3 或 FcsRIy的 ITAM Chimeric antigen receptor CAR consists of a scFv single-chain antibody (from the amino acid sequence of the VL region of the antibody and The amino acid sequence of the VH region is linked by Linker, and is constructed by a hinge structure linked to a transmembrane and intracellular signal structure derived from a TCR complex or an IgE high affinity receptor. T cells expressing CAR can react with antigens via a non-MHC restricted pathway. In addition, CAR is not limited to protein antigens compared to protein antigens that can only be targeted by conventional TCRs, but also includes sugars and glycolipids, TAA, which are not as susceptible to mutations as protein antigens (Curr Opin Immunol 2009; 21 : 215-23; Blood 2010; 116: 1035-44; Cancer Res 2011; 71: 3175-81; J Cancer 2011; 2: 378-82). Since 1989, Eshhar and his colleagues first proposed the concept of CAR, which has undergone three different stages of development. The first generation of CAR receptors, including scFv fragments that specifically recognize tumor antigens, and intracellular activation signals by IT3 of CD3 or FcsRIy
( immunoreceptor tyrosine-based activation motifs )信号链来传递。 但是第 一代 CAR受体缺乏 T细胞的共刺激信号, 导致 T细胞只能发挥瞬间效应, 在体内存在时间短、 细胞因子分泌少。 第二代 CAR受体在第一代 CAR的基 础上增加了一个共刺激信号分子的胞内结构域,提供 T细胞活化的两种信号, 包括如 CD28, CD134/OX40, CD137/4-1BB, lymphocyte-specific protein tyrosine kinase (LCK), inducible T-cell co-stimulator (ICOS)以及 (The immunoreceptor tyrosine-based activation motifs) are transmitted by signal chains. However, the first-generation CAR receptor lacks the costimulatory signal of T cells, which leads to T cells only exerting transient effects, short time in the body and less secretion of cytokines. The second generation of CAR receptors adds an intracellular domain of a costimulatory signaling molecule to the first generation of CAR, providing two signals for T cell activation, including CD28, CD134/OX40, CD137/4-1BB, Lymphocyte-specific protein tyrosine kinase (LCK), inducible T-cell co-stimulator (ICOS) and
DNAX-activation protein 10 (DAP10) 等结构域, 增强了 T细胞的增殖能力 及细胞因子的分泌功能, IL-2、 IFN-γ以及 GM-CSF增加, 从而突破肿瘤微 环境的免疫抑制、 延长 AICD ( activation induced cell death, AICD ) 。 第三 代 CAR受体, 在第二代 CAR的基础上, 增加了另外一种共刺激信号分子的 胞内结构域, 如在共刺激结构 CD28和 ITAM信号链的之间再融合一个二级 共刺激分子如 4-1BB, 产生一个三重信号的 CAR受体, 第三代 CAR受体改 造的 T细胞具有更好的效应功能和体内存活时间。 The DNAX-activation protein 10 (DAP10) and other domains enhance the proliferation of T cells and the secretion of cytokines, and increase IL-2, IFN-γ and GM-CSF, thereby breaking the immunosuppression of the tumor microenvironment and prolonging AICD. (activate induced cell death, AICD). The third-generation CAR receptor, based on the second-generation CAR, adds an intracellular domain of another co-stimulatory signaling molecule, such as recombining a second-level co-stimulation between the co-stimulatory structure CD28 and the ITAM signal chain. Stimulating molecules such as 4-1BB produce a triple-signal CAR receptor, and third-generation CAR receptor-modified T cells have better effector function and survival time in vivo.
目前, 美国已有 29项 CAR修饰的 T细胞过继治疗方案进入临床试验 At present, there are 29 CAR-modified T cell adoptive treatment programs in the United States.
( Blood 2010; 116: 1035-44; Nat Rev Clin Oncol 2011; 8: 577-85 ) 。 可以看 到,第一代 CAR只提供 T细胞活化的第一信号,第二代与第三代的 CAR是 将 T细胞激活所需的两个信号进行了合并, 将第二信号 CD28或 /和 4-1BB 细胞内信号区域直接连接到 CD3z分子, 从而绕过了肿瘤细胞通常第二信号 如 B7等缺乏所引起 T细胞不能激活的障碍, 第一信号与第二信号合并后, 大大提高了对 T细胞激活、 增殖及杀伤能力, 使之疗效大幅度增加。 但随之 给临床治疗带来了一定风险, 因为第二代与第三代 CAR修饰后 T细胞会针 对某些少量表达肿瘤相关抗原的正常组织产生超强的反应, 呈"瀑布"式过量 增加,造成对正常组织的过激免疫反应。 目前已有两个注射 CAR修饰后的 T 细胞而导致死亡的病例报道。 其一例应用第三代 CAR (针对 Her2 ) , 患者 由于急性肺水肿而死亡, 其原因是 CAR+的 T细胞误攻击低表达 Her2的肺 上皮细胞 ( Mol Ther 2010; 18: 843-51 ) ; 另一例应用第二代 CAR (针对 (Blood 2010; 116: 1035-44; Nat Rev Clin Oncol 2011; 8: 577-85). It can be seen that the first generation of CAR only provides the first signal of T cell activation, and the second and third generation of CAR combines the two signals required for T cell activation, and the second signal CD28 or / and The 4-1BB intracellular signal region is directly linked to the CD3z molecule, thereby bypassing the tumor cell. The second signal, such as B7, lacks the barrier that T cells cannot activate. The combination of the first signal and the second signal greatly improves the pair. T cell activation, proliferation and killing ability, so that its efficacy is greatly increased. However, it brings certain risks to clinical treatment, because the second-generation and third-generation CAR-modified T cells will produce a strong response to certain small tissues expressing tumor-associated antigens in a small amount, resulting in a "fall" overdose increase. , causing an overactive immune response to normal tissues. There are currently two injections of CAR modified T Case reports of cells leading to death. In one case, a third-generation CAR (for Her2) was used, and patients died of acute pulmonary edema because CAR+ T cells mistakenly attack Herp-expressing lung epithelial cells (Mol Ther 2010; 18: 843-51); another case Apply second generation CAR (for
CD19 ) , 死亡原因复杂, 但伴随着血液中细胞因子水平的增高 (Hum Gene Ther 2010; 21: 1039-42; Mol Ther 2010; 18: 666-8 ) 。 为解决这一安全性隐 患, 研究者将 HSV-TK、 AFas. iCasp9、 CD20-Rituximab等自杀系统引入 T细胞的 CAR修饰 , 发挥刹车作用 , 避免 T细胞过量增殖( J Cancer 2011; 2: 378-82; N Engl J Med 2011; 365: 1673-83 ) 。 然而, CAR+的 T细胞脱靶 引发的 "瀑布 "效应速度非常快, 这些自杀系统未必能及时发挥作用。 另一种 方法是减少 CAR+的 Τ细胞回输数量, 这种方案随之使治疗疗效下降。所以, 非常有必要对 CAR自身的反应体系上进行改造,提高 CAR介导的肿瘤 ACT 的临床安全性。 发明内容 CD19), the cause of death is complex, but accompanied by an increase in cytokine levels in the blood (Hum Gene Ther 2010; 21: 1039-42; Mol Ther 2010; 18: 666-8). In order to solve this safety hazard, the researchers introduced HSV-TK, AFas. iCasp9, CD20-Rituximab and other suicide systems into the T-cell CAR modification to exert a braking effect and avoid excessive proliferation of T cells (J Cancer 2011; 2: 378- 82; N Engl J Med 2011; 365: 1673-83). However, the "waterfall" effect of CAR+'s T-cell off-target is very fast, and these suicide systems may not work in time. Another approach is to reduce the number of CAR+ sputum cells, which in turn reduces the therapeutic efficacy. Therefore, it is very necessary to modify CAR's own response system to improve the clinical safety of CAR-mediated tumor ACT. Summary of the invention
本发明提供了一种双信号独立的嵌合抗原受体, 表达所述嵌合抗原受 体的免疫反应细胞, 以及所述免疫反应细胞的用途。 具体地, The present invention provides a dual signal independent chimeric antigen receptor, an immunoreactive cell expressing the chimeric antigen receptor, and the use of the immune response cell. specifically,
本发明的第一方面涉及一种双信号独立的嵌合抗原受体 ( dual-signal chimeric antigen receptors, dsCAR ) , 其由两种独立的嵌合抗原受体组成, 分别传递两种信号, 其中嵌合抗原受体 1由一个或数个(例如两个) 包含 能够结合肿瘤特异性抗原或肿瘤相关抗原的配体、 跨膜区和胞内免疫受体 酪氨酸活化基序的嵌合抗原受体组成, 嵌合抗原受体 2由一个或数个 (例 如两个) 包含能够结合肿瘤细胞广泛表达的膜受体的配体、 跨膜区和胞内 共刺激信号分子胞内结构域的嵌合抗原受体组成。 A first aspect of the invention relates to a dual-signal chimeric antigen receptor (dsCAR) consisting of two independent chimeric antigen receptors, each of which transmits two signals, Antigen receptor 1 is comprised of one or several (eg, two) chimeric antigens comprising a ligand capable of binding a tumor-specific antigen or a tumor-associated antigen, a transmembrane region, and an intracellular immunoreceptor tyrosine activation motif. In vivo, chimeric antigen receptor 2 consists of one or several (eg, two) ligands that bind to membrane receptors that are widely expressed by tumor cells, transmembrane regions, and intracellular domains of intracellular costimulatory signaling molecules. Combined with antigen receptor composition.
在本发明中, 所述两种信号是指 T细胞活化的第一信号和第二信号。 所述两种独立的嵌合抗原受体是指传递 T细胞活化第一信号和第二信号的 嵌合抗原受体之间相互独立,分别传递 T细胞活化的第一信号和第二信号。 In the present invention, the two signals refer to a first signal and a second signal of T cell activation. The two independent chimeric antigen receptors are those in which the chimeric antigen receptors that transmit the T cell activation first signal and the second signal are independent of each other, and transmit the first signal and the second signal of T cell activation, respectively.
