Anti-CD22–chimeric antigen receptors targeting B-cell precursor acute lymphoblastic leukemia

W Haso, DW Lee, NN Shah… - Blood, The Journal …, 2013 - ashpublications.org
W Haso, DW Lee, NN Shah, M Stetler-Stevenson, CM Yuan, IH Pastan, DS Dimitrov
Blood, The Journal of the American Society of Hematology, 2013ashpublications.org
Immune targeting of B-cell malignancies using chimeric antigen receptors (CARs) is a
promising new approach, but critical factors impacting CAR efficacy remain unclear. To test
the suitability of targeting CD22 on precursor B-cell acute lymphoblastic leukemia (BCP-
ALL), lymphoblasts from 111 patients with BCP-ALL were assayed for CD22 expression and
all were found to be CD22-positive, with median CD22 expression levels of 3500 sites/cell.
Three distinct binding domains targeting CD22 were fused to various TCR signaling …
Abstract
Immune targeting of B-cell malignancies using chimeric antigen receptors (CARs) is a promising new approach, but critical factors impacting CAR efficacy remain unclear. To test the suitability of targeting CD22 on precursor B-cell acute lymphoblastic leukemia (BCP-ALL), lymphoblasts from 111 patients with BCP-ALL were assayed for CD22 expression and all were found to be CD22-positive, with median CD22 expression levels of 3500 sites/cell. Three distinct binding domains targeting CD22 were fused to various TCR signaling domains ± an IgG heavy chain constant domain (CH2CH3) to create a series of vector constructs suitable to delineate optimal CAR configuration. CARs derived from the m971 anti-CD22 mAb, which targets a proximal CD22 epitope demonstrated superior antileukemic activity compared with those incorporating other binding domains, and addition of a 4-1BB signaling domain to CD28.CD3ζ constructs diminished potency, whereas increasing affinity of the anti-CD22 binding motif, and extending the CD22 binding domain away from the membrane via CH2CH3 had no effect. We conclude that second-generation m971 mAb-derived anti-CD22 CARs are promising novel therapeutics that should be tested in BCP-ALL.
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