Zhang Xiaomei, He Xiaoyuan, Zhang Yu, Liu Jile, Guo Shujing, Lyu Cuicui, Zhao Mingfeng
Department of Hematology, Tianjin First Central Hospital, School of Medicine, Tianjin, China.
First Central Clinical College, Tianjin Medical University, Tianjin, China.
J Cell Mol Med. 2025 Sep;29(18):e70843. doi: 10.1111/jcmm.70843.
Although Chimeric antigen receptor (CAR) T cell therapy has demonstrated a high remission rate in B cell acute lymphoblastic leukaemia, concerns regarding toxicity and disease recurrence remain. Different promoters can modulate the expression levels of CAR molecules on the cell surface. In this study, we systematically compared four distinct promoters (MND, MSCV, EF-1α and CMV). Our findings revealed that while these promoters exhibited similar characteristics, the MND promoter demonstrated superior viral packaging and transduction efficiency. Furthermore, it enhanced the anti-leukaemia efficacy by increasing the proportion of naïve T cells involved in the cytotoxic process.
尽管嵌合抗原受体(CAR)T细胞疗法在B细胞急性淋巴细胞白血病中已显示出较高的缓解率,但对毒性和疾病复发的担忧依然存在。不同的启动子可以调节CAR分子在细胞表面的表达水平。在本研究中,我们系统地比较了四种不同的启动子(MND、MSCV、EF-1α和CMV)。我们的研究结果表明,虽然这些启动子表现出相似的特性,但MND启动子显示出卓越的病毒包装和转导效率。此外,它通过增加参与细胞毒性过程的初始T细胞比例来增强抗白血病疗效。