目的:肌萎缩侧索硬化症(ALS)是一种与运动神经元变性相关的致命疾病,聚集的错误折叠蛋白和中枢神经系统(CNS)运动区的神经炎症的积累。使用调节性T细胞(Tregs)的临床试验正在进行中,因为Tregs的免疫调节功能,交通到中枢神经系统的能力,与ALS中较慢疾病和ALS小鼠模型中疾病修饰活性相关的高数字。在目前的研究中,在人Tregs中开发并表征了嵌合抗原受体(CAR),以增强与ALS蛋白聚集体接触时的免疫调节活性。
方法:由人超氧化物歧化酶1(hSOD1)结合单链可变片段组成的CAR(DG05-28-3z),CD28铰链,跨膜和共刺激结构域和CD3ζ信号传导结构域被创建并在人Treg中表达。通过磁性富集CD4+CD25hi细胞(Enr-Tregs)或细胞分选CD4+CD25hiCD127lo细胞(FP-Tregs)来分离人Treg,转导并扩增17天。
结果:相对于野生型hSOD1蛋白,CAR优先结合ALS突变体G93A-hSOD1蛋白。当与来自G93A-hSOD1转基因小鼠的聚集的G93A-hSOD1蛋白或脊髓外植体一起培养时,CARTreg产生IL-10。DG05-28-3zCARTreg与人单核细胞/巨噬细胞共培养抑制肿瘤坏死因子α和活性氧的产生。与Enr-Tregs相比,扩展的FP-Tregs产生了更强大的Tregs。FP-Tregs产生相似的IL-10和较少的干扰素γ,具有较低的Treg特异性去甲基化区域甲基化和表达较高的FoxP3和CD39。
结论:综合来看,这项研究表明,基因修饰的Treg可以被开发为靶向聚集的ALS相关蛋白,以引发CAR介导的Treg效应子功能,并提供了一种针对ALS的Treg治疗方法,目的是增强疾病位点特异性免疫调节.
Amyotrophic lateral sclerosis (ALS) is a fatal disease associated with motor neuron degeneration, accumulation of aggregated misfolded proteins and neuroinflammation in motor regions of the central nervous system (CNS). Clinical trials using regulatory T cells (Tregs) are ongoing because of Tregs\' immunomodulatory function, ability to traffic to the CNS, high numbers correlating with slower disease in ALS and disease-modifying activity in ALS mouse models. In the current study, a chimeric antigen receptor (CAR) was developed and characterized in human Tregs to enhance their immunomodulatory activity when in contact with an ALS protein aggregate.
A CAR (DG05-28-3z) consisting of a human superoxide dismutase 1 (hSOD1)-binding single-chain variable fragment, CD28 hinge, transmembrane and co-stimulatory domain and CD3ζ signaling domain was created and expressed in human Tregs. Human Tregs were isolated by either magnetic enrichment for CD4+CD25hi cells (Enr-Tregs) or cell sorting for CD4+CD25hiCD127lo cells (FP-Tregs), transduced and expanded for 17 days.
The CAR bound preferentially to the ALS mutant G93A-hSOD1 protein relative to the wild-type hSOD1 protein. The CAR Tregs produced IL-10 when cultured with aggregated G93A-hSOD1 proteins or spinal cord explants from G93A-hSOD1 transgenic mice. Co-culturing DG05-28-3z CAR Tregs with human monocytes/macrophages inhibited production of tumor necrosis factor alpha and reactive oxygen species. Expanded FP-Tregs resulted in more robust Tregs compared with Enr-Tregs. FP-Tregs produced similar IL-10 and less interferon gamma, had lower Treg-specific demethylated region methylation and expressed higher FoxP3 and CD39.
Taken together, this study demonstrates that gene-modified Tregs can be developed to target an aggregated ALS-relevant protein to elicit CAR-mediated Treg effector functions and provides an approach for generating Treg therapies for ALS with the goal of enhanced disease site-specific immunomodulation.