根据本发明第一方面的嵌合抗原受体, 所述的肿瘤特异性抗原或肿瘤 相关抗原选 自 CD19、 CD20、 CEA、 GD2 ( 又称 B4GALNT1 , beta-l,4-N-acetyl-galactosaminyl transferase 1 ) 、 FR ( Flavin reductase ) 、 PSMA( Prostate-specific membrane antigen )、 gpl00( PMEL premelanosome protein ) 、 CA9 ( carbonic anhydrase IX ) 、 CD171/L1-CAM、 IL-13Ra2、 MART-1 (又称 melan-A )、 ERBB2、 NY-ESO-K又称 CTAG1B, cancer/testis antigen IB ) 、 MAGE ( Melanoma-associated antigen El )家族蛋白、 BAGE ( B melanoma antigen family )家族蛋白、 GAGE ( growth hormone releasing factor )家族蛋白、 AFP ( alpha-fetoprotein ) 、 MUCl ( mucin 1, cell surface associated ) 、 CD22、 CD23、 CD30、 CD33、 CD44v7/8、 CD70、 VEGFR1. VEGFR2. IL-llRou EGP-2、 EGP-40、 FBP、 GD3 (又称 ST8SIA1 , ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 1 )、 PSCA ( prostate stem cell antigen ) 、 FSA (又称 KIAA1109 ) 、 PSA (又称 KLK3 , kallikrein- related peptidase 3 )、 HMGA2、 fetal acetylcholine receptor、 LeY (又称 FUT3 )、 EpCAM、 MSLN ( mesothelin )、 IGFR1、 EGFR、 EGFRvIII. ERBB3、 ERBB4、 CA125 (又称 MUC16, mucin 16, cell surface associated )、 CA15-3、 CA19-9、 CA72-4、 CA242、 CA50、 CYFRA21-1、 SCC (又称 SERPINB3 )、 AFU (又称 FUCA1 )、 EBV-VCA、 POA (又称 VDR, vitamin D (1,25- dihydroxyvitamin D3) receptor ) 、 P2-MG ( beta-2-microglobulin ) 和 PROGRP ( GRP gastrin-releasing peptide )中的一种或数种。 在本发明的 一个实施方案中, 所述肿瘤特异性抗原或肿瘤相关抗原为 MUC1。 According to the chimeric antigen receptor of the first aspect of the invention, the tumor-specific antigen or tumor-associated antigen is selected from the group consisting of CD19, CD20, CEA, GD 2 (also known as B4GALNT1, beta-l, 4-N-acetyl-galactosaminyl Transferase 1 ) , FR ( Flavin reductase ) , PSMA ( Prostate-specific membrane antigen ) , gpl00 ( PMEL premelanosome protein ) , CA9 ( carbonic anhydrase IX ) , CD171/L1-CAM , IL-13Ra2 , MART-1 ( also known as melan -A ), ERBB2, NY-ESO-K, also known as CTAG1B, cancer/testis Antigen IB ) , MAGE ( Melanoma-associated antigen El ) family protein, BAGE ( B melanoma antigen family ) family protein, GAGE ( growth hormone releasing factor ) family protein, AFP ( alpha-fetoprotein ) , MUCl ( mucin 1, cell surface associated ), CD22, CD23, CD30, CD33, CD44v7/8, CD70, VEGFR1. VEGFR2. IL-llRou EGP-2, EGP-40, FBP, GD 3 (also known as ST8SIA1, ST8 alpha-N-acetyl-neuraminide alpha- 2,8-sialyltransferase 1 ), PSCA (promoting stem cell antigen ), FSA (also known as KIAA1109 ) , PSA (also known as KLK3 , kallikrein-related peptidase 3 ), HMGA2 , fetal acetylcholine receptor , LeY ( also known as FUT3 ) , EpCAM , MSLN ( mesothelin ), IGFR1, EGFR, EGFRvIII. ERBB3, ERBB4, CA125 (also known as MUC16, mucin 16, cell surface associated ), CA15-3, CA19-9, CA72-4, CA242, CA50, CYFRA21-1, SCC (also known as SERPINB3), AFU (also known as FUCA1), EBV-VCA, POA (also known as VDR, vitamin D (1,25- dihydroxyvitamin D3) receptor), P2-MG (beta-2-microglobulin) and PROGRP ( GRP ga One or several of strin-releasing peptides. In one embodiment of the invention, the tumor-specific antigen or tumor-associated antigen is MUC1.
根据本发明第一方面的嵌合抗原受体, 所述的肿瘤细胞广泛表达的膜 受体选自 CD19、 CD20、 MUCl . EGFR、 EGFRvIII. ERBB2、 ERBB3、 ERBB4、 VEGFR1. VEGFR2、 EpCAM、 CD44和 IGFR中的一种或数种。 优选地, 所述肿瘤特异性抗原或肿瘤相关抗原与肿瘤细胞广泛表达的膜受 体不同。 According to the chimeric antigen receptor of the first aspect of the invention, the membrane receptor widely expressed by the tumor cell is selected from the group consisting of CD19, CD20, MUCl. EGFR, EGFRvIII. ERBB2, ERBB3, ERBB4, VEGFR1. VEGFR2, EpCAM, CD44 and One or several of IGFR. Preferably, the tumor-specific antigen or tumor-associated antigen is different from a membrane receptor widely expressed by tumor cells.
根据本发明第一方面的嵌合抗原受体, 优选地, 其中所述的能够结合 肿瘤细胞广泛表达的膜受体的配体能够同时和两种或多种上述膜受体结 合,使得本发明的嵌合抗原受体能够接受异质性肿瘤细胞群体的信号刺激, 以延长免疫反应细胞的效应时间。 According to the chimeric antigen receptor of the first aspect of the present invention, preferably, the ligand capable of binding to a membrane receptor widely expressed by a tumor cell is capable of simultaneously binding to two or more of the above membrane receptors, so that the present invention The chimeric antigen receptor is capable of undergoing signal stimulation of a heterogeneous tumor cell population to prolong the effect time of the immune response cell.
在本发明的一个实施方案中, 所述能够结合肿瘤细胞广泛表达膜受体 的配体是指能够结合 EGFR家族蛋白(包括 EGFR、 ERBB2、和 /或 ERBB4 ) 及 EGFR突变体 EGFRvIII的配体; 优选地, 所述配体为 HERIN。 In one embodiment of the invention, the ligand capable of binding to a tumor cell to express a membrane receptor broadly refers to a ligand capable of binding to an EGFR family protein (including EGFR, ERBB2, and/or ERBB4) and the EGFR mutant EGFRvIII; Preferably, the ligand is HERIN.
根据本发明第一方面的嵌合抗原受体, 其中所述的胞内免疫受体酪氨 酸活化基序包含选自 CD3 和 FCSRIY 的免疫受体酪氨酸活化基序信号 链; 其中所述的胞内共刺激信号分子胞内结构域包含选自 CD28、 CD134/OX40、 CD137/4-lBB、 LCK、 ICOS、 DAP10胞内结构域, 优选地, 以上。 A chimeric antigen receptor according to the first aspect of the invention, wherein said intracellular immunoreceptor tyrosine activating motif comprises an immunoreceptor tyrosine activating motif signal chain selected from the group consisting of CD3 and FCSRIY; The intracellular domain of the intracellular costimulatory signal molecule comprises an intracellular domain selected from the group consisting of CD28, CD134/OX40, CD137/4-lBB, LCK, ICOS, DAP10, preferably, the above.
在本发明的一个实施方案中,所述的胞内免疫受体酪氨酸活化基序包含 In one embodiment of the invention, the intracellular immunoreceptor tyrosine activation motif comprises
CD3 的免疫受体酪氨酸活化基序信号链。 The immunoreceptor tyrosine activation motif signal chain of CD3.
在本发明的一个实施方案中,所述的胞内共刺激信号分子胞内结构域包 含 CD28和 CD137/4-1BB的胞内结构域。 In one embodiment of the invention, the intracellular domain of the intracellular costimulatory signaling molecule comprises the intracellular domain of CD28 and CD137/4-1BB.
根据本发明第一方面的嵌合抗原受体, 其中所述的跨膜区是指 膜蛋白在细胞膜内的部分,例如可以为 CD28、 CD8、 CD3 、 CD134、 CD137、 ICOS、 和 DAP10跨膜区; 优选地, 所述的两种嵌合抗原受体的跨膜区不 同, 以防止错配。 在本发明的一个实施方案中, 所述嵌合抗原受体 1的跨 膜区为 CD8跨膜区, 所述嵌合抗原受体 2的跨膜区为 CD28跨膜区。 A chimeric antigen receptor according to the first aspect of the invention, wherein said transmembrane region refers to a portion of a membrane protein within a cell membrane, such as CD28, CD8, CD3, CD134, CD137, ICOS, and DAP10 transmembrane regions Preferably, the transmembrane regions of the two chimeric antigen receptors are different to prevent mismatching. In one embodiment of the invention, the transmembrane region of the chimeric antigen receptor 1 is a CD8 transmembrane region, and the transmembrane region of the chimeric antigen receptor 2 is a CD28 transmembrane region.
根据本发明第一方面的嵌合抗原受体, 所述配体为可以和所述肿瘤特 异性抗原或肿瘤相关抗原、肿瘤细胞广泛表达的膜受体特异性结合的分子, 例如可以为蛋白、 多肽或抗体; 所述抗体例如可以为单克隆抗体、 单链抗 体、 Fab抗体等,在本发明的一个实施方案中,所述抗体为单链抗体( ScFv ); 在本发明的另一个实施方案中, 所述配体为多肽, 在一个具体实施方案中, 所述多肽为 HERIN分子。 According to the chimeric antigen receptor of the first aspect of the present invention, the ligand is a molecule which specifically binds to the tumor-specific antigen or tumor-associated antigen, and a membrane receptor widely expressed by a tumor cell, and may be, for example, a protein. a polypeptide or an antibody; the antibody may be, for example, a monoclonal antibody, a single chain antibody, a Fab antibody, or the like, and in one embodiment of the invention, the antibody is a single chain antibody (ScFv); in another embodiment of the present invention In the embodiment, the ligand is a polypeptide, and in a specific embodiment, the polypeptide is a HERIN molecule.
根据本发明第一方面的嵌合抗原受体, 所述配体为单拷贝或多拷贝, 所述多拷贝例如为双拷贝。 According to the chimeric antigen receptor of the first aspect of the invention, the ligand is single copy or multiple copies, and the multiple copies are, for example, double copies.
