ADD a bunch of references
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@ -1180,6 +1180,226 @@ CONCLUSIONS: We developed a simplified, semi-closed system for the initial selec
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publisher = {Springer Science and Business Media {LLC}},
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publisher = {Springer Science and Business Media {LLC}},
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}
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}
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@Misc{purcellmain,
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title = {{Purcell Biolytica Main Page}},
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timestamp = {2020-04-26},
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url = {http://www.percell.se/default.htm},
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}
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@InCollection{Kotancheka,
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author = {Mark Kotanchek and Guido Smits and Ekaterina Vladislavleva},
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booktitle = {Genetic and Evolutionary Computation},
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doi = {10.1007/978-0-387-87623-8_10},
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}
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@Article{Witkowska2005,
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}
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}
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@Article{Becher2016,
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@Article{Hurton2016,
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journal = {Proceedings of the National Academy of Sciences},
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title = {Tethered {IL}-15 augments antitumor activity and promotes a stem-cell memory subset in tumor-specific T cells},
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year = {2016},
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month = {nov},
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publisher = {Proceedings of the National Academy of Sciences},
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journal = {Cell Metabolism},
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title = {Mitochondrial Biogenesis and Proteome Remodeling Promote One-Carbon Metabolism for T Cell Activation},
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year = {2016},
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@Article{Pietzke2020,
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title = {Formate metabolism in health and disease},
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journal = {Nature Immunology},
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title = {Impaired mitochondrial oxidative phosphorylation limits the self-renewal of T cells exposed to persistent antigen},
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@Article{Lunt2011,
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@Comment{jabref-meta: databaseType:bibtex;}
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@Comment{jabref-meta: databaseType:bibtex;}
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@Comment{jabref-meta: grouping:
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@Comment{jabref-meta: grouping:
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197
tex/thesis.tex
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tex/thesis.tex
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@ -1873,31 +1873,34 @@ We have developed a T cell expansion system that recapitulates key features of
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the in vivo lymph node microenvironment using DMSs functionalized with
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the in vivo lymph node microenvironment using DMSs functionalized with
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activating mAbs. This strategy provided superior expansion with higher number of
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activating mAbs. This strategy provided superior expansion with higher number of
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naïve/memory and CD4+ T cells compared to state-of-the-art microbead technology
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naïve/memory and CD4+ T cells compared to state-of-the-art microbead technology
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(Figure 2). Other groups have used biomaterials approaches to mimic the in vivo
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(Figure 2). Other groups have used biomaterials approaches to mimic the \invivo{}
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microenvironment13–15,17,34; however, to our knowledge this is the first system
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microenvironment\cite{Cheung2018, Rio2018, Delalat2017, Lambert2017, Matic2013};
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that specifically drives naïve/memory and CD4+ T cell formation in a scalable,
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however, to our knowledge this is the first system that specifically drives
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potentially bioreactor-compatible manufacturing process.
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naïve/memory and CD4+ T cell formation in a scalable, potentially
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bioreactor-compatible manufacturing process.
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Memory and naïve T cells have been shown to be important clinically. Compared to
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Memory and naïve T cells have been shown to be important clinically. Compared to
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effectors, they have a higher proliferative capacity and are able to engraft for
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effectors, they have a higher proliferative capacity and are able to engraft for
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months; thus they are able to provide long-term immunity with smaller
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months; thus they are able to provide long-term immunity with smaller
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doses19,35. Indeed, less differentiated T cells have led to greater survival
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doses\cite{Gattinoni2012, Joshi2008}. Indeed, less differentiated T cells have
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both in mouse tumor models and human patients20,36,37. Furthermore, clinical
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led to greater survival both in mouse tumor models and human
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patients\cite{Fraietta2018, Adachi2018, Rosenberg2011}. Furthermore, clinical
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response rates have been positively correlated with T cell expansion, implying
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response rates have been positively correlated with T cell expansion, implying
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that highly-proliferative naïve and memory T cells are a significant
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that highly-proliferative naïve and memory T cells are a significant
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contributor18,38. Circulating memory T cells have also been found in complete
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contributor\cite{Xu2014, Besser2010}. Circulating memory T cells have also been
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responders who received CAR T cell therapy39.
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found in complete responders who received CAR T cell therapy\cite{Kalos2011}.
