Desensitized chimeric antigen receptor T cells selectively recognize target cells with enhanced antigen expression

Autor: Young Ho Kim, Sunhee Hwang, Rohit Singh, Yu I. Kim, Don G. Lee, Beom K. Choi, Byoung S. Kwon, Kwang Hyun Kim, Su-Jung Sim, Sang Eun Lee, Seonhee Kim, Ho S. Oh, Chungyong Han, Sang H. Park
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Nature Communications
Nature Communications, Vol 9, Iss 1, Pp 1-13 (2018)
ISSN: 2041-1723
Popis: Chimeric antigen receptor (CAR) T cell therapy is an effective method for treating specific cancers. CARs are normally designed to recognize antigens, which are highly expressed on malignant cells but not on T cells. However, when T cells are engineered with CARs that recognize antigens expressed on the T cell surface, CAR T cells exhibit effector function on other T cells, which results in fratricide, or killing of neighboring T cells. Here, using human leukocyte antigen-DR (HLA-DR)-targeted CAR T cells, we show that weak affinity between CAR and HLA-DR reduces fratricide and induces sustained CAR downregulation, which consequently tunes the avidity of CAR T cells, leading to desensitization. We further demonstrate that desensitized CAR T cells selectively kill Epstein-Barr virus-transformed B cells with enhanced HLA-DR expression, while sparing normal B cells. Our study supports an avidity-tuning strategy that permits sensing of antigen levels by CAR T cells.
Engineered T cells with chimeric antigen receptor (CAR) are emerging as an effective cancer therapy. Here the authors show that CAR T cells recognizing self-MHC can be ‘tuned’ ex vivo via CAR downregulation and CAR T cell death to generate a CAR T pool specifically targeting tumor cells with high MHC expression.
Databáze: OpenAIRE