根据本发明第一方面的嵌合抗原受体, 其由一个载体共同表达, 或由 两个相同或不同的载体分别表达。 在本发明的一个实施方案中, 其由一个 载体共同表达。 优选地, 在两种嵌合抗原受体之间连接有蛋白质前体加工 酶识别序列, 例如 Furin-2A, 当两种嵌合抗原受体表达后, 将被剪切成两 个独立的蛋白, 分别运输至细胞膜。 A chimeric antigen receptor according to the first aspect of the invention, which is co-expressed by a vector or separately expressed by two identical or different vectors. In one embodiment of the invention, it is co-expressed by a vector. Preferably, a protein precursor processing enzyme recognition sequence, such as Furin-2A, is ligated between the two chimeric antigen receptors, and when the two chimeric antigen receptors are expressed, they are cleaved into two independent proteins. Transported to the cell membrane separately.
本发明所述的载体为本领域公知的可用于蛋白克隆和表达的载体,例如 为真核表达质粒、 重组病毒; 所述真核表达质粒例如可以为 pSV2、 pRSV、 pcDNA3.1、 pCI和 pVAXl、 转座子质粒; 所述重组病毒例如可以为重组逆 转录病毒、 重组慢病毒、 重组腺病毒, 本发明的一个实施方案中, 所述载 体为 pcDNA3.1(+)。 The vector of the present invention is a vector known in the art and can be used for protein cloning and expression, for example, a eukaryotic expression plasmid, a recombinant virus; and the eukaryotic expression plasmid can be, for example, pSV2, pRSV, pcDNA3.1, pCI and pVAXl. The transposon plasmid; the recombinant virus may be, for example, a recombinant retrovirus, a recombinant lentivirus, or a recombinant adenovirus. In one embodiment of the invention, the vector is pcDNA3.1(+).
本发明通过将表达嵌合抗原受体的载体导入免疫反应细胞,使嵌合抗原 受体得以表达, 来对细胞进行遗传修饰。 In the present invention, cells are genetically modified by introducing a vector expressing a chimeric antigen receptor into an immunoreactive cell to express a chimeric antigen receptor.
其中将载体导入免疫反应细胞的方法可以为本领域常用的方法,例如为 基因枪法、 转染法、 电转法、 病毒转导法。 在本发明的一个实施方案中,构成嵌合抗原受体 1的为 MUC1的 ScFv、 CD8跨膜区、 CD3 信号链。 构成嵌合抗原受体 2的为人类 Her2基因第 8 个内含子 Herin编码的氨基酸序列 HERIN、 CD28跨膜区、 CD28胞内区、 4-1BB共刺激肽段。 The method for introducing a vector into an immunoreactive cell can be a method commonly used in the art, for example, a gene gun method, a transfection method, an electrotransfer method, and a virus transduction method. In one embodiment of the invention, the chimeric antigen receptor 1 is a ScFv, a CD8 transmembrane region, a CD3 signal chain of MUC1. The chimeric antigen receptor 2 is the amino acid sequence HERIN, the CD28 transmembrane region, the CD28 intracellular region, and the 4-1BB costimulatory peptide encoded by the eighth intron of the human Her2 gene.
根据本发明第一方面的嵌合抗原受体, 所述嵌合抗原受体 1 的氨基 酸序列包含 SEQ ID NO: 31所示的氨基酸序列, 所述嵌合抗原受体 2 的氨基酸序列包含 SEQ ID NO: 33所示的氨基酸序列。 According to the chimeric antigen receptor of the first aspect of the invention, the amino acid sequence of the chimeric antigen receptor 1 comprises the amino acid sequence of SEQ ID NO: 31, and the amino acid sequence of the chimeric antigen receptor 2 comprises SEQ ID NO: The amino acid sequence shown by 33.
在本发明的具体实施方案中, 所述嵌合抗原受体 1的氨基酸序列 为 SEQ ID NO: 31所示的氨基酸序列。 In a particular embodiment of the invention, the amino acid sequence of the chimeric antigen receptor 1 is the amino acid sequence set forth in SEQ ID NO:31.
在本发明的具体实施方案中, 所述嵌合抗原受体 2的氨基酸序列 为 SEQ ID NO: 33所示的氨基酸序列。 本发明的第二方面涉及一种经过改造的免疫反应细胞, 其表达本发明 第一方面任一项所述的嵌合抗原受体。 In a particular embodiment of the invention, the amino acid sequence of the chimeric antigen receptor 2 is the amino acid sequence set forth in SEQ ID NO:33. A second aspect of the invention relates to an engineered immunoreactive cell expressing the chimeric antigen receptor of any one of the first aspects of the invention.
根据本发明第二方面的免疫反应细胞, 所述免疫反应细胞例如可以选 自 T细胞、 单核细胞(monocyte ) 、 自然杀伤细胞( NK细胞) 、 中性粒 细胞; 其中所述 T细胞例如可以为细胞毒性 T淋巴细胞、 KT细胞、 辅 助 T细胞、 或抑制 /调节性 T细胞。 本发明的第三方面涉及试剂盒, 其包括本发明第二方面任一项所述的 免疫反应细胞, 以及任选的使用说明书。 本发明的第四方面涉及本发明第一方面任一项所述的嵌合抗原受体或 第二方面任一项所述的免疫反应细胞用于制备预防和 /或治疗恶性肿瘤及 病毒感染性疾病的药物中的用途。 According to the immunoreactive cell of the second aspect of the present invention, the immunoreactive cell may be selected, for example, from a T cell, a monocyte, a natural killer cell (NK cell), a neutrophil cell; wherein the T cell can be, for example, For cytotoxic T lymphocytes, KT cells, helper T cells, or inhibitory/regulatory T cells. A third aspect of the invention relates to a kit comprising the immunoreactive cell of any of the second aspects of the invention, and optionally instructions for use. A fourth aspect of the invention relates to the chimeric antigen receptor of any one of the first aspect of the invention, or the immunoreactive cell of any one of the second aspect, for use in the preparation of a prophylactic and/or therapeutic malignancy and viral infectivity Use in medicines for diseases.
根据本发明第四方面的用途, 其中所述的恶性肿瘤可以为任何恶性肿 瘤, 例如为肺癌、 肝细胞癌、 淋巴瘤、 结肠癌、 直肠癌、 乳腺癌、 卵巢癌、 宫颈癌、 胃癌、 胆管癌、 胆嚢癌、 食管癌、 肾癌、 神经胶质瘤、 黑色素瘤、 胰腺癌或前列腺癌。 The use according to the fourth aspect of the present invention, wherein the malignant tumor can be any malignant tumor, such as lung cancer, hepatocellular carcinoma, lymphoma, colon cancer, rectal cancer, breast cancer, ovarian cancer, cervical cancer, gastric cancer, bile duct Cancer, biliary cancer, esophageal cancer, kidney cancer, glioma, melanoma, pancreatic cancer or prostate cancer.
根据本发明第四方面的用途, 其中所述的病毒可以为侵染细胞的任何 病毒, 例如为艾滋病病毒 ( HIV ) 、 乙型肝炎病毒 ( HBV ) 、 丙型肝炎病 毒( HCV )、 EB病毒( Epstein-Barr virus )、孔头瘤病毒 ( Papillomavirus )、 疾療病毒 ( Herpesvirus )或巨细胞病毒 ( cytomegalovirus ) 。 本发明的第五方面涉及一种改造免疫反应细胞的方法, 其包括在免疫 反应细胞上表达本发明第一方面任一项所述的嵌合抗原受体的步骤。 The use according to the fourth aspect of the present invention, wherein the virus may be any virus that infects cells, such as HIV (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), Epstein-Barr virus ( Epstein-Barr virus ), Papillomavirus, Herpesvirus or cytomegalovirus. A fifth aspect of the invention relates to a method of modifying an immunoreactive cell, comprising the step of expressing the chimeric antigen receptor of any one of the first aspects of the invention on an immunoreactive cell.
根据本发明第五方面的方法, 所述免疫反应细胞选自 T细胞、 单核细 胞 (monocyte ) 、 自然杀伤细胞、 中性粒细胞; 其中所述 T细胞例如可以 为细胞毒性 T淋巴细胞、 NKT细胞、 辅助 T细胞、 或抑制 /调节性 T细胞。 本发明的第六方面涉及预防和 /或治疗恶性肿瘤及病毒感染性疾病的 方法, 所述方法包括给有需要的受试者预防或治疗有效量的本发明第一方 面任一项所述的嵌合抗原受体或第二方面任一项所述的免疫反应细胞的步 骤。 According to the method of the fifth aspect of the present invention, the immune response cell is selected from the group consisting of a T cell, a monocyte, a natural killer cell, and a neutrophil; wherein the T cell can be, for example, a cytotoxic T lymphocyte or an NKT. Cells, helper T cells, or inhibitory/regulatory T cells. A sixth aspect of the invention relates to a method of preventing and/or treating a malignant tumor and a viral infectious disease, the method comprising preventing or treating a subject in need thereof an effective amount of any one of the first aspects of the invention A step of a chimeric antigen receptor or an immune response cell according to any one of the preceding aspects.
根据本发明第六方面的方法, 其中所述的恶性肿瘤可以为任何恶性肿 瘤, 例如为肺癌、 肝细胞癌、 淋巴瘤、 结肠癌、 直肠癌、 乳腺癌、 卵巢癌、 宫颈癌、 胃癌、 胆管癌、 胆嚢癌、 食管癌、 肾癌、 神经胶质瘤、 黑色素瘤、 胰腺癌或前列腺癌。 The method according to the sixth aspect of the present invention, wherein the malignant tumor can be any malignant tumor, such as lung cancer, hepatocellular carcinoma, lymphoma, colon cancer, rectal cancer, breast cancer, ovarian cancer, cervical cancer, gastric cancer, bile duct Cancer, biliary cancer, esophageal cancer, kidney cancer, glioma, melanoma, pancreatic cancer or prostate cancer.
根据本发明第六方面的方法, 其中所述的病毒可以为侵染细胞的任何 病毒, 例如为艾滋病病毒 ( HIV ) 、 乙型肝炎病毒 ( HBV ) 、 丙型肝炎病 毒( HCV )、 EB病毒( Epstein-Barr virus )、孔头瘤病毒 ( Papillomavirus )、 疾療病毒 ( Herpesvirus )或巨细胞病毒 ( cytomegalovirus ) 。 发明详述 The method according to the sixth aspect of the present invention, wherein the virus may be any virus that infects cells, such as HIV (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and Epstein-Barr virus ( Epstein-Barr virus), Papillomavirus, Herpesvirus or cytomegalovirus. Detailed description of the invention
本发明中术语 "嵌合抗原受体"是人工改造受体, 能够将识别肿瘤抗原 的特异性分子 (如抗体)锚定在免疫细胞 (如 T细胞)上,使免疫细胞识别肿瘤 抗原或病毒抗原和杀死肿瘤细胞或病毒感染的细胞。 The term "chimeric antigen receptor" in the present invention is an artificially engineered receptor capable of anchoring a specific molecule (such as an antibody) that recognizes a tumor antigen to an immune cell (such as a T cell), so that the immune cell recognizes a tumor antigen or virus. Antigen and cells that kill tumor cells or virus infection.