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Similarly, CD4 T cells have been shown to play an important role in CAR T cell
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Similarly, CD4 T cells have been shown to play an important role in CAR T cell
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immunotherapy. It has been shown that CAR T doses with only CD4 or a mix of CD4
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immunotherapy. It has been shown that CAR T doses with only CD4 or a mix of CD4
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and CD8 T cells confer greater tumor cytotoxicity than only CD8 T cells22,40.
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and CD8 T cells confer greater tumor cytotoxicity than only CD8 T
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There are several possible reasons for these observations. First, CD4 T cells
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cells\cite{Wang2018, Sommermeyer2015}. There are several possible reasons for
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secrete proinflammatory cytokines upon stimulation which may have a synergistic
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these observations. First, CD4 T cells secrete proinflammatory cytokines upon
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effect on CD8 T cells. Second, CD4 T cells may be less prone to exhaustion and
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stimulation which may have a synergistic effect on CD8 T cells. Second, CD4 T
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may more readily adopt a memory phenotype compared to CD8 T cells22. Third, CD8
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cells may be less prone to exhaustion and may more readily adopt a memory
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T cells may be more susceptible than CD4 T cells to dual stimulation via the CAR
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phenotype compared to CD8 T cells\cite{Wang2018}. Third, CD8 T cells may be more
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and endogenous T Cell Receptor (TCR), which could lead to overstimulation,
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susceptible than CD4 T cells to dual stimulation via the CAR and endogenous T
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exhaustion, and apoptosis23. Despite evidence for the importance of CD4 T cells,
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Cell Receptor (TCR), which could lead to overstimulation, exhaustion, and
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apoptosis\cite{Yang2017}. Despite evidence for the importance of CD4 T cells,
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more work is required to determine the precise ratios of CD4 and CD8 T cell
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more work is required to determine the precise ratios of CD4 and CD8 T cell
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subsets to be included in CAR T cell therapy given a disease state.
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subsets to be included in CAR T cell therapy given a disease state.
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@ -1957,25 +1960,25 @@ approach are that the DMSs are large enough to be filtered (approximately 300
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that DMSs are also desired, digestion with dispase or collagenase may be used.
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that DMSs are also desired, digestion with dispase or collagenase may be used.
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Collagenase D may be selective enough to dissolve the DMSs yet preserve surface
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Collagenase D may be selective enough to dissolve the DMSs yet preserve surface
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markers which may be important to measure as critical quality attributes CQAs
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markers which may be important to measure as critical quality attributes CQAs
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{Figure X}. Furthermore, our system should be compatible with
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{Figure X}. Furthermore, our system should be compatible with large-scale static
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large-scale static culture systems such as the G-Rex bioreactor or perfusion
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culture systems such as the G-Rex bioreactor or perfusion culture systems, which
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culture systems, which have been previously shown to work well for T cell
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have been previously shown to work well for T cell expansion\cite{Forget2014,
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expansion12,50,51. The microcarriers used to create the DMSs also have a
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Gerdemann2011, Jin2012}. The microcarriers used to create the DMSs also have a
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regulatory history in human cell therapies that will aid in clinical
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regulatory history in human cell therapies that will aid in clinical
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translation.; they are already a component in an approved retinal pigment
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translation.; they are already a component in an approved retinal pigment
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epithelial cell product for Parkinson’s patients, and are widely available in 30
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epithelial cell product for Parkinson’s patients, and are widely available in 30
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countries26.
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countries\cite{purcellmain}.
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It is important to note that all T cell cultures in this study were performed up
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It is important to note that all T cell cultures in this study were performed up
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to 14 days. Others have demonstrated that potent memory T cells may be obtained
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to 14 days. Others have demonstrated that potent memory T cells may be obtained
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simply by culturing T cells as little as 5 days using traditional beads30. It is
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simply by culturing T cells as little as 5 days using traditional
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unknown if the naïve/memory phenotype of our DMS system could be further
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beads\cite{Ghassemi2018}. It is unknown if the naïve/memory phenotype of our DMS
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improved by reducing the culture time, but we can hypothesize that similar
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system could be further improved by reducing the culture time, but we can
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results would be observed given the lower number of doublings in a 5 day
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hypothesize that similar results would be observed given the lower number of
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culture. We should also note that we investigated one subtype (\ptmem{}) in
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doublings in a 5 day culture. We should also note that we investigated one
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this study. Future work will focus on other memory subtypes such as tissue
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subtype (\ptmem{}) in this study. Future work will focus on other memory
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resident memory and stem memory T cells, as well as the impact of using the DMS
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subtypes such as tissue resident memory and stem memory T cells, as well as the
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system on the generation of these subtypes.
