Effect of PD-1 inhibitor Nivolumab on the proliferation and cytotoxicity of anti-CD19 chimeric antigen receptor T cells.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.0253-2727.2018.07.011
   		
        
        	
        		- VernacularTitle:PD-1抑制剂Nivolumab对CD19嵌合抗原受体T细胞体外增殖和杀伤活性的影响
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Hai Bo ZHU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Qi DENG
			        		
			        		;
		        		
		        		
		        		
			        		Rui ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Yan Yu JIANG
			        		
			        		;
		        		
		        		
		        		
			        		Juan Xia MENG
			        		
			        		;
		        		
		        		
		        		
			        		Ming Feng ZHAO
			        		
			        		;
		        		
		        		
		        		
			        		Yu Ming LI
			        		
			        		;
		        		
		        		
		        		
			        		Rui CUI
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Hematology, Tianjin First Central Hospital, Tianjin 300192, China.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Chimeric antigen receptor;
			        		
			        		
			        		
				        		Lymphoma;
			        		
			        		
			        		
				        		PD-1 inhibitor
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Antigens, CD19;
				        		
			        		
				        		
					        		Cell Proliferation;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Leukocytes, Mononuclear;
				        		
			        		
				        		
					        		Nivolumab/pharmacology*;
				        		
			        		
				        		
					        		Programmed Cell Death 1 Receptor;
				        		
			        		
				        		
					        		Receptors, Antigen, T-Cell;
				        		
			        		
				        		
					        		Receptors, Chimeric Antigen;
				        		
			        		
				        		
					        		T-Lymphocytes
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:
	            		
	            			Chinese Journal of Hematology
	            		
	            		 2018;39(7):584-588
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective: To Evaluation the effect of PD-1 inhibitor Nivolumab on the proliferation and cytotoxicity of anti-CD19 chimeric antigen receptor T cells (CD19-CAR-T) in vitro. Methods: Five patients with high PD-1 expression in peripheral blood and five healthy volunteers were selected. These peripheral blood mononuclear cells were used as the source of T cells to prepare CD19-CAR-T cells. Different doses (72, 36, 18 μg/ml) of Nivolumab was added on day 8 to the culture medium. Patient T cells incubated with 72 μg/ml Nivolumab and CD19-CAR-T cells of healthy volunteers were used as controls. CCK-8, lactate dehydrogenase (LDH) cytotoxicity assay and ELASA were used to detect the proliferation capacity, the specific cytotoxicity and the inflammatory factor secretion. Results: ①T cells from patients with high expression of PD-1 as the source of CD19-CAR-T cells did not affect transfection rate compared with that of healthy volunteers [(32.80±7.22)% vs (35.10±5.84)%, t=-0.554, P=0.593]. ②Incubation of CD19-CAR-T cells with 72 μg/ml Nivolumab did not affect CD19-CAR-T cell proliferation, but its cytotoxicity was significantly higher than that of CD19-CAR-T cells alone or patients' T cells +72 μg/ml Nivolumab (all P<0.001), there was no significant difference in the killing activity between the 72 μg/ml and 36 μg/ml Nivolumab treated CD19-CAR-T cells on Pfeiffer cells (P=0.281, 0.267, respectively), and they were all higher than those of 18 μg/ml Nivolumab treated CD19-CAR-T cells (all P<0.001). ③Different doses of PD-1 inhibitor Nivolumab combined with CD19-CAR-T cells does not affect the secretion of IFN-γ and IFN-α (all P>0.05). Conclusion: Combination of 36 μg/ml PD-1 inhibitor and CD19-CAR-T cells could reduce the drug toxicity and enhance the cytotoxicity.