本发明中术语 "T细胞活化相关信号"是指与 T细胞活化所需要两个信 号, 即 T细胞表面 TCR-CD3复合体与抗原肽 -MHC分子结合, 提供 T细 胞活化的第一信号, 决定 T细胞的杀伤特异性; T细胞表面的共刺激分子 (如 CD28 )与相应配体(如 B7 )结合, 提供 T细胞活化的第二信号, 促 进 T细胞活化、 增殖与存活。 The term "T cell activation-associated signal" in the present invention means that two signals required for activation of T cells, that is, a TCR-CD3 complex on the surface of a T cell, bind to an antigen peptide-MHC molecule, and provide a first signal for T cell activation, which is determined. Killing specificity of T cells; co-stimulatory molecules on the surface of T cells (such as CD28) bind to the corresponding ligand (such as B7), providing a second signal of T cell activation, promoting T cell activation, proliferation and survival.
本发明中术语"免疫受体酪氨酸活化基序" ( immunoreceptor tyrosine-based activation motifs, ITAM )是指免疫细胞活化相关受体(如 BCR/Iga/Igp, TCR/CD3. FcaR和 FcRy等)胞浆区所共有的以酪氨酸残基 (tyrosine, Y)为基础的氨基酸序列基序, 其特征为:两个酪氨酸残基被大约 13外其它氨酸残基隔开(...YXX [L/V] X 7-11 YXX [L/V]…), 其中酪氨酸 是蛋白激酶磷酸化位点, 被磷酸化后能够与信号转导途径下游的信号分子 结合, 导致细胞的活化。 The term "immunoreceptor tyrosine activation motif" ( immunoreceptor) in the present invention Tyrosine-based activation motifs (ITAM) are tyrosine residues (tyrosine, Y) shared by the cytoplasmic regions of immune cell activation-associated receptors (eg, BCR/Iga/Igp, TCR/CD3. FcaR and FcRy, etc.) A basic amino acid sequence motif characterized by two tyrosine residues separated by an amino acid residue of about 13 (...YXX [L/V] X 7-11 YXX [L/V] ...), where tyrosine is a protein kinase phosphorylation site that is phosphorylated to bind to a signaling molecule downstream of the signal transduction pathway, resulting in activation of the cell.
本发明中术语 "共刺激信号分子"(Co-stimulating molecule )是指免疫 细胞表面的一些粘附分子, 如 CD28、 CD134/OX40. CD137/4-1BB. CD40 等, 通过与其配体结合, 激活免疫细胞的第二信号, 增强免疫细胞的增殖能 力及细胞因子的分泌功能, 延长活化免疫细胞的存活时间。 The term "co-stimulating molecule" in the present invention means some adhesion molecules on the surface of an immune cell, such as CD28, CD134/OX40. CD137/4-1BB. CD40, etc., activated by binding to its ligand. The second signal of immune cells enhances the proliferative capacity of immune cells and the secretory function of cytokines, prolonging the survival time of activated immune cells.
发明中术语"肿瘤特异性抗原" (tumor specific antigen, TSA )是肿瘤 细胞特有的或只存在于某种肿瘤细胞而不存在于正常细胞的新抗原。 In the invention, the term "tumor specific antigen" (TSA) is a new antigen unique to tumor cells or present only in certain tumor cells but not in normal cells.
发明中术语"肿瘤相关抗原"( tumor-associated antigen, TAA )是指非 肿瘤细胞所特有的、 正常细胞和其他组织上也存在的抗原, 只是其含量在 细胞癌变时明显增高的抗原。 In the invention, the term "tumor-associated antigen" (TAA) refers to an antigen which is unique to non-tumor cells and which is also present on normal cells and other tissues, but an antigen whose content is markedly increased when the cells are cancerous.
发明中术语"单链抗体,, ( single-chain antibody variable region fragment, scFv )是指由抗体 VL区氨基酸序列和 VH区氨基酸序列经 Linker 连接而成, 具有结合抗原能力的抗体片段。 In the invention, the term "single-chain antibody variable region fragment (scFv)" refers to an antibody fragment having the ability to bind antigen by linking the amino acid sequence of the VL region of the antibody and the amino acid sequence of the VH region via Linker.
本发明中术语 "EGFR"是指人类表皮生长因子受体( epidermal growth factor receptor ) , 又简称为 ERBB1或 HER1 , 其家族成员包括 EGFR、 ERBB2 ( HER2 ) 、 ERBB3 ( HER3 ) 、 ERBB4 ( HER4 ) 。 In the present invention, the term "EGFR" refers to the human epidermal growth factor receptor, also referred to as ERBB1 or HER1, and its family members include EGFR, ERBB2 (HER2), ERBB3 (HER3), and ERBB4 (HER4).
本发明中术语 "Herin"是指人类 Her2的第 8个内含子中编码 Herstatin 的 C末端 79个氨基酸的 DNA序列, 所述 HERIN是人类 Her2的第 8个 内含子中编码 Herstatin的 C末端 79个氨基酸序列,其可以和 EGFR家族 成员(包括 EGFR、 ERBB2、 ERBB4 )以及 EGFR突变体 EGFRvIII结合。 The term "Herin" in the present invention refers to a DNA sequence encoding the C-terminal 79 amino acids of Herstatin in the 8th intron of human Her2, which encodes the C-terminus of Herstatin in the 8th intron of human Her2. A 79 amino acid sequence that binds to members of the EGFR family (including EGFR, ERBB2, ERBB4) and the EGFR mutant EGFRvIII.
本发明中, 所述双信号独立是指传递 T细胞活化的第一信号和第二信 号的嵌合抗原受体之间相互独立, 分别与各自的配体结合, 并分别将结合 后产生的信号转导入细胞内。 In the present invention, the dual signal independent means that the chimeric antigen receptor that transmits the first signal of T cell activation and the chimeric antigen receptor of the second signal are independent of each other, respectively bind to the respective ligands, and respectively generate signals after binding. Transfer into the cells.
本发明中, 所述 Linker是连接不同蛋白或多肽之间的多肽片段, 其目 的是使所连接的蛋白或多肽保持各自的空间构象, 以维持蛋白或多肽的功 能或活性。 本发明中, 所述多肽通常是指长度在 1 - 100个氨基酸的肽链分子; 蛋 白通常是指长度大于 100个氨基酸的肽链分子。 In the present invention, the Linker is a polypeptide fragment that links between different proteins or polypeptides, the purpose of which is to maintain the spatial conformation of the linked protein or polypeptide to maintain the function or activity of the protein or polypeptide. In the present invention, the polypeptide generally refers to a peptide chain molecule having a length of from 1 to 100 amino acids; a protein generally refers to a peptide chain molecule having a length of more than 100 amino acids.
在本发明中所述"选自 "是指选自所列项目中的一种或数种。 发明的有益效果 The term "selected from" as used in the present invention means one or several selected from the listed items. Advantageous effects of the invention
本发明的实施方案中, 以 T细胞为例, 在目前国际上最为流行的第二 代、 第三代 CAR的基础上进行改造, 将第一信号与第二信号从单一 CAR 中分开, 构建双信号独立的嵌合抗原受体 (dual-signal chimeric antigen receptors, dsCAR ) 。 两种 CAR分别识别肿瘤细胞两个不同家族的抗原, 分别传递 T细胞活化相关的两种信号。 其中, 一种 CAR通过结合肿瘤特 异性抗原或肿瘤相关抗原的单链抗体或肽段来传递 T细胞活化相关的第一 信号, 决定 T细胞杀伤特异性; 另一种 CAR通过结合肿瘤细胞广泛表达 的膜受体(如 EGFR家族成员蛋白)的单链抗体或肽段来传递 T细胞活化 相关的第二信号, 促进 T细胞活化、 增殖与存活。 保证经 dsCAR修饰后 的 T细胞在第一信号与第二信号源同时存在的肿瘤环境中大量增殖, 从而 特异杀伤肿瘤细胞; 而正常细胞不同时表达这两种刺激信号的受体, 即使 正常细胞低表达第一信号源, 也只会出现轻度误伤, 不会引起 CAR+的 T 细胞呈"瀑布"式过量增加, 导致严重的后果; 而在只有第二信号源的一些 正常组织环境中, T 细胞不发挥杀伤作用, 所以大大提高了安全性。 本发 明能在保持第二代、 第三代 CAR疗效的基础上, 避免其潜在的安全问题。 In the embodiment of the present invention, the T cell is taken as an example, and the second generation and the third generation CAR which are the most popular in the world are reconstructed, and the first signal and the second signal are separated from the single CAR to construct a double Signal-independent chimeric antigen receptors (dsCAR). The two CARs identify antigens from two different families of tumor cells, respectively, and transmit two signals related to T cell activation. Among them, a CAR transmits a first signal related to T cell activation by binding a single-chain antibody or peptide of a tumor-specific antigen or a tumor-associated antigen to determine T cell killing specificity; another CAR is widely expressed by binding to tumor cells. Single-chain antibodies or peptides of membrane receptors (such as EGFR family member proteins) transmit a second signal associated with T cell activation, promoting T cell activation, proliferation, and survival. It is ensured that the T cells modified by dsCAR proliferate in a large amount in the tumor environment in which the first signal and the second signal source coexist, thereby specifically killing the tumor cells; and the normal cells do not simultaneously express the receptors of the two stimulation signals, even the normal cells. Low expression of the first source, only mild accidental injury, will not cause a "fall" over-expression of CAR+ T cells, leading to serious consequences; and in some normal tissue environments with only the second source, T The cells do not exert a killing effect, so the safety is greatly improved. The present invention can avoid potential safety problems while maintaining the efficacy of second and third generation CAR.
除 T细胞外, 本发明同样适用于其它免疫反应细胞, 例如单核细胞、 NK细胞、 中性粒细胞。 In addition to T cells, the invention is equally applicable to other immune response cells, such as monocytes, NK cells, neutrophils.