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impact of using the DMS system on the generation of these subtypes.
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% TODO this sounds sketchy
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% TODO this sounds sketchy
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Another advantage is that the DMS system appears to induce a faster growth rate
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Another advantage is that the DMS system appears to induce a faster growth rate
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@ -1989,10 +1992,10 @@ the allogeneic T cell model would greatly benefit from a system that could
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create large numbers of T cells with naïve and memory phenotype. In contrast to
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create large numbers of T cells with naïve and memory phenotype. In contrast to
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the autologous model which is currently used for Kymriah and Yescarta,
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the autologous model which is currently used for Kymriah and Yescarta,
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allogeneic T cell therapy would reduce cost by spreading manufacturing expenses
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allogeneic T cell therapy would reduce cost by spreading manufacturing expenses
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across many doses for multiple patients52. Since it is economically advantageous
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across many doses for multiple patients\cite{Harrison2019}. Since it is
|
||||||
to grow as many T cells as possible in one batch in the allogeneic model
|
economically advantageous to grow as many T cells as possible in one batch in
|
||||||
(reduced start up and harvesting costs, fewer required cell donations), the DMSs
|
the allogeneic model (reduced start up and harvesting costs, fewer required cell
|
||||||
offer an advantage over current technology.
|
donations), the DMSs offer an advantage over current technology.
|
||||||
|
|
||||||
% TODO this is already stated in the innovation section
|
% TODO this is already stated in the innovation section
|
||||||
It should be noted that while we demonstrate a method providing superior
|
It should be noted that while we demonstrate a method providing superior
|
||||||
|
@ -2009,13 +2012,14 @@ cells, this method can theoretically be applied to any T cell immunotherapy
|
||||||
which responds to anti-CD3/CD28 mAb and cytokine stimulation. These include
|
which responds to anti-CD3/CD28 mAb and cytokine stimulation. These include
|
||||||
\glspl{til}, virus-specific T cells (VSTs), T cells engineered to express
|
\glspl{til}, virus-specific T cells (VSTs), T cells engineered to express
|
||||||
$\upgamma\updelta$TCR (TEGs), $\upgamma\updelta$ T cells, T cells with
|
$\upgamma\updelta$TCR (TEGs), $\upgamma\updelta$ T cells, T cells with
|
||||||
transduced-TCR, and CAR-TCR T cells53–58. Similar to CD19-CARs used in liquid
|
transduced-TCR, and CAR-TCR T cells\cite{Cho2015, Straetemans2018, Robbins2011,
|
||||||
|
Brimnes2012, Baldan2015, Walseng2017}. Similar to CD19-CARs used in liquid
|
||||||
tumors, these T cell immunotherapies would similarly benefit from the increased
|
tumors, these T cell immunotherapies would similarly benefit from the increased
|
||||||
proliferative capacity, metabolic fitness, migration, and engraftment potential
|
proliferative capacity, metabolic fitness, migration, and engraftment potential
|
||||||
characteristic of naïve and memory phenotypes59–61. Indeed, since these T cell
|
characteristic of naïve and memory phenotypes\cite{Blanc2018, Lalor2016,
|
||||||
immunotherapies are activated and expanded with either soluble mAbs or
|
Rosato2019}. Indeed, since these T cell immunotherapies are activated and
|
||||||
bead-immobilized mAbs, our system will likely serve as a drop-in substitution to
|
expanded with either soluble mAbs or bead-immobilized mAbs, our system will
|
||||||
provide these benefits.
|
likely serve as a drop-in substitution to provide these benefits.
|
||||||
|
|
||||||
\chapter{aim 2a}\label{aim2a}
|
\chapter{aim 2a}\label{aim2a}
|
||||||
|
|
||||||
|
@ -2647,19 +2651,19 @@ industries12. SR discovers mathematical expressions that fit a given sample and
|
||||||
differs from conventional regression techniques in that a model structure is not
|
differs from conventional regression techniques in that a model structure is not
|
||||||
defined a priori13. Hence, a key advantage of this methodology is that
|
defined a priori13. Hence, a key advantage of this methodology is that
|
||||||
transparent, human-interpretable models can be generated from small and large
|
transparent, human-interpretable models can be generated from small and large
|
||||||
datasets with no prior assumptions14,15.
