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      Development of nanobodies targeting hepatocellular carcinoma and application of nanobody-based CAR-T technology

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          Abstract

          Background

          Chimeric antigen receptor T (CAR-T) cell therapy, as an emerging anti-tumor treatment, has garnered extensive attention in the study of targeted therapy of multiple tumor-associated antigens in hepatocellular carcinoma (HCC). However, the suppressive microenvironment and individual heterogeneity results in downregulation of these antigens in certain patients’ cancer cells. Therefore, optimizing CAR-T cell therapy for HCC is imperative.

          Methods

          In this study, we administered FGFR4-ferritin (FGFR4-HPF) nanoparticles to the alpaca and constructed a phage library of nanobodies (Nbs) derived from alpaca, following which we screened for Nbs targeting FGFR4. Then, we conducted the functional validation of Nbs. Furthermore, we developed Nb-derived CAR-T cells and evaluated their anti-tumor ability against HCC through in vitro and in vivo validation.

          Results

          Our findings demonstrated that we successfully obtained high specificity and high affinity Nbs targeting FGFR4 after screening. And the specificity of Nbs targeting FGFR4 was markedly superior to their binding to other members of the FGFR family proteins. Furthermore, the Nb-derived CAR-T cells, targeting FGFR4, exhibited significantly enhanced anti-tumor efficacy in both experiments when in vitro and in vivo.

          Conclusions

          In summary, the results of this study suggest that the CAR-T cells derived from high specificity and high affinity Nbs, targeting FGFR4, exhibited significantly enhanced anti-tumor efficacy in vitro and in vivo. This is an exploration of FGFR4 in the field of Nb-derived CAR-T cell therapy for HCC, holding promise for enhancing safety and effectiveness in the clinical treatment of HCC in the future.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12967-024-05159-x.

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          Most cited references46

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          Hepatocellular carcinoma: epidemiology and molecular carcinogenesis.

          Primary liver cancer, which consists predominantly of hepatocellular carcinoma (HCC), is the fifth most common cancer worldwide and the third most common cause of cancer mortality. HCC has several interesting epidemiologic features including dynamic temporal trends; marked variations among geographic regions, racial and ethnic groups, and between men and women; and the presence of several well-documented environmental potentially preventable risk factors. Moreover, there is a growing understanding on the molecular mechanisms inducing hepatocarcinogenesis, which almost never occurs in healthy liver, but the cancer risk increases sharply in response to chronic liver injury at the cirrhosis stage. A detailed understanding of epidemiologic factors and molecular mechanisms associated with HCC ultimately could improve our current concepts for screening and treatment of this disease.
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            4-1BB Costimulation Ameliorates T Cell Exhaustion Induced by Tonic Signaling of Chimeric Antigen Receptors

            Chimeric antigen receptors (CARs) targeting CD19 have mediated dramatic anti-tumor responses in hematologic malignancies, but tumor regression has rarely occurred using CARs targeting other antigens. It remains unknown whether the impressive effects of CD19 CARs relate to greater susceptibility of hematologic malignancies to CAR therapies, or superior functionality of the CD19 CAR itself. We discovered that tonic CAR CD3ζ phosphorylation, triggered by antigen-independent clustering of CAR scFvs, can induce early exhaustion of CAR T cells that limits anti-tumor efficacy. Such activation is present to varying degrees in all CARs studied, with the exception of the highly effective CD19 CAR. We further identify that CD28 costimulation augments, while 4-1BB costimulation ameliorates, exhaustion induced by persistent CAR signaling. Our results provide biological explanations for the dramatic anti-tumor effects of CD19 CARs and for the observations that CD19.BBz CAR T cells are more persistent than CD19.28z CAR T cells in clinical trials.
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              Ciltacabtagene autoleucel, a B-cell maturation antigen-directed chimeric antigen receptor T-cell therapy in patients with relapsed or refractory multiple myeloma (CARTITUDE-1): a phase 1b/2 open-label study

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                Author and article information

                Contributors
                lulj25@mail.sysu.edu.cn
                liubf5@mail.sysu.edu.cn
                zhxu22@mail.sysu.edu.cn
                Journal
                J Transl Med
                J Transl Med
                Journal of Translational Medicine
                BioMed Central (London )
                1479-5876
                12 April 2024
                12 April 2024
                2024
                : 22
                : 349
                Affiliations
                [1 ]Institute of Human Virology, Key Laboratory of Tropical Disease Control of Ministry of Education, Guangdong Engineering Research Center for Antimicrobial Agent and Immunotechnology, Zhongshan School of Medicine, Sun Yat-sen University, ( https://ror.org/0064kty71) No. 74 Zhongshan Road 2, Yuexiu District, Guangzhou, Guangdong 510080 People’s Republic of China
                [2 ]GRID grid.12981.33, ISNI 0000 0001 2360 039X, Department of Pathology, The First Affiliated Hospital, , Sun Yat-sen University, ; Guangzhou, Guangdong People’s Republic of China
                [3 ]GRID grid.12981.33, ISNI 0000 0001 2360 039X, Shenzhen Key Laboratory of Systems Medicine for Inflammatory Diseases, School of Medicine, , Shenzhen Campus of Sun Yat-sen University, ; Shenzhen, Guangdong People’s Republic of China
                [4 ]Department of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, ( https://ror.org/04tm3k558) No. 600 Tianhe Avenue, Guangzhou, Guangdong 510630 People’s Republic of China
                Author information
                http://orcid.org/0000-0003-1278-727X
                Article
                5159
                10.1186/s12967-024-05159-x
                11015683
                38610029
                3e704350-66d3-432c-ac54-b2b028b1f8fa
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 19 December 2023
                : 3 April 2024
                Funding
                Funded by: National Key R&D Program of Department of Science and Technology of China
                Award ID: 2022YFC0870700
                Award Recipient :
                Funded by: Important Key Program of Natural Science Foundation of China (NSFC)
                Award ID: 92169201
                Award Recipient :
                Funded by: Exchange Program of NSFC
                Award ID: 82150710553
                Award Recipient :
                Funded by: Emergency Key Program of Guangzhou National Laboratory
                Award ID: EKPG21-24
                Award Recipient :
                Funded by: Key R&D Program of Department of Science and Technology of Guangdong
                Award ID: 2022B1111020004
                Award Recipient :
                Funded by: National key research and development program
                Award ID: 2021YFC2301904
                Award Recipient :
                Funded by: Basic and Applied Basic Research Fund Committee of Guangdong Province
                Award ID: SL2022A04J01923
                Award Recipient :
                Funded by: Guangdong Basic and Applied Basic Research Foundation
                Award ID: 2023A1515010476
                Award Recipient :
                Funded by: Guangzhou Science and technology plan project
                Award ID: 2023A04J2235
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Award ID: 82202036
                Award Recipient :
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2024

                Medicine
                hcc,nanoparticle,nanobody,phage display,nb-derived car-t cell therapy
                Medicine
                hcc, nanoparticle, nanobody, phage display, nb-derived car-t cell therapy

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