同时, 本发明中的嵌合抗原受体 2中包含有能够结合肿瘤细胞广泛表 达的膜受体的配体, 因而适用于各种恶性肿瘤、 病毒感染性疾病以及同种 类型的恶性肿瘤细胞或病毒感染细胞由于异质性而表达不同膜受体的情 况, 进而达到延长免疫反应细胞的效应时间的效果。 附图说明 Meanwhile, the chimeric antigen receptor 2 of the present invention comprises a ligand capable of binding to a membrane receptor widely expressed by tumor cells, and thus is suitable for various malignant tumors, viral infectious diseases, and the same type of malignant cells or The virus-infected cells express different membrane receptors due to heterogeneity, thereby achieving the effect of prolonging the effect time of the immune response cells. DRAWINGS
图 1: 结合 MUC1的 CAR1 ( CARIMUCI ) 与结合 EGFR家族蛋白的 CAR2 ( CAR2EGFR )、 结合 MUC1的第三代 CAR ( G3-CARMUci )模式图。 Figure 1: Schematic diagram of CAR1 (CARIMUCI) binding to MUC1 and CAR2 (CAR2 EGFR ) binding to EGFR family proteins, and third generation CAR (G3-CAR MU ci) binding to MUC1.
SP: 信号肽; LI - L5: Linker 1 - Linker 5; SP: signal peptide; LI - L5: Linker 1 - Linker 5;
图 2 : CAR1丽 C1CAR2EGFR 的 表 达 载 体 结 构 图 ( 简 称 pcDNA3.1-CARl:2 ) 。 Figure 2: Structure of the expression vector for CAR1 C1 CAR2 EGFR (abbreviation) pcDNA3.1-CARl: 2).
图 3 : 经不同处理的 Jurkat 细胞 ( JurkatCAR1、 JurkatCAR2、 JurkatCAR1CAR2及 Jurkat3G-CAR )接触 A431、 MCF7、 U-20S后的增殖情况。 Figure 3: Proliferation of Jurkat cells (Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2, and Jurkat 3G - CAR ) treated with different treatments after exposure to A431, MCF7, and U-20S.
图 4 : 经不同处理的 Jurkat 细胞 ( JurkatCAR1、 JurkatCAR2、 JurkatCAR1CAR2及 Jurkat3G-CAR ) 与 A431、 MCF7、 U-20S细胞共培养后, INFry的分泌量。 Figure 4: Secretion of INFry after co-culture with A431, MCF7, and U-20S cells by Jurkat cells (Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2, and Jurkat 3G - CAR ) treated with different treatments.
图 5 : 经不同处理的 Jurkat 细胞 ( JurkatCAR1、 JurkatCAR2、 JurkatCAR1CAR2及 Jurkat3G-CAR )对 A431、 MCF7、 U-20S的杀伤作用。 具体实施方式 Figure 5: Killing effect of differently treated Jurkat cells (Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and Jurkat 3G - CAR ) on A431, MCF7, U-20S. detailed description
下面将结合实施例对本发明的实施方案进行详细描述, 但是本领域技 术人员将会理解, 下列实施例仅用于说明本发明, 而不应视为限定本发明 的范围。 实施例中未注明具体条件者, 按照常规条件或制造商建议的条件 进行。 所用试剂或仪器未注明生产厂商者, 均为可以通过市购获得的常规 产品。 实施例 1: CAR表达框的合成与表达载体的构建 The embodiments of the present invention are described in detail below with reference to the accompanying drawings. If no specific conditions are specified in the examples, they are carried out according to the general conditions or the conditions recommended by the manufacturer. The reagents or instruments used are not indicated by the manufacturer, and are all conventional products that are commercially available. Example 1: Synthesis of CAR expression cassette and construction of expression vector
根据构成 CAR各组分的氨基酸序列与编码序列, 拼接成整个融合的 氨基酸序列与编码 DNA表达框, 其中: According to the amino acid sequence and coding sequence constituting each component of CAR, the entire fused amino acid sequence and the coding DNA expression frame are spliced, wherein:
HERI 的氨基酸残基序列为: The amino acid residue sequence of HERI is:
GTHSLPPRPAAVPVPLRMQPGPAHPVLSFLRPSWDLVSAFYSLP LAPLSPTSVPISPVSVGRGPDPDAHVAVDLSRYEG (SEQ ID NO: 1) HERI 的编码序列为: GTHSLPPRPAAVPVPLRMQPGPAHPVLSFLRPSWDLVSAFYSLP LAPLSPTSVPISPVSVGRGPDPDAHVAVDLSRYEG (SEQ ID NO: 1) The coding sequence of HERI is:
GGTACCCACTCACTGCCCCCGAGGCCAGCTGCAGTTCCTGTCC GGTACCCACTCACTGCCCCCGAGGCCAGCTGCAGTTCCTGTCC
GGTATGAAGGC (SEQ ID NO: 2) GGTATGAAGGC (SEQ ID NO: 2)
CD28跨膜区及胞内区 (CD28 )氨基酸残基序列为: The amino acid residue sequences of the CD28 transmembrane and intracellular regions (CD28) are:
PFWVLVVVGGVLACYSLLVTVAFIIFWVRSKRSRLLHSDYMNM PFWVLVVVGGVLACYSLLVTVAFIIFWVRSKRSRLLHSDYMNM
TPRRPGPTRKHYQPYAPPRDFAAYRS (SEQ ID NO: 3) CD28跨膜区及胞内区 (CD28 ) 的编码序列为:TPRRPGPTRKHYQPYAPPRDFAAYRS (SEQ ID NO: 3) The coding sequence of CD28 transmembrane and intracellular regions (CD28) is:
TTTTGGGTGCTGGTGGTGGTTGGTGGAGTCCTGGCTTGC TTTTGGGTGCTGGTGGTGGTTGGTGGAGTCCTGGCTTGC
CCCCACCACGCGACTTCGCAGCCTATCGCTCC (SEQ ID NO: 4) 4-1BB共刺激信号域肽段(41BB ) 的氨基酸残基序列为: CCCCACCACGCGACTTCGCAGCCTATCGCTCC (SEQ ID NO: 4) The amino acid residue sequence of the 4-1BB costimulatory signal domain peptide (41BB) is:
KRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCEL KRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCEL
(SEQ ID NO: 5) (SEQ ID NO: 5)
4-1BB共刺激信号域肽段(41BB ) 的编码序列为: The coding sequence of the 4-1BB costimulatory signal domain peptide (41BB) is:
AAACGGGGCAGAAAGAAACTCCTGTATATATTCAAACAACCA AAACGGGGCAGAAAGAAACTCCTGTATATATTCAAACAACCA
TGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTG (SEQ ID NO: 6) TGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTG (SEQ ID NO: 6)
CD3 的氨基酸残基序列为: The amino acid residue sequence of CD3 is:
RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDP EMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHD GLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 7) RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDP EMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHD GLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 7)
CD3 的编码序列为: The coding sequence of CD3 is:
A AGTGAAGTTCAGCAGGAGCGCAGACGCCCCCGCGTACCA A AGTGAAGTTCAGCAGGAGCGCAGACGCCCCCGCGTACCA
AGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGA AGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGA
CGCCCTTCACATGCAGGCCCTGCCCCCTCGC (SEQ ID NO: 8) CGCCCTTCACATGCAGGCCCTGCCCCCTCGC (SEQ ID NO: 8)
MUC1 scFv-VH ( VHMUCI ) 的氨基酸残基序列为: The amino acid residue sequence of MUC1 scFv-VH ( VHMUCI ) is:
EVQLQQSGGGLVQPGGSMKLSCVASGFTFSNYWMNWVRQSPEKGLE WVAEIRLKSNNYATHYAESVKGRFTISRDDSKSSVYLQMNNLRAEDT GIYYCTFGNSFAYWGQGTTVTVSS (SEQ ID NO: 9) EVQLQQSGGGLVQPGGSMKLSCVASGFTFSNYWMNWVRQSPEKGLE WVAEIRLKSNNYATHYAESVKGRFTISRDDSKSSVYLQMNNLRAEDT GIYYCTFGNSFAYWGQGTTVTVSS (SEQ ID NO: 9)
MUC1 scFv-VH ( VHMUCI ) 的编码序列为: GAGGTCCAGCTGCAGCAGTCAGGAGGAGGCTTGGTGCAACC The coding sequence of MUC1 scFv-VH ( VHMUCI ) is: GAGGTCCAGCTGCAGCAGTCAGGAGGAGGCTTGGTGCAACC
ID NO: 10) ID NO: 10)
MUC1 scFv-VL ( VLMUCI ) 的氨基酸残基序列为: The amino acid residue sequence of MUC1 scFv-VL (VLMUCI) is:
DIVVTQESALTTSPGETVTLTCRSSTGAVTTSNYANWVQEKPDH DIVVTQESALTTSPGETVTLTCRSSTGAVTTSNYANWVQEKPDH
LFTGLIGGTNNRAPGVPARFSGSLIGDKAALTITGAQTEDEAIYFCAL WYSNHWVFGGGTKLTVLGSE (SEQ ID NO: 11) LFTGLIGGTNNRAPGVPARFSGSLIGDKAALTITGAQTEDEAIYFCAL WYSNHWVFGGGTKLTVLGSE (SEQ ID NO: 11)
MUC1 scFv-VL ( VLMUCI ) 的编码序列为: The coding sequence of MUC1 scFv-VL ( VLMUCI ) is:
GATATCGTTGTGACTCAGGAATCTGCACTCACCACATCACCT GATATCGTTGTGACTCAGGAATCTGCACTCACCACATCACCT
CAAACTGACTGTCCTAGGATCCGAG (SEQ ID NO: 12) CAAACTGACTGTCCTAGGATCCGAG (SEQ ID NO: 12)
CD8跨膜区肽段(CD8TM ) 的氨基酸残基序列为: The amino acid residue sequence of the CD8 transmembrane region peptide (CD8TM) is:
YIWAPLAGTCGVLLLSLVITLYC (SEQ ID NO: 13) YIWAPLAGTCGVLLLSLVITLYC (SEQ ID NO: 13)
CD8跨膜区肽段(CD8TM ) 的编码序列为: The coding sequence of the CD8 transmembrane region peptide (CD8TM) is:
TACATCTGGGCGCCCTTGGCCGGGACTTGTGGGGTCCTTCTC CTGTCACTGGTTATCACCCTTTACTGC (SEQ ID NO: 14) TACATCTGGGCGCCCTTGGCCGGGACTTGTGGGGTCCTTCTC CTGTCACTGGTTATCACCCTTTACTGC (SEQ ID NO: 14)
信号肽 1的氨基酸残基序列为: The amino acid residue sequence of signal peptide 1 is:
MEFWLSWVFLVAILKGVQC (SEQ ID NO: 15) MEFWLSWVFLVAILKGVQC (SEQ ID NO: 15)
信号肽 1编码序列为: The signal peptide 1 coding sequence is:
ATGGAGTTTTGGCTGAGCTGGGTTTTCCTTGTTGCTATTTTAA AAGGTGTCCAGTGT (SEQ ID NO: 16) 信号肽 2的氨基酸残基序列为: ATGGAGTTTTGGCTGAGCTGGGTTTTCCTTGTTGCTATTTTAA AAGGTGTCCAGTGT (SEQ ID NO: 16) The amino acid residue sequence of signal peptide 2 is:
MEAPAQLLFLLLLWLPDTTG (SEQ ID NO: 17) MEAPAQLLFLLLLWLPDTTG (SEQ ID NO: 17)
信号肽 2编码序列为: The signal peptide 2 coding sequence is:
ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGGC TCCCAGATACCACCGGA (SEQ ID NO: 18) ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGGC TCCCAGATACCACCGGA (SEQ ID NO: 18)
Linkerl的氨基酸残基序列为: The amino acid residue sequence of Linkerl is:
GGSGSGGSGSGGSGS (SEQ ID NO: 19) GGSGSGGSGSGGSGS (SEQ ID NO: 19)
Linkerl的编码序列为: The coding sequence of Linkerl is:
GGTGGTTCTGGTTCTGGCGGCTCCGGTTCCGGTGGATCCGG CTCT (SEQ ID NO: 20) GGTGGTTCTGGTTCTGGCGGCTCCGGTTCCGGTGGATCCGG CTCT (SEQ ID NO: 20)
Linker2的氨基酸残基序列为: The amino acid residue sequence of Linker2 is:
EPKSCDKTHTCPPCPAPE (SEQ ID NO: 21) EPKSCDKTHTCPPCPAPE (SEQ ID NO: 21)
Linker2的编码序列为: The coding sequence of Linker2 is:
CCAGCACCTGAA (SEQ ID NO: 22) CCAGCACCTGAA (SEQ ID NO: 22)
Linker3的氨基酸残基序列为: The amino acid residue sequence of Linker3 is:
PKLEEGEFSEARVDIVLTQSP (SEQ ID NO: 23) PKLEEGEFSEARVDIVLTQSP (SEQ ID NO: 23)
Linker3的编码序列为: The coding sequence of Linker3 is:
CCCAAGCTTGAAGAAGGTGAATTTTCAGAAGCACGCGTAGAT ATCGTTCTCACTCAATCTCCA (SEQ ID NO: 24) CCCAAGCTTGAAGAAGGTGAATTTTCAGAAGCACGCGTAGAT ATCGTTCTCACTCAATCTCCA (SEQ ID NO: 24)
Linker 4的氨基酸残基序列为: The amino acid residue sequence of Linker 4 is:
GGGGSGGGGSGGGGS (SEQ ID NO: 25) GGGGSGGGGSGGGGS (SEQ ID NO: 25)
Linker 4 编码序列为: The Linker 4 coding sequence is:
GGTGGAGGCGGTTCAGGCGGAGGTGGCAGCGGCGGTGGCG GGTCG (SEQ ID NO: 26) GGTGGAGGCGGTTCAGGCGGAGGTGGCAGCGGCGGTGGCG GGTCG (SEQ ID NO: 26)
Linker 5的氨基酸残基序列为: The amino acid residue sequence of Linker 5 is:
GGGGGGGGG (SEQ ID NO: 27) GGGGGGGGG (SEQ ID NO: 27)
Linker 5的编码序列为: The coding sequence of Linker 5 is:
GGTGGAGGTGGAGGTGGAGGTGGAGGT (SEQ ID NO: 28) Furin-2A的氨基酸残基序列为: GGTGGAGGTGGAGGTGGAGGTGGAGGT (SEQ ID NO: 28) The amino acid residue sequence of Furin-2A is:
RAKRAPVKQTLNFDLLKLAGDVESNPGP (SEQ ID NO: 29) Furin-2A的编码序列为: CGTGCTAAACGAGCTCCTGTTAAACAGACTTTGAATTTTGAC CTTCTCAAGTTGGCGGGAGACGTCGAGTCCAACCCTGGGCCC RAKRAPVKQTLNFDLLKLAGDVESNPGP (SEQ ID NO: 29) The coding sequence of Furin-2A is: CGTGCTAAACGAGCTCCTGTTAAACAGACTTTGAATTTTGAC CTTCTCAAGTTGGCGGGAGACGTCGAGTCCAACCCTGGGCCC
(SEQ ID NO: 30) (SEQ ID NO: 30)
CARIMUCI 依 次 由 信 号 狀 l-VHMuci-Linkerl-VLMuci- Linker2-CD8TM-Linker3-CD3 融合构成 (见图 1 ) , 其氨基酸序列为:CARIMUCI is composed of signal-like l-VH M uci-Linkerl-VL M uci-Linker2-CD8TM-Linker3-CD3 fusion (see Figure 1), and its amino acid sequence is:
MEAPAQLLFLLLLWLPDTTGEVQLQQSGGGLVQPGGSMKLSC VASGFTFSNYWMNWVRQSPEKGLEWVAEIRLKSNNYATHYAESVK GRFTISRDDSKSSVYLQMNNLRAEDTGIYYCTFGNSFAYWGQGTTVT VSSGGSGSGGSGSGGSGSDIVVTQESALTTSPGETVTLTCRSSTGAVT TSNYANWVQEKPDHLFTGLIGGTNNRAPGVPARFSGSLIGDKAALTI TGAQTEDEAIYFCALWYSNHWVFGGGTKLTVLGSEEPKSCDKTHTC PPCPAPEYIWAPLAGTCGVLLLSLVITLYCPKLEEGEFSEARVDIVLT QSPRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDP EMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHD GLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 31) MEAPAQLLFLLLLWLPDTTGEVQLQQSGGGLVQPGGSMKLSC VASGFTFSNYWMNWVRQSPEKGLEWVAEIRLKSNNYATHYAESVK GRFTISRDDSKSSVYLQMNNLRAEDTGIYYCTFGNSFAYWGQGTTVT VSSGGSGSGGSGSGGSGSDIVVTQESALTTSPGETVTLTCRSSTGAVT TSNYANWVQEKPDHLFTGLIGGTNNRAPGVPARFSGSLIGDKAALTI TGAQTEDEAIYFCALWYSNHWVFGGGTKLTVLGSEEPKSCDKTHTC PPCPAPEYIWAPLAGTCGVLLLSLVITLYCPKLEEGEFSEARVDIVLT QSPRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDP EMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHD GLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 31)
!^^^的编码序列为: ! The coding sequence of ^^^ is:
ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGG ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGG
CAGGCCCTGCCCCCTCGC (SEQ ID NO: 32) CAGGCCCTGCCCCCTCGC (SEQ ID NO: 32)
CAR2EGFR依次由信号肽 2-HERIN-Linker4-CD28-Linker5-41BB融合 构成 (见图 1 ) , 其氨基酸序列为: CAR2 EGFR is composed of the signal peptide 2-HERIN-Linker4-CD28-Linker5-41BB fusion (see Figure 1), and its amino acid sequence is:
MEFWLSWVFLVAILKGVQCGTHSLPPRPAAVPVPLRMQPGPAH PVLSFLRPSWDLVSAFYSLPLAPLSPTSVPISPVSVGRGPDPDAHVAVD LSRYEGGGGGSGGGGSGGGGSPFWVLVVVGGVLACYSLLVTVAFII FWVRSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAAYRSGG GGGGGGGKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEG GCEL (SEQ ID NO: 33) MEFWLSWVFLVAILKGVQCGTHSLPPRPAAVPVPLRMQPGPAH PVLSFLRPSWDLVSAFYSLPLAPLSPTSVPISPVSVGRGPDPDAHVAVD LSRYEGGGGGSGGGGSGGGGSPFWVLVVVGGVLACYSLLVTVAFII FWVRSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAAYRSGG GGGGGGGKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEG GCEL (SEQ ID NO: 33)
CAR2EGFR的编码序列为: The coding sequence of CAR2 EGFR is:
ATGGAGTTTTGGCTGAGCTGGGTTTTCCTTGTTGCTATTTTAA ATGGAGTTTTGGCTGAGCTGGGTTTTCCTTGTTGCTATTTTAA
GTGGCAGCGGCGGTGGCGGGTCGCCCTTTTGGGTGCTGGTGGTGG TATTATTTTCTGGGTGAGGAGTAAGAGGAGCAGGCTCCTGCACAG GTGGCAGCGGCGGTGGCGGGTCGCCCTTTTGGGTGCTGGTGGTGG TATTATTTTCTGGGTGAGGAGTAAGAGGAGCAGGCTCCTGCACAG
TCCGGTGGAGGTGGAGGTGGAGGTGGAGGTAAACGGGGCAGAAA TCCGGTGGAGGTGGAGGTGGAGGTGGAGGTAAACGGGGCAGAAA
GAAGAAGGAGGATGTGAACTG (SEQ ID NO: 34) GAAGAAGGAGGATGTGAACTG (SEQ ID NO: 34)
CAR1MUCICAR2EGFR由 CAR1MUC1与 CAR2EGFR经 Furin-2A连接构成, 其氨基酸序列为: CAR1MUCICAR2 E GFR consists of CAR1MU C1 and CAR2 EGFR linked by Furin-2A. The amino acid sequence is:
MEAPAQLLFLLLLWLPDTTGEVQLQQSGGGLVQPGGSMKLSC VASGFTFSNYWMNWVRQSPEKGLEWVAEIRLKSNNYATHYAESVK GRFTISRDDSKSSVYLQMNNLRAEDTGIYYCTFGNSFAYWGQGTTVT VSSGGSGSGGSGSGGSGSDIVVTQESALTTSPGETVTLTCRSSTGAVT TSNYANWVQEKPDHLFTGLIGGTNNRAPGVPARFSGSLIGDKAALTI TGAQTEDEAIYFCALWYSNHWVFGGGTKLTVLGSEEPKSCDKTHTC PPCPAPEYIWAPLAGTCGVLLLSLVITLYCPKLEEGEFSEARVDIVLT QSPRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDP EMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHD GLYQGLSTATKDTYDALHMQALPPRRAKRAPVKQTLNFDLLKLAG DVESNPGPEFWLSWVFLVAILKGVQCGTHSLPPRPAAVPVPLRMQP GPAHPVLSFLRPSWDLVSAFYSLPLAPLSPTSVPISPVSVGRGPDPDAH VAVDLSRYEGGGGGSGGGGSGGGGSPFWVLVVVGGVLACYSLLVT VAFIIFWVRSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAA YRSGGGGGGGGGKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFP EEEEGGCEL (SEQ ID NO: 35) MEAPAQLLFLLLLWLPDTTGEVQLQQSGGGLVQPGGSMKLSC VASGFTFSNYWMNWVRQSPEKGLEWVAEIRLKSNNYATHYAESVK GRFTISRDDSKSSVYLQMNNLRAEDTGIYYCTFGNSFAYWGQGTTVT VSSGGSGSGGSGSGGSGSDIVVTQESALTTSPGETVTLTCRSSTGAVT TSNYANWVQEKPDHLFTGLIGGTNNRAPGVPARFSGSLIGDKAALTI TGAQTEDEAIYFCALWYSNHWVFGGGTKLTVLGSEEPKSCDKTHTC PPCPAPEYIWAPLAGTCGVLLLSLVITLYCPKLEEGEFSEARVDIVLT QSPRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDP EMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHD GLYQGLSTATKDTYDALHMQALPPRRAKRAPVKQTLNFDLLKLAG DVESNPGPEFWLSWVFLVAILKGVQCGTHSLPPRPAAVPVPLRMQP GPAHPVLSFLRPSWDLVSAFYSLPLAPLSPTSVPISPVSVGRGPDPDAH VAVDLSRYEGGGGGSGGGGSGGGGSPFWVLVVVGGVLACYSLLVT VAFIIFWVRSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAA YRSGGGGGGGGGKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFP EEEEGGCEL (SEQ ID NO: 35)