|
datasets with no prior assumptions\cite{Kotancheka}.
|
||||||
|
|
||||||
Since the model search process lets the data determine the model, diverse and
|
Since the model search process lets the data determine the model, diverse and
|
||||||
competitive (e.g., accuracy, complexity) model structures are typically
|
competitive (e.g., accuracy, complexity) model structures are typically
|
||||||
discovered. An ensemble of diverse models can be formed where its constituent
|
discovered. An ensemble of diverse models can be formed where its constituent
|
||||||
models will tend to agree when constrained by observed data yet diverge in new
|
models will tend to agree when constrained by observed data yet diverge in new
|
||||||
regions. Collecting data in these regions helps to ensure that the target system
|
regions. Collecting data in these regions helps to ensure that the target system
|
||||||
is accurately modeled, and its optimum is accurately located14,15. Exploiting
|
is accurately modeled, and its optimum is accurately located\cite{Kotancheka}.
|
||||||
these features allows adaptive data collection and interactive modeling.
|
Exploiting these features allows adaptive data collection and interactive
|
||||||
Consequently, this adaptive-DOE approach is useful in a variety of scenarios,
|
modeling. Consequently, this adaptive-DOE approach is useful in a variety of
|
||||||
including maximizing model validity for model-based decision making, optimizing
|
scenarios, including maximizing model validity for model-based decision making,
|
||||||
processing parameters to maximize target yields, and developing emulators for
|
optimizing processing parameters to maximize target yields, and developing
|
||||||
online optimization and human understanding14,15.
|
emulators for online optimization and human understanding\cite{Kotancheka}.
|
||||||
|
|
||||||
% predictive features
|
% predictive features
|
||||||
|
|
||||||
|
@ -2680,34 +2684,35 @@ exact ratio of expected cytokine abundance is less clear and depends on the
|
||||||
subtypes present, and thus examination of each relevant cytokine is needed.
|
subtypes present, and thus examination of each relevant cytokine is needed.
|
||||||
|
|
||||||
IL2R is secreted by activated T cells and binds to IL2, acting as a sink to
|
IL2R is secreted by activated T cells and binds to IL2, acting as a sink to
|
||||||
dampen its effect on T cells16. Since IL2R was much greater than IL2 in
|
dampen its effect on T cells\cite{Witkowska2005}. Since IL2R was much greater
|
||||||
solution, this might reduce the overall effect of IL2, which could be further
|
than IL2 in solution, this might reduce the overall effect of IL2, which could
|
||||||
investigated by blocking IL2R with an antibody. In T cells, TNF can increase
|
be further investigated by blocking IL2R with an antibody. In T cells, TNF can
|
||||||
IL2R, proliferation, and cytokine production18. It may also induce apoptosis
|
increase IL2R, proliferation, and cytokine production\cite{Mehta2018}. It may
|
||||||
depending on concentration and alter the CD4+ to CD8+ ratio17. Given that TNF
|
also induce apoptosis depending on concentration and alter the CD4+ to CD8+
|
||||||
has both a soluble and membrane-bound form, this may either increase or decrease
|
ratio\cite{Vudattu2005}. Given that TNF has both a soluble and membrane-bound
|
||||||
CD4+ ratio and/or memory T cells depending on the ratio of the membrane to
|
form, this may either increase or decrease CD4+ ratio and/or memory T cells
|
||||||
soluble TNF18. Since only soluble TNF was measured, membrane TNF is needed to
|
depending on the ratio of the membrane to soluble TNF\cite{Mehta2018}. Since
|
||||||
understand its impact on both CD4+ ratio and memory T cells. Furthermore, IL13
|
only soluble TNF was measured, membrane TNF is needed to understand its impact
|
||||||
is known to be critical for Th2 response and therefore could be secreted if
|
on both CD4+ ratio and memory T cells. Furthermore, IL13 is known to be critical
|
||||||
there are significant Th2 T cells already present in the starting population19.
