PSMA-Directed CAR T Cells Combined with Low-Dose Docetaxel Treatment Induce Tumor Regression in a Prostate Cancer Xenograft Model

Autor: Toni Cathomen, Philipp Wolf, Sanaz Taromi, Wolfgang W. A. Schamel, Maximilian Seidl, Hinrich Abken, Niko Thorausch, Jamal Alzubi, Robert Zeiser, Johannes Kuehle, Viviane Dettmer-Monaco
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Molecular Therapy: Oncolytics, Vol 18, Iss, Pp 226-235 (2020)
Molecular Therapy Oncolytics
ISSN: 2372-7705
Popis: While chimeric antigen receptor (CAR) T cell immunotherapy targeting CD19 has shown remarkable success in patients with lymphoid malignancies, the potency of CAR T cells in solid tumors is low so far. To improve the efficacy of CAR T cells targeting prostate carcinoma, we designed a novel CAR that recognizes a new epitope in the prostate-specific membrane antigen (PSMA) and established novel paradigms to apply CAR T cells in a preclinical prostate cancer model. In vitro characterization of the D7 single-chain antibody fragment-derived anti-PSMA CAR confirmed that the choice of the co-stimulatory domain is a major determinant of CAR T cell activation, differentiation, and exhaustion. In vivo, focal injections of the PSMA CAR T cells eradicated established human prostate cancer xenografts in a preclinical mouse model. Moreover, systemic intravenous CAR T cell application significantly inhibited tumor growth in combination with non-ablative low-dose docetaxel chemotherapy, while docetaxel or CAR T cell application alone was not effective. In conclusion, the focal application of D7-derived CAR T cells and their combination with chemotherapy represent promising immunotherapeutic avenues to treat local and advanced prostate cancer in the clinic.
Graphical Abstract
Alzubi and colleagues developed novel PSMA-targeting CARs that enabled the eradication of human prostate cancer xenografts in a mouse tumor model upon focal application of the resulting CAR T cells. Moreover, in combination with a non-ablative dose of docetaxel chemotherapy, systemic PSMA-CAR T cell application significantly inhibited tumor growth.
Databáze: OpenAIRE