CARlMUC1CAR2EeFR的编码序列为: The coding sequence of CARl MUC1 CAR2 EeFR is:
ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGG GAGGCGGTTCAGGCGGAGGTGGCAGCGGCGGTGGCGGGTCGCC ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGG GAGGCGGTTCAGGCGGAGGTGGCAGCGGCGGTGGCGGGTCGCC
CTG (SEQ ID NO: 36) CTG (SEQ ID NO: 36)
对照 G3-CARMUC1 依次 由信号 肽 l-VHMuci-Linkerl-VLMuci- Linker2-CD28-Linker4-41BB-Linker3-CD3 融合构成 (见图 2 ) , 其氨基 酸序列为: The control G3-CAR MUC1 was composed of the signal peptide l-VH M uci-Linkerl-VL M uci-Linker2-CD28-Linker4-41BB-Linker3-CD3 fusion (see Figure 2), and its amino acid sequence was:
MEAPAQLLFLLLLWLPDTTGEVQLQQSGGGLVQPGGSMKLSC VASGFTFSNYWMNWVRQSPEKGLEWVAEIRLKSNNYATHYAESVK GRFTISRDDSKSSVYLQMNNLRAEDTGIYYCTFGNSFAYWGQGTTVT VSSGGSGSGGSGSGGSGSDIVVTQESALTTSPGETVTLTCRSSTGAVT TSNYANWVQEKPDHLFTGLIGGTNNRAPGVPARFSGSLIGDKAALTI TGAQTEDEAIYFCALWYSNHWVFGGGTKLTVLGSEEPKSCDKTHTC PPCPAPEPFWVLVVVGGVLACYSLLVTVAFIIFWVRSKRSRLLHSDY MNMTPRRPGPTRKHYQPYAPPRDFAAYRSGGGGGGGGGKRGRKK LLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELPKLEEGEFSEA RVDIVLTQSPRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLD KRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGER RRGKGHDGLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 37) MEAPAQLLFLLLLWLPDTTGEVQLQQSGGGLVQPGGSMKLSC VASGFTFSNYWMNWVRQSPEKGLEWVAEIRLKSNNYATHYAESVK GRFTISRDDSKSSVYLQMNNLRAEDTGIYYCTFGNSFAYWGQGTTVT VSSGGSGSGGSGSGGSGSDIVVTQESALTTSPGETVTLTCRSSTGAVT TSNYANWVQEKPDHLFTGLIGGTNNRAPGVPARFSGSLIGDKAALTI TGAQTEDEAIYFCALWYSNHWVFGGGTKLTVLGSEEPKSCDKTHTC PPCPAPEPFWVLVVVGGVLACYSLLVTVAFIIFWVRSKRSRLLHSDY MNMTPRRPGPTRKHYQPYAPPRDFAAYRSGGGGGGGGGKRGRKK LLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCELPKLEEGEFSEA RVDIVLTQSPRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLD KRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGER RRGKGHDGLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 37)
G3-CARMUCI的编码序列为: The coding sequence of G3-CARMUCI is:
ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGG ATGGAAGCCCCAGCTCAGCTTCTCTTCCTCCTGCTACTCTGG
分别按 !^^^的 DNA编码序列(SEQ ID NO: 32)、 CAR2EGFR的 DNA编码序列(SEQ ID NO: 34)、 CAR1MUC1CAR2EGFR的 DNA编码序列 (SEQ ID NO: 36) . G3-CARMUC1的 DNA编码序列(SEQ ID NO: 38) , 委托 生工⑧生物工程(上海)有限公司合成其整个表达框, 插入 pCDNA3.1 ( + ) 载体( Invitrogen ) EcoRl-Xbal位点 (见图 2 ) , 转化到 E. coli ( DH5a ) , 经测序正确后,使用 Qiagen公司的质粒纯化试剂盒提取并纯化质粒, 获得 各重组表达载体的高品质质粒。 实施例 2: T细胞株的遗传修饰 Press separately! DNA coding sequence of ^^^ (SEQ ID NO: 32), DNA coding sequence of CAR2 EGFR (SEQ ID NO: 34), DNA coding sequence of CAR1 MUC1 CAR2 EGFR (SEQ ID NO: 36). G3-CAR MUC1 The DNA coding sequence (SEQ ID NO: 38) was entrusted to Biotech Engineering (Shanghai) Co., Ltd. to synthesize its entire expression cassette and insert the pCDNA3.1 ( + ) vector ( Invitrogen ) EcoRl-Xbal site (see Figure 2). After transformation to E. coli (DH5a), after sequencing, the plasmid was extracted and purified using Qiagen's plasmid purification kit to obtain a high quality plasmid of each recombinant expression vector. Example 2: Genetic modification of T cell lines
将实施例 1中构建并纯化获得的各重组表达载体的高品质质粒, 利用 Lipofectamine 2000 ( Invitrogen )分别转染至 Jurkat E6.1 ( T淋巴细胞株, 购自美国典型物保藏中心, ATCC ) 。 2天后, 将转染后的 Jurkat E6.1细 胞转移到具有新霉素的 RPMI 1640培养基中 ,并通过有限稀释法将细胞克 隆化。经 21天的筛选,建立具有新霉素抗性、分别经 CAR1MUC1、CAR2EGFR、 CAR1MUC1CAR2EGFR、 G3-CARMuci 遗传修饰的 Jurkat E6.1 细胞株 JurkatCAR1、 JurkatCAR2、 Jurkatc皿 AR2及 JUrkatG3 CAR。 实施例 3: 遗传修饰后 T细胞株增殖情况测定 High quality plasmids of each recombinant expression vector constructed and purified in Example 1 were transfected into Jurkat E6.1 (T lymphocyte strain, purchased from American Type Collection, ATCC) using Lipofectamine 2000 (Invitrogen), respectively. Two days later, the transfected Jurkat E6.1 cells were transferred to RPMI 1640 medium with neomycin and the cells were cloned by limiting dilution. After 21 days of screening, Jurkat E6.1 cell line Jurkat CAR1 , Jurkat CAR2 , Jurkat c dish with neomycin resistance and genetic modification by CAR1 MUC1 , CAR2 EGFR , CAR1 MUC1 CAR2 EGFR and G3-CAR M uci were established . AR2 and J U rkat G3 CAR . Example 3: Determination of proliferation of T cell strain after genetic modification
将 JurkatCAR1、 JurkatCAR2、 JurkatCAR1CAR2及 JUrkatG3 CAR以及未修 饰的 Jurkat E6.1细胞 ( 5xl05/孔, RPMI 1640培养基, 含 20U/ml IL-2 ) , 分别加入预铺经放射处理 (在不破坏整体结构的前提下, 使细胞失去分裂 增殖的活性, 参见 Clin Cancer Res. 2011; 17(7): 1664-73 )的 A431、 MCF7、 U-20S的 6孔板(细胞均购自 ATCC , 5xl05/孔) 中, 分别在第 3天、 第 7 天, 对悬浮的 Jurkat细胞进行计数。 结果表明, 接触 MUC1与 EGFR双 阳性的 A431 细胞后, JurkatCARlc AR2 能大量增殖, 增殖倍数高于 JurkatG3 CAR; 接触 MUC1高阳性而 EGFR家族蛋白弱阳性的 MCF7细胞 后, JUrkatCAR1CAR2的增殖倍数与 JUrkatCAR1相似, 略低于 JUrkatG3-CAR; 接触 MUC1弱阳性、 EGFR弱阳性的 U-20S细胞后 , JurkatCAR1CAR2基本 不增殖, 而 JurkatG3-CAR仍能少量增殖(见图 3 )。 以上结果表明, 当两种 抗原同时存在(如 MUC1与 EGFR双阳性, 代表一般肿瘤组织细胞), 经 dsCAR修饰的 T 细胞能大量增殖; 当第一信号存在, 第二信号较弱 (如 MUC1 阳性、 EGFR弱阳性, 代表少数肿瘤细胞) , 经 dsCAR修饰的 T 细胞也能有效增殖;当第一信号较弱,第二信号存在(如 MUC1弱阳、 EGFR 弱阳, 代表正常组织细胞 ) , 经 dsCAR修饰的 T细胞基本不增殖。 实施例 4: 遗传修饰后 T细胞株 IFNy分泌量测定 Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and J U rkat G3 CAR and unmodified Jurkat E6.1 cells (5xl0 5 /well, RPMI 1640 medium, containing 20U/ml IL-2) were added to pre-plated radiation Treatment (without disrupting the overall structure, the cells lose the activity of dividing proliferation, see Clin Cancer Res. 2011; 17(7): 1664-73) 6-well plates of A431, MCF7, U-20S (cells) Suspended Jurkat cells were counted on day 3 and day 7, respectively, from ATCC, 5xl0 5 /well. The results showed that Jurkat CARlc AR2 could proliferate in a large amount after exposure to MCI1 and EGFR double positive A431 cells, and the proliferation ratio was higher than that of Jurkat G3 CAR . After exposure to MCF7 cells with high MUC1 positive and EGFR family protein weak positive, J U rkat CAR1CAR2 proliferation The fold is similar to J U rkat CAR1 , slightly lower than J U rkat G3 - CAR ; Jurkat CAR1CAR2 does not proliferate after exposure to U-20S cells with weak MUC1 positive and EGFR weak positive, and Jurkat G3 - CAR can still proliferate in a small amount (see image 3 ). The above results indicate that when both antigens are present (such as MUC1 and EGFR double positive, representing general tumor tissue cells), dsCAR-modified T cells can proliferate in a large amount; when the first signal is present, the second signal is weak (such as MUC1 positive) , EGFR weakly positive, representing a small number of tumor cells), modified by dsCAR The cells can also proliferate effectively; when the first signal is weak, the second signal is present (such as MUC1 weak yang, EGFR weak yang, representing normal tissue cells), and dsCAR-modified T cells do not proliferate. Example 4: Determination of IFNy secretion in T cell strain after genetic modification
将 JurkatCAR1、 JurkatCAR2、 JurkatCAR1CAR2及 JUrkatG3 CAR以及未修 饰的 Jurkat E6.1细胞 ( 5xl05/孔 )在 24孔板中与 A431、 MCF7、 U-20S (均 购自 ATCC , lxlO5/孔)共培养, 72小时后收集上清, 通过 IFNy的 ELISA 检测试剂盒(BD Biosciences )检测 IFNy的分泌量。 结果表明, 与 MUC1 与 EGFR双阳性的 A431细胞共培养后, JurkateARieAR2能大量分泌翻 γ, 分泌量高于 JurkatG3-CAR; 与 MUC1 高阳性而 EGFR 家族蛋白弱阳性的 MCF7细胞共培养后, JurkatCAR1CAR2的誦 γ分泌量与 JurkatCAR1相似, 低于 JurkatG3-CAR; 与 MUC1弱阳性、 EGFR弱阳性的 U-20S细胞共培养 后, JurkatCAR1CAR2基本不分泌 IFNy,而 JurkatG3-CAR仍能分泌较多的 IFNy (见图 4 ) 。 以上结果表明, 当两种抗原同时存在(如 MUC1与 EGFR双 阳性,代表一般肿瘤组织细胞),经 dsCAR修饰的 T细胞能大量分泌 IFNy; 当第一信号存在, 第二信号较弱 (如 MUC1阳性、 EGFR弱阳性, 代表少 数肿瘤细胞) , 经 dsCAR修饰的 T细胞也能有效分泌 IFNy; 当第一信号 较弱, 第二信号存在(如 MUC1弱阳、 EGFR弱阳, 代表正常组织细胞), 经 dsCAR修饰的 T细胞基本不分泌 IFNy。 实施例 5: 遗传修饰后 T细胞株的体外杀伤作用测定 Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and J U rkat G3 CAR and unmodified Jurkat E6.1 cells (5xl0 5 /well) in 24-well plates with A431, MCF7, U-20S (all purchased from ATCC, lxlO) Co-culture was carried out at 5 /well. After 72 hours, the supernatant was collected, and the amount of IFNy secreted was measured by ELISA kit (BD Biosciences) of IFNy. The results showed that Jurkat eARieAR2 could secrete a large amount of γ and secrete more than Jurkat G3 - CAR after co-culture with MUC1 and EGFR double positive A431 cells. After co-culture with MCF7 cells with high positive MUC1 and weak EGFR family protein, The 诵γ secretion of Jurkat CAR1CAR2 is similar to that of Jurkat CAR1 , which is lower than that of Jurkat G3-CAR . After co-culture with U-20S cells with weak MUC1 and weak EGFR positive, Jurkat CAR1CAR2 does not secrete IFNy, and Jurkat G3 - CAR can still Secreted more IFNy (see Figure 4). The above results indicate that when both antigens are present (such as MUC1 and EGFR double positive, representing general tumor tissue cells), dsCAR-modified T cells can secrete IFNy in large amounts; when the first signal is present, the second signal is weak (such as MUC1). Positive, EGFR weakly positive, representing a small number of tumor cells), dsCAR-modified T cells can also effectively secrete IFNy; when the first signal is weak, the second signal exists (such as MUC1 weak yang, EGFR weak yang, representing normal tissue cells) The T cells modified by dsCAR do not substantially secrete IFNy. Example 5: Determination of in vitro killing effect of T cell strain after genetic modification
按不同的效靶比(50:1, 25:1, 5:1 , 1:1 ), 将 JurkatCAR1、 JurkatCAR2、 JurkatCAR1CAR2及 JurkatG3-CAR以及未修饰的 Jurkat E6.1 细胞与 A431、 MCF7、 U-20S 共培养, 应用 LDH 乳酸脱氢酶 -细胞毒性检测分析试剂盒 ( LDH-Cytotoxicity Assay Kit , Biovision )检测不同方法遗传修饰后的 Jurkat E6.1细胞对不同类型肿瘤细胞的体外杀伤能力。 方法如下: 靶细胞 铺 96孔板( 5xl03/孔 ) , 设培养基背景、 体积校正、 靶细胞自发 LDH释放、 靶细胞最大 LDH释放、 效应细胞自发 LDH释放对照孔, 治疗组孔(各组参 照试剂盒说明书制备),每组重复 3孔,每个孔的终体积相同且不少于 ΙΟΟμ 250g离心 4 min, 在 37°C , 5% C02孵育至少 4 h。 在离心前 45 min, 向靶 细胞最大释放孔加入 lOx裂解液,体积校正孔加入等量的裂解液。再次离心, 从每孔转移 50 μL上清至新的 96孔板中,再加入 50 μL底物溶液, 室温避光 孵育 30 min。每孔加入 50 μΐ,终止液, 1 h内测定 D490。细胞毒性(% )= [( D 实验孔 -D培养基背景孔) - ( D效应细胞自发 LDH释放孔 -D培养基背景孔) - ( D靶细胞自发 LDH释放孔 -D培养基背景孔)】/[ ( D靶细胞最大 LDH释 放孔 -D体积校正孔 )-( D靶细胞自发 LDH释放孔 -D培养基背景孔 )]xl00 结果表明, JurkatCAR1CAR2能有效杀伤 MUC1与 EGFR双阳性的 A431 肿瘤细胞; 对 MUC1高阳性而 EGFR家族蛋白弱阳性的 MCF7的杀伤作 用与 JurkatCAR1相似, 低于 JurkatG3-CAR; 对 MUC1弱阳性而 EGFR阳性 的 U-20S细胞基本不杀伤 (见图 5 ) 。 以上结果表明, 当两种抗原同时存 在 (如 MUC1与 EGFR双阳性, 代表一般肿瘤组织细胞 ) , 经 dsCAR修 饰的 T细胞能有效杀伤; 当第一信号存在,第二信号较弱(如 MUC1阳性、 EGFR弱阳性, 代表少数肿瘤细胞), 经 dsCAR修饰的 T细胞也能有效发 挥杀伤作用; 当第一信号较弱, 第二信号存在(如 MUC1弱阳、 EGFR弱 阳, 代表正常组织细胞) , 经 dsCAR修饰的 T细胞基本不杀伤。 尽管本发明的具体实施方式已经得到详细的描述, 本领域技术人员将 会理解。根据已经公开的所有教导, 可以对那些细节进行各种修改和替换, 这些改变均在本发明的保护范围之内。 本发明的全部范围由所附权利要求 及其任何等同物给出。 Jurkat CAR1 , Jurkat CAR2 , Jurkat CAR1CAR2 and Jurkat G3-CAR and unmodified Jurkat E6.1 cells were plated with A431 at different target ratios (50:1, 25:1, 5:1, 1:1). Co-culture of MCF7 and U-20S, using LDH-Cytotoxicity Assay Kit (Biovision) to detect the in vitro killing of different types of tumor cells by genetically modified Jurkat E6.1 cells. ability. The method is as follows: The target cells are plated in 96-well plates (5×10 3 /well), medium background, volume correction, spontaneous LDH release from target cells, maximum LDH release from target cells, control cells spontaneous LDH release control wells, treatment group wells (groups) Prepare according to the kit instructions), repeat 3 wells per group, the final volume of each well is the same and not less than ΙΟΟμ 250g for 4 min, and incubated at 37 ° C, 5% C02 for at least 4 h. 45 min before centrifugation, lOx lysate was added to the largest release well of the target cells, and an equal amount of lysate was added to the volume-corrected well. Centrifuge again, transfer 50 μL of supernatant from each well to a new 96-well plate, add 50 μL of substrate solution, and shield from light at room temperature. Incubate for 30 min. Add 50 μM per well, stop the solution, and measure D490 within 1 h. Cytotoxicity (%) = [( D experimental well - D medium background well) - (D effector cell spontaneous LDH release well - D medium background well) - (D target cell spontaneous LDH release well - D medium background well) 】 / [ ( D target cell maximum LDH release hole - D volume correction hole) - (D target cell spontaneous LDH release hole - D medium background hole)] xl00 results show that Jurkat CAR1CAR2 can effectively kill MUC1 and EGFR double positive A431 Tumor cells; the killing effect of MCF7, which is highly positive for MUC1 and weakly positive for EGFR family protein, is similar to Jurkat CAR1 , lower than Jurkat G3-CAR ; U-20S cells with weak positive MUC1 and EGFR positive are not killed (see Figure 5). . The above results indicate that when both antigens are present (such as MUC1 and EGFR double positive, representing general tumor tissue cells), dsCAR-modified T cells can effectively kill; when the first signal is present, the second signal is weak (such as MUC1 positive) EGFR weakly positive, representing a small number of tumor cells), dsCAR-modified T cells can also effectively play a killing effect; when the first signal is weak, the second signal exists (such as MUC1 weak yang, EGFR weak yang, representing normal tissue cells) The T cells modified by dsCAR are basically not killed. Although specific embodiments of the invention have been described in detail, those skilled in the art will understand. Various modifications and substitutions may be made to those details in light of the teachings of the invention, which are within the scope of the invention. The full scope of the invention is given by the appended claims and any equivalents thereof.
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