|
for Th2 response and therefore could be secreted if there are significant Th2 T
|
||||||
This cytokine has limited signaling in T cells and is thought to be more of an
|
cells already present in the starting population\cite{Wong2011}. This cytokine
|
||||||
effector than a differentiation cytokine20. It might be emerging as relevant due
|
has limited signaling in T cells and is thought to be more of an effector than a
|
||||||
to an initially large number of Th2 cells or because Th2 cells were
|
differentiation cytokine\cite{Junttila2018}. It might be emerging as relevant
|
||||||
|
due to an initially large number of Th2 cells or because Th2 cells were
|
||||||
preferentially expanded; indeed, IL4, also found important, is the conical
|
preferentially expanded; indeed, IL4, also found important, is the conical
|
||||||
cytokine that induces Th2 cell differentiation (Fig.3). The role of these
|
cytokine that induces Th2 cell differentiation (Fig.3). The role of these
|
||||||
cytokines could be investigated by quantifying the Th1/2/17 subsets both in the
|
cytokines could be investigated by quantifying the Th1/2/17 subsets both in the
|
||||||
starting population and longitudinally. Similar to IL13, IL17 is an effector
|
starting population and longitudinally. Similar to IL13, IL17 is an effector
|
||||||
cytokine produced by Th17 cells21 thus may reflect the number of Th17 subset of
|
cytokine produced by Th17 cells\cite{Amatya2017} thus may reflect the number of
|
||||||
T cells. GM-CSF has been linked with activated T cells, specifically Th17 cells,
|
Th17 subset of T cells. GM-CSF has been linked with activated T cells,
|
||||||
but it is not clear if this cytokine is inducing differential expansion of CD8+
|
specifically Th17 cells, but it is not clear if this cytokine is inducing
|
||||||
T cells or if it is simply a covariate with another cytokine inducing this
|
differential expansion of CD8+ T cells or if it is simply a covariate with
|
||||||
expansion22. Finally, IL15 has been shown to be essential for memory signaling
|
another cytokine inducing this expansion\cite{Becher2016}. Finally, IL15 has
|
||||||
and effective in skewing CAR-T cells toward the Tscm phenotype when using
|
been shown to be essential for memory signaling and effective in skewing CAR-T
|
||||||
membrane-bound IL15Ra and IL15R23. Its high predictive behavior goes with its
|
cells toward the Tscm phenotype when using membrane-bound IL15Ra and
|
||||||
ability to induce large numbers of memory T cells by functioning in an
|
IL15R\cite{Hurton2016}. Its high predictive behavior goes with its ability to
|
||||||
autocrine/paracrine manner and could be explored by blocking either the cytokine
|
induce large numbers of memory T cells by functioning in an autocrine/paracrine
|
||||||
or its receptor.
|
manner and could be explored by blocking either the cytokine or its receptor.
|
||||||
|
|
||||||
Moreover, many predictive metabolites found here are consistent with metabolic
|
Moreover, many predictive metabolites found here are consistent with metabolic
|
||||||
activity associated with T cell activation and differentiation, yet it is not
|
activity associated with T cell activation and differentiation, yet it is not
|
||||||
|
@ -2715,23 +2720,25 @@ clear how the various combinations of metabolites relate with each other in a
|
||||||
heterogeneous cell population. Formate and lactate were found to be highly
|
heterogeneous cell population. Formate and lactate were found to be highly
|
||||||
predictive and observed to positively correlate with higher values of total live
|
predictive and observed to positively correlate with higher values of total live
|
||||||
CD4+ TN+TCM cells (Fig.5a-b;Supp.Fig.28-S30,S38). Formate is a byproduct of the
|
CD4+ TN+TCM cells (Fig.5a-b;Supp.Fig.28-S30,S38). Formate is a byproduct of the
|
||||||
one-carbon cycle implicated in promoting T cell activation24. Importantly, this
|
one-carbon cycle implicated in promoting T cell activation\cite{RonHarel2016}.
|
||||||
cycle occurs between the cytosol and mitochondria of cells and formate
|
Importantly, this cycle occurs between the cytosol and mitochondria of cells and
|
||||||
excreted25. Mitochondrial biogenesis and function are shown necessary for memory
|
formate excreted\cite{Pietzke2020}. Mitochondrial biogenesis and function are
|
||||||
cell persistence26,27. Therefore, increased formate in media could be an
|
shown necessary for memory cell persistence\cite{van_der_Windt_2012,
|
||||||
indicator of one-carbon metabolism and mitochondrial activity in the culture.
|
Vardhana2020}. Therefore, increased formate in media could be an indicator of
|
||||||
|
one-carbon metabolism and mitochondrial activity in the culture.
