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JoVE Journal
Cancer Research
颅内插管植入小鼠连续局部区域嵌合抗原受体(CAR)T细胞输注
颅内插管植入小鼠连续局部区域嵌合抗原受体(CAR)T细胞输注
JoVE Journal
Cancer Research
This content is Free Access.
JoVE Journal Cancer Research
Intracranial Cannula Implantation for Serial Locoregional Chimeric Antigen Receptor (CAR) T Cell Infusions in Mice

颅内插管植入小鼠连续局部区域嵌合抗原受体(CAR)T细胞输注

Full Text
4,364 Views
05:22 min
February 24, 2023

DOI: 10.3791/64886-v

Kyra Harvey1, Peter J. Madsen2,3, Tiffany Smith2, Crystal Griffin1,2, Luke Patterson1,2, Nicholas A. Vitanza4,5, Phillip B. Storm2,3, Adam C. Resnick2,3, Jessica B. Foster1,2

1Division of Oncology,Children’s Hospital of Philadelphia, 2Center for Data Driven Discovery in Biomedicine,Children’s Hospital of Philadelphia, 3Division of Neurosurgery,Children’s Hospital of Philadelphia, 4Ben Towne Center for Childhood Cancer Research,Seattle Children’s Research Institute, 5Department of Pediatrics, Seattle Children’s Hospital,University of Washington

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This protocol outlines a method for locoregional cannula implantation in mice, facilitating the preclinical evaluation of immunotherapeutic infusions targeting central nervous system tumors. The technique allows for repeated doses of CAR T-cell therapy without the need for multiple invasive surgeries.

Key Study Components

Area of Science

  • Neuroscience
  • Oncology
  • Immunotherapy

Background

  • CNS tumors are the leading cause of cancer-related deaths in children.
  • Locoregional immune-based therapies are being tested in clinical trials.
  • CAR T-cell therapy shows promise in targeting CNS tumors.
  • This protocol replicates an intraventricular catheter system used in ongoing clinical trials.

Purpose of Study

  • To evaluate the effectiveness of CAR T-cell therapy in a preclinical model.
  • To provide a method for local regional delivery of therapeutics.
  • To minimize the invasiveness of repeated treatments in animal models.

Methods Used

  • Implantation of a cannula using a stereotactic apparatus.
  • Administration of CAR T-cell therapy through the implanted cannula.
  • Use of anesthesia and surgical techniques to ensure animal welfare.
  • Monitoring of tumor response and survival outcomes post-treatment.

Main Results

  • The GPC2-directed CAR T-cell therapy induced significant tumor regression.
  • Significantly prolonged survival was observed in the thalamic diffuse midline glioma model.
  • The method allows for precise delivery of treatment to targeted areas.
  • Insights gained may inform future research in neuroscience and oncology.

Conclusions

  • This protocol provides a valuable tool for studying CNS tumors.
  • It enhances the understanding of CAR T-cell therapy efficacy.
  • The approach may lead to improved therapeutic strategies for CNS tumors.

Frequently Asked Questions

What is the main advantage of this cannula implantation technique?
The main advantage is the ability to provide multiple doses of therapy without repeated invasive surgeries.
How does CAR T-cell therapy work?
CAR T-cell therapy involves engineering T-cells to target and destroy cancer cells.
What types of tumors are targeted in this study?
The study focuses on central nervous system tumors, particularly medulloblastoma and diffuse midline glioma.
What are the implications of this research?
The research may lead to improved treatment options and understanding of CNS tumors in pediatric patients.
What is the role of anesthesia in this protocol?
Anesthesia is used to ensure the welfare of the mice during the surgical procedures.
How is the effectiveness of the treatment measured?
Effectiveness is measured by tumor regression and survival rates in the treated mice.

中枢神经系统(CNS)肿瘤是儿童癌症相关死亡的主要原因,基于局部免疫的疗法越来越多地在临床试验中为患者进行测试。该协议描述了在小鼠中植入局部区域套管的方法,用于靶向CNS肿瘤的免疫治疗输注的临床前评估。

该方案复制了正在进行的临床试验中使用的脑室内导管系统,以测试针对中枢神经系统肿瘤的CAR-T细胞疗法的局部区域递送。该技术的主要优点是能够提供多个重复剂量的局部区域CAR-T细胞治疗,而无需执行多种侵入性外科手术。该系统可用于研究不同递送部位的不同治疗方法,从而可以为神经科学的无数研究领域提供见解。

首先,将剃光头的麻醉小鼠放在手术台上,并使用刮刀轻轻打开立体定向臂的底部。用镊子插入套管,并通过拧紧手臂上的螺钉来固定它,直到白色塑料部分的一半到三分之二和套管的五毫米从开口底部突出。将鼠标的上牙插入并固定在立体定位装置的咬杆中。

向前拉鼻锥并收紧它,确保小鼠吸入异氟醚。然后,使用耳套或耳条将鼠标安装在加热的立体定位装置上,避免压力过大。按照手稿中的描述对手术部位进行消毒,并平行于颅骨进行切口。

使用棉签将筋膜推开。识别颅骨上与颅板相交的前标记和后标记相对应的标志、前胬和λ。要创建用于附着丙烯酸的表面,请使用手术刀在头骨上轻轻地切开几条缝。

使用立体定位臂,将套管定位到感兴趣的地标。将套管尖端抬高到颅骨表面上方一到两毫米,然后移动到所需的坐标。使用 18 号针或手术钻头,在暴露的颅骨上开两个螺丝孔,远离套管进入的位置,确保套管有足够的空间。

将钻头穿过螺丝孔,直到它连接到头骨上。用平头螺丝刀将两个螺钉插入孔中并固定。然后,轻轻拉起螺钉以确保其固定。

要插入套管,请使用 18 号针或手术钻头在识别的坐标处在颅骨上开一个孔。使用立体定向臂,将套管降低到所需的 DV 坐标。在瓷12孔板中约0.3克丙烯酸树脂粉末和10至15滴液体,将制备的粘性白色材料装入一毫升注射器中。

涂上颅骨并填充套管和螺钉周围的空间。在水泥柔韧性时松开立体定向臂上的螺钉。轻轻地使用刮刀从底部开口处的支架上释放套管,并将立体定向臂从鼠标上收回。

水泥干燥后,将假套管插入导向套管并顺时针旋转以将其牢固固定。程序完成后,将鼠标放回加热的家笼中恢复。要准备治疗套管,请将其顶部插入PKG管中。

然后,用CAR T细胞悬浮液填充治疗注射器,并将其插入PKG管的另一端,覆盖治疗套管的顶部。麻醉小鼠后,使用镊子将引导套管固定在底部。拧下并取下假套管,以便进入导向套管。

输注CAR-T细胞一分钟,并将治疗套管保持在适当的位置一分钟。取出治疗套管后,拧紧假套管。然后,皮下给予美洛昔康以控制疼痛。

GPC2 定向的 CAR T 细胞疗法诱导髓母细胞瘤的肿瘤显着消退,并在丘脑弥漫性中线胶质瘤模型中显着延长生存期。将引导套管插入肿瘤内位置时,重要的是要了解背腹坐标可能比肿瘤注射更浅,以解释假套管和治疗套管投影长度。

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