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    題名: 開發可一步驟分化、增殖、並武裝T細胞之雙功能抗體以應用於腫瘤專一性治療
    Development of the bispecific antibody to one-step differentiate, expand, and arm T cells for selective tumor therapy
    作者: 陳易柔
    Chen, Yi-Jou
    貢獻者: 中草藥臨床藥物研發博士學位學程
    莊國祥
    關鍵詞: 抗腫瘤/抗CD3雙功能抗體;毒殺型T細胞;腫瘤專一性T細胞;腫瘤治療;腫瘤專一性武裝型T細胞
    Anti-Tumor/Anti-CD3 bispecific antibody;cytotoxic T cell;tumor specific T cell;cancer treatment;BsAb armed-T cell
    日期: 2019-07-24
    上傳時間: 2020-02-25 13:19:16 (UTC+8)
    摘要: T細胞免疫療法為癌症之一種新興治療策略;然而,傳統方法所培育之T細胞缺乏腫瘤專一性,為使其具有腫瘤專一性,則須花費長時間於活體外培育訓練,或利用反轉錄病毒進行基因轉殖,使改造後之T細胞面臨癌化風險。為克服這些問題,我們開發一新型雙功能抗體(BsAb)培育腫瘤專一性T細胞之技術平臺,僅需將anti-Tumor/anti-CD3 BsAb加至人類週邊血液單核球(PBMC)培養基中,即可於十天內將PBMC分化、增殖為CD3+CD8+T細胞,且於培育過程中雙功能抗體即可同時修飾於T細胞表面,一步驟將其轉換為高純度之腫瘤專一性武裝型T細胞(anti-Tumor BsAb armed-T cell,純度>90%)。目前,我們已成功開發多種不同構型如anti-Tumor Fab/anti-CD3scFv、anti-Tumor scFv/anti-CD3Fab、anti-Tumor scFv/anti-CD3scFv、anti-Tumor Hole/anti-CD3 Knob 雙功能抗體,並具備多種anti-Tumor (PSMA、EGFR……)腫瘤辨識端之變化,各種雙功能抗體均已證實可於活體外快速培育出腫瘤專一性T細胞;活體外細胞實驗及帶有人類腫瘤之小鼠試驗,均證實anti-Tumor BsAb armed-T cell可高效率標靶毒殺腫瘤,且不會產生過度細胞激素釋放或顯著毒性。本研究克服傳統方法須使用抗原呈現細胞,或使用反轉錄病毒進行基因轉殖之技術方可培育出腫瘤專一性T細胞之問題;是一套快速培育、非病毒基因轉殖、高純度且成本合宜之腫瘤專一性T細胞建置平台,將提供全球癌症病患一更為安全、有效、且得以負擔之新型T細胞治療策略。
    T cell immunotherapy is one of new strategies for cancer treatment. However, generation of tumor-specific T cell therapy is often limited by the need for laborious incubation processes or the need for retrovirus-based gene transfection. Here, we present a non-genetically engineering technology to rapid develop tumor-specific T cells. By using anti-tumor/anti-CD3 BsAb of special structures to culture human peripheral blood mononuclear cells, tumor specific BsAb-armed T cells can be generated, cultured and expanded with purity over 90% in 10 days. Now, we have developed several anti-tumor/anti-CD3 BsAb with different structure, including: anti-Tumor Fab/anti-CD3scFv, anti-Tumor scFv/anti-CD3Fab, anti-Tumor scFv/anti-CD3scFv, anti-Tumor Hole/anti-CD3 Knob BsAb, and all the BsAb have the ability to differentiate and expand the BsAb armed T cells. The BsAb armed T cells can efficiently accumulate at tumor site in vitro and in vivo. The release of cytotoxins (perforin and granzyme) and cytokines (TNF-α and IFN-γ) from BsAb-armed T cells dramatically raise after contacting tumor cells, which can effectively eliminate tumor cells. Importantly, human tumor bearing SCID mice treated with BsAb-armed T cells did not show obvious cytokine release syndrome and tissue toxicity. The BsAb armed T cell technology is a fast-culturing and low-cost platform to generate high pure tumor-specific T cells without genetically engineering.
    描述: 博士
    指導教授:莊國祥
    共同指導教授:鄭靜枝
    委員:何元順
    委員:林時宜
    委員:羅傅倫
    委員:鄭添祿
    委員:卓爾婕
    資料類型: thesis
    顯示於類別:[中草藥臨床藥物研發博士學位學程] 博碩士論文

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