|
||||||
|
|
||||||
In addition to formate, lactate was found as a putative CQA of TN+TCM. Lactate
|
In addition to formate, lactate was found as a putative CQA of TN+TCM. Lactate
|
||||||
is the end-product of aerobic glycolysis, characteristic of highly proliferating
|
is the end-product of aerobic glycolysis, characteristic of highly proliferating
|
||||||
cells and activated T cells28,29. Glucose import and glycolytic genes are
|
cells and activated T cells\cite{Lunt2011, Chang2013}. Glucose import and
|
||||||
immediately upregulated in response to T cell stimulation, and thus generation
|
glycolytic genes are immediately upregulated in response to T cell stimulation,
|
||||||
of lactate. At earlier time-points, this abundance suggests a more robust
|
and thus generation of lactate. At earlier time-points, this abundance suggests
|
||||||
induction of glycolysis and higher overall T cell proliferation. Interestingly,
|
a more robust induction of glycolysis and higher overall T cell proliferation.
|
||||||
our models indicate that higher lactate predicts higher CD4+, both in total and
|
Interestingly, our models indicate that higher lactate predicts higher CD4+,
|
||||||
in proportion to CD8+, seemingly contrary to previous studies showing that CD8+
|
both in total and in proportion to CD8+, seemingly contrary to previous studies
|
||||||
T cells rely more on glycolysis for proliferation following activation30. It may
|
showing that CD8+ T cells rely more on glycolysis for proliferation following
|
||||||
be that glycolytic cells dominate in the culture at the early time points used
|
activation\cite{Cao2014}. It may be that glycolytic cells dominate in the
|
||||||
for prediction, and higher lactate reflects more cells.
|
culture at the early time points used for prediction, and higher lactate
|
||||||
|
reflects more cells.
|
||||||
|
|
||||||
% TODO not sure how much I should include here since I didn't do this analysis
|
% TODO not sure how much I should include here since I didn't do this analysis
|
||||||
% AT ALL
|
% AT ALL
|
||||||
|
@ -2753,18 +2760,18 @@ primary carbon source (glucose) and essential amino acids (BCAA, histidine) that
|
||||||
must be continually consumed by proliferating cells. Moreover, the inclusion of
|
must be continually consumed by proliferating cells. Moreover, the inclusion of
|
||||||
glutamine in our predictive models also suggests the importance of other carbon
|
glutamine in our predictive models also suggests the importance of other carbon
|
||||||
sources for certain T cell subpopulations. Glutamine can be used for oxidative
|
sources for certain T cell subpopulations. Glutamine can be used for oxidative
|
||||||
energy metabolism in T cells without the need for glycolysis30. Overall, these
|
energy metabolism in T cells without the need for glycolysis\cite{Cao2014}.
|
||||||
results are consistent with existing literature that show different T cell
|
Overall, these results are consistent with existing literature that show
|
||||||
subtypes require different relative levels of glycolytic and oxidative energy
|
different T cell subtypes require different relative levels of glycolytic and
|
||||||
metabolism to sustain the biosynthetic and signaling needs of their respective
|
oxidative energy metabolism to sustain the biosynthetic and signaling needs of
|
||||||
phenotypes33,34. It is worth noting that the trends of metabolite abundance here
|
their respective phenotypes\cite{Almeida2016,Wang_2012}. It is worth noting that
|
||||||
are potentially confounded by the partial replacement of media that occurred
|
the trends of metabolite abundance here are potentially confounded by the
|
||||||
periodically during expansion (Methods), thus likely diluting some metabolic
|
partial replacement of media that occurred periodically during expansion
|
||||||
byproducts (i.e. formate, lactate) and elevating depleted precursors (i.e.
|
(Methods), thus likely diluting some metabolic byproducts (i.e. formate,
|
||||||
glucose, amino acids). More definitive conclusions of metabolic activity across
|
lactate) and elevating depleted precursors (i.e. glucose, amino acids). More
|
||||||
the expanding cell population can be addressed by a closed system, ideally with
|
definitive conclusions of metabolic activity across the expanding cell
|
||||||
on-line process sensors and controls for formate, lactate, along with ethanol
|
population can be addressed by a closed system, ideally with on-line process
|
||||||
and glucose.
|
sensors and controls for formate, lactate, along with ethanol and glucose.
|
||||||
|
|
||||||
\chapter{aim 2b}\label{aim2b}
|
\chapter{aim 2b}\label{aim2b}
|
||||||
|
|
||||||
|
|
Loading…
Reference in New Issue