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Citations to this article

Targeted antibody-mediated depletion of murine CD19 CAR T cells permanently reverses B cell aplasia
Paulina J. Paszkiewicz, … , Stanley R. Riddell, Dirk H. Busch
Paulina J. Paszkiewicz, … , Stanley R. Riddell, Dirk H. Busch
Published October 17, 2016
Citation Information: J Clin Invest. 2016;126(11):4262-4272. https://doi.org/10.1172/JCI84813.
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Research Article Immunology Article has an altmetric score of 51

Targeted antibody-mediated depletion of murine CD19 CAR T cells permanently reverses B cell aplasia

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Abstract

The adoptive transfer of T cells that have been genetically modified to express a CD19-specific chimeric antigen receptor (CAR) is effective for treating human B cell malignancies. However, the persistence of functional CD19 CAR T cells causes sustained depletion of endogenous CD19+ B cells and hypogammaglobulinemia. Thus, there is a need for a mechanism to ablate transferred T cells after tumor eradication is complete to allow recovery of normal B cells. Previously, we developed a truncated version of the epidermal growth factor receptor (EGFRt) that is coexpressed with the CAR on the T cell surface. Here, we show that targeting EGFRt with the IgG1 monoclonal antibody cetuximab eliminates CD19 CAR T cells both early and late after adoptive transfer in mice, resulting in complete and permanent recovery of normal functional B cells, without tumor relapse. EGFRt can be incorporated into many clinical applications to regulate the survival of gene-engineered cells. These results support the concept that EGFRt represents a promising approach to improve safety of cell-based therapies.

Authors

Paulina J. Paszkiewicz, Simon P. Fräßle, Shivani Srivastava, Daniel Sommermeyer, Michael Hudecek, Ingo Drexler, Michel Sadelain, Lingfeng Liu, Michael C. Jensen, Stanley R. Riddell, Dirk H. Busch

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DC Soler, A Kerstetter-Fogle, TS McCormick, AE Sloan
Journal of Neuro-Oncology 2021
[Comparison of single infusion of anti-BCMA versus combined infusion of anti-CD19 chimeric antigen receptor T cells for immune reconstruction in relapsed/refractory multiple myeloma]
J Ge, T T Zhao, C Y Wan, J Y Xia, S Y Guo, M X Yu, J Chen, Y Wang, K L Xu, Z Y Li
Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi 2021
Engineering T cells for immunotherapy of primary human hepatocellular carcinoma
LD Galva, L Cai, Y Shao, Y He
Journal of genetics and genomics = Yi chuan xue bao 2020
Chimeric antigen receptor T-cell therapy in glioblastoma: charging the T cells to fight
CA Land, PR Musich, D Haydar, G Krenciute, Q Xie
Journal of Translational Medicine 2020
Current Advances in Osteosarcoma: Clinical Perspectives: Past, Present and Future
ES Kleinerman, R Gorlick
2020
CRISPR/Cas systems to overcome challenges in developing the next generation of T cells for cancer therapy
D Huang, M Miller, B Ashok, S Jain, NA Peppas
Advanced Drug Delivery Reviews 2020
The Great War of Today: Modifications of CAR-T Cells to Effectively Combat Malignancies
A Zhylko, M Winiarska, A Graczyk-Jarzynka
Cancers 2020
Combination of Oncolytic Virotherapy and CAR T/NK Cell Therapy for the Treatment of Cancer
GV Kochneva, GF Sivolobova, AV Tkacheva, AA Gorchakov, SV Kulemzin
Molecular Biology 2020
Engineering Next-Generation CAR-T Cells for Better Toxicity Management
AE Andrea, A Chiron, S Bessoles, S Hacein-Bey-Abina
International journal of molecular sciences 2020
Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
K Schober, TR Müller, DH Busch
Cells 2020
A Bird’s-Eye View of Cell Sources for Cell-Based Therapies in Blood Cancers
B Motais, S Charvátová, M Hrdinka, M Šimíček, T Jelínek, T Ševčíková, Z Kořístek, R Hájek, JR Bagó
Cancers 2020
Tissue factor as a new target for CAR-NK cell immunotherapy of triple-negative breast cancer
Z Hu
Scientific Reports 2020
convertibleCARs: A chimeric antigen receptor system for flexible control of activity and antigen targeting
KE Landgraf, SR Williams, D Steiger, D Gebhart, S Lok, DW Martin, KT Roybal, KC Kim
2020
Toxicities of Chimeric Antigen Receptor T Cell Therapy in Multiple Myeloma: An Overview of Experience From Clinical Trials, Pathophysiology, and Management Strategies
X Zhou, L Rasche, KM Kortüm, S Danhof, M Hudecek, H Einsele
Frontiers in immunology 2020
A cellular antidote to specifically deplete anti-CD19 chimeric antigen receptor–positive cells
M Ruella, DM Barrett, O Shestova, J Perazzelli, AD Posey, SJ Hong, M Kozlowski, SF Lacey, JJ Melenhorst, CH June, SI Gill
Blood 2020
Recent Advances in Allogeneic CAR-T Cells
DW Kim, JY Cho
Biomolecules 2020
Adoptive Cell Therapy Targeting Neoantigens: A Frontier for Cancer Research
Z Wang, YJ Cao
Frontiers in immunology 2020
Application of Chimeric Antigen Receptor T Cells in the Treatment of Hematological Malignancies
W Yan, Z Liu, J Liu, Y Xia, K Hu, J Yu, YQ Li
BioMed Research International 2020

Sustained Remission of Relapsed or Refractory Mantle Cell Lymphoma After 4-1BB-Based CD19-Directed CAR-T Therapy


C Yang, W Lei, H Xie, G Wu, J Wei, A Liang, W Qian
OncoTargets and therapy 2020
Engineering of α-PD-1 antibody-expressing long-lived plasma cells by CRISPR/Cas9-mediated targeted gene integration
B Luo, Y Zhan, M Luo, H Dong, J Liu, Y Lin, J Zhang, G Wang, E Verhoeyen, Y Zhang, H Zhang
Cell Death and Disease 2020
Designed Ankyrin Repeat Protein (DARPin) to target chimeric antigen receptor (CAR)-redirected T cells towards CD4+ T cells to reduce the latent HIV+ cell reservoir
L Patasic, J Seifried, V Bezler, M Kaljanac, IC Schneider, H Schmitz, C Tondera, J Hartmann, A Hombach, CJ Buchholz, H Abken, R König, K Cichutek
Medical Microbiology and Immunology 2020
Ligand-Induced Degradation of a CAR Permits Reversible Remote Control of CAR T Cell Activity In Vitro and In Vivo
SA Richman, LC Wang, EK Moon, UR Khire, SM Albelda, MC Milone
Molecular Therapy 2020
Emerging Approaches for Regulation and Control of CAR T Cells: A Mini Review
LJ Brandt, MB Barnkob, YS Michaels, J Heiselberg, T Barington
Frontiers in immunology 2020
Chimeric Antigen Receptor-modified T cells targeting EphA2 for the immunotherapy of paediatric bone tumours
K Hsu, S Middlemiss, F Saletta, S Gottschalk, GB McCowage, B Kramer
Cancer Gene Therapy 2020
A New Safety Approach Allowing Reversible Control of CAR T Cell Responses
AX Chen, IG House, PA Beavis, PK Darcy
Molecular Therapy 2020
Adaptor CAR Platforms—Next Generation of T Cell-Based Cancer Immunotherapy
C Arndt, F Fasslrinner, LR Loureiro, S Koristka, A Feldmann, M Bachmann
Cancers 2020
Imaging CAR T Cell Trafficking with eDHFR as a PET Reporter Gene
MA Sellmyer, SA Richman, K Lohith, C Hou, CC Weng, RH Mach, RS OConnor, MC Milone, MD Farwell
Molecular Therapy 2020
Senolytic CAR T cells reverse senescence-associated pathologies
C Amor, J Feucht, J Leibold, YJ Ho, C Zhu, D Alonso-Curbelo, J Mansilla-Soto, JA Boyer, X Li, T Giavridis, A Kulick, S Houlihan, E Peerschke, SL Friedman, V Ponomarev, A Piersigilli, M Sadelain, SW Lowe
Nature 2020
Artificial T Cell Adaptor Molecule-Transduced TCR-T Cells Demonstrated Improved Proliferation Only When Transduced in a Higher Intensity
T Sakai, S Terakura, K Miyao, S Okuno, Y Adachi, K Umemura, J Julamanee, K Watanabe, H Hamana, H Kishi, J Leitner, P Steinberger, T Nishida, M Murata, H Kiyoi
Molecular Therapy — Oncolytics 2020
T cells genetically engineered to overcome death signaling enhance adoptive cancer immunotherapy
Tori N. Yamamoto, Ping-Hsien Lee, Suman Kumar Vodnala, Devikala Gurusamy, Rigel Kishton, Zhiya Yu, Arash Eidizadeh, Robert Eil, Jessica Fioravanti, Luca Gattinoni, James N. Kochenderfer, Terry J Fry, Bulent Arman Aksoy, Jeffrey Hammerbacher, Anthony C Cruz, Richard Siegel, Nicholas P. Restifo, Christopher A. Klebanoff
Journal of Clinical Investigation 2019
Treg cell-based therapies: challenges and perspectives
C Raffin, LT Vo, JA Bluestone
Nature Reviews Immunology 2019
CAR-T Cells: Future Perspectives
S Charrot, S Hallam
2019
Bispecific T-Cell Redirection versus Chimeric Antigen Receptor (CAR)-T Cells as Approaches to Kill Cancer Cells
Strohl, Naso
Antibodies 2019
Chimeric Antigen Receptor-T Cells for Targeting Solid Tumors: Current Challenges and Existing Strategies
L Springuel, C Lonez, B Alexandre, EV Cutsem, JP Machiels, MV Eynde, H Prenen, A Hendlisz, L Shaza, J Carrasco, JL Canon, M Opyrchal, K Odunsi, S Rottey, DE Gilham, A Flament, FF Lehmann
BioDrugs 2019
Next generation chimeric antigen receptor T cells: safety strategies to overcome toxicity
S Yu, M Yi, S Qin, K Wu
Molecular Cancer 2019
Switching on the green light for chimeric antigen receptor T-cell therapy
S Mardiana, J Lai, IG House, PA Beavis, PK Darcy
IBMS BoneKEy 2019
CAR T Cells: A Snapshot on the Growing Options to Design a CAR
A Holzinger, H Abken
2019
Long-term in vivo microscopy of CAR T cell dynamics during eradication of CNS lymphoma in mice
M Mulazzani, SP Fräßle, I von Mücke-Heim, S Langer, X Zhou, H Ishikawa-Ankerhold, J Leube, W Zhang, S Dötsch, M Svec, M Rudelius, M Dreyling, M von Bergwelt-Baildon, A Straube, VR Buchholz, DH Busch, L von Baumgarten
Proceedings of the National Academy of Sciences 2019
A cetuximab-mediated suicide system in CAR-modified hematopoietic stem cells for cancer therapy
RL Kao, LC Truscott, TT Chiou, W Tsai, AM Wu, SN Oliveira
Human Gene Therapy 2019
Killing Mechanisms of Chimeric Antigen Receptor (CAR) T Cells
MR Benmebarek, C Karches, B Cadilha, S Lesch, S Endres, S Kobold
International journal of molecular sciences 2019
Challenges and Opportunities for Childhood Cancer Drug Development
PJ Houghton, RT Kurmasheva, MM Gottesman
Pharmacological reviews 2019
Evaluation of a Fully Human, Hepatitis B Virus-Specific Chimeric Antigen Receptor in an Immunocompetent Mouse Model
MM Festag, J Festag, SP Fräßle, T Asen, J Sacherl, S Schreiber, MA Mück-Häusl, DH Busch, K Wisskirchen, U Protzer
Molecular Therapy 2019
Bispecific Antibodies Enable Synthetic Agonistic Receptor-Transduced T Cells for Tumor Immunotherapy
CH Karches, MR Benmebarek, ML Schmidbauer, M Kurzay, R Klaus, M Geiger, F Rataj, BL Cadilha, S Lesch, C Heise, R Murr, J vom Berg, M Jastroch, D Lamp, J Ding, P Duewell, G Niederfellner, C Sustmann, S Endres, C Klein, S Kobold
Clinical cancer research 2019
Sustained B cell depletion by CD19-targeted CAR T cells is a highly effective treatment for murine lupus
R Kansal, N Richardson, I Neeli, S Khawaja, D Chamberlain, M Ghani, Q Ghani, L Balazs, S Beranova-Giorgianni, F Giorgianni, JN Kochenderfer, T Marion, LM Albritton, M Radic
Science Translational Medicine 2019
Anti-CAR-engineered T cells for epitope-based elimination of autologous CAR T cells
S Koristka, P Ziller-Walter, R Bergmann, C Arndt, A Feldmann, A Kegler, M Cartellieri, A Ehninger, G Ehninger, M Bornhäuser, MP Bachmann
Cancer Immunology, Immunotherapy 2019
The tyrosine kinase inhibitor dasatinib acts as a pharmacologic on/off switch for CAR T cells
K Mestermann, T Giavridis, J Weber, J Rydzek, S Frenz, T Nerreter, A Mades, M Sadelain, H Einsele, M Hudecek
Science Translational Medicine 2019
Conventional CARs versus modular CARs
A Feldmann, C Arndt, S Koristka, N Berndt, R Bergmann, MP Bachmann
Cancer Immunology, Immunotherapy 2019

Cytokine Release Syndrome: Current Perspectives


H Murthy, M Iqbal, JC Chavez, MA Kharfan-Dabaja
ImmunoTargets and Therapy 2019
T cell engineering for adoptive T cell therapy: safety and receptor avidity.
D'Ippolito E, Schober K, Nauerth M, Busch DH
Cancer Immunology, Immunotherapy 2019
Clinical translation and regulatory aspects of CAR/TCR-based adoptive cell therapies—the German Cancer Consortium approach
AM Krackhardt, B Anliker, M Hildebrandt, M Bachmann, SB Eichmüller, DM Nettelbeck, M Renner, L Uharek, G Willimsky, M Schmitt, WS Wels, M Schüssler-Lenz
Cancer Immunology, Immunotherapy 2018
Immunotherapy with CAR-Modified T Cells: Toxicities and Overcoming Strategies
S Sun, H Hao, G Yang, Y Zhang, Y Fu
Journal of Immunology Research 2018
Expanding the Therapeutic Window for CAR T Cell Therapy in Solid Tumors: The Knowns and Unknowns of CAR T Cell Biology
K Watanabe, S Kuramitsu, AD Posey, CH June
Frontiers in immunology 2018
Chimeric antigen receptor–modified T cells: CD19 and the road beyond
AI Salter, MJ Pont, SR Riddell
Blood 2018
Preclinical Optimization of a CD20-specific Chimeric Antigen Receptor Vector and Culture Conditions:
SY Lee, P Olsen, DH Lee, AL Kenoyer, LE Budde, S OSteen, DJ Green, S Heimfeld, MC Jensen, SR Riddell, OW Press, BG Till
Journal of immunotherapy (Hagerstown, Md. : 1997) 2018
Chimeric Antigen Receptor T Cell Therapy: Challenges to Bench-to-Bedside Efficacy
S Srivastava, SR Riddell
Journal of immunology (Baltimore, Md. : 1950) 2018
Chimeric Antigen Receptor Therapy
CH June, M Sadelain
New England Journal of Medicine 2018
CAR T Cell Therapy for Neuroblastoma
RM Richards, E Sotillo, RG Majzner
Frontiers in immunology 2018
Recent advances in CAR T-cell toxicity: Mechanisms, manifestations and management
JN Brudno, JN Kochenderfer
Blood Reviews 2018
Carbohydrate Targets for CAR T Cells in Solid Childhood Cancers
C Rossig, S Kailayangiri, S Jamitzky, B Altvater
Frontiers in Oncology 2018
Coexpression profile of leukemic stem cell markers for combinatorial targeted therapy in AML
S Haubner, F Perna, T Köhnke, C Schmidt, S Berman, C Augsberger, FM Schnorfeil, C Krupka, FS Lichtenegger, X Liu, P Kerbs, S Schneider, KH Metzeler, K Spiekermann, W Hiddemann, PA Greif, T Herold, M Sadelain, M Subklewe
Leukemia 2018
Human CD19-Targeted Mouse T Cells Induce B Cell Aplasia and Toxicity in Human CD19 Transgenic Mice
CA Pennell, JL Barnum, CS McDonald-Hyman, A Panoskaltsis-Mortari, MJ Riddle, Z Xiong, M Loschi, G Thangavelu, HM Campbell, MD Storlie, Y Refaeli, SN Furlan, MC Jensen, LS Kean, JS Miller, J Tolar, MJ Osborn, BR Blazar
Molecular Therapy 2018
Development and Evaluation of an Optimal Human Single-Chain Variable Fragment-Derived BCMA-Targeted CAR T Cell Vector
EL Smith, M Staehr, R Masakayan, IJ Tatake, TJ Purdon, X Wang, P Wang, H Liu, Y Xu, SC Garrett-Thomson, SC Almo, I Riviere, C Liu, RJ Brentjens
Molecular Therapy 2018
Adverse Effects Associated with Clinical Applications of CAR Engineered T Cells
ZS Badieyan, SS Hoseini
Archivum Immunologiae et Therapiae Experimentalis 2018
Versatile CAR T-cells for cancer immunotherapy
F Chu, J Cao, SS Neelalpu
WSPOLCZESNA ONKOL 2018
Switchable control over in vivo CAR T expansion, B cell depletion, and induction of memory
S Viaud, JS Ma, IR Hardy, EN Hampton, B Benish, L Sherwood, V Nunez, CJ Ackerman, E Khialeeva, M Weglarz, SC Lee, AK Woods, TS Young
Proceedings of the National Academy of Sciences 2018
Efficient immunoaffinity chromatography of lymphocytes directly from whole blood
F Mohr, S Przibilla, F Leonhardt, C Stemberger, S Dreher, TR Müller, SP Fräßle, GP Schmidt, ML Kiene, H Stadler, DH Busch
Scientific Reports 2018
Chimeric Antigen Receptors: A Cell and Gene Therapy Perspective
I Rivière, M Sadelain
Molecular Therapy 2017
Therapeutic T cell engineering
M Sadelain, I Rivière, S Riddell
Nature 2017
Integrating Proteomics and Transcriptomics for Systematic Combinatorial Chimeric Antigen Receptor Therapy of AML
F Perna, SH Berman, RK Soni, J Mansilla-Soto, J Eyquem, M Hamieh, RC Hendrickson, CW Brennan, M Sadelain
Cancer Cell 2017
Retargeting of UniCAR T cells with an in vivo synthesized target module directed against CD19 positive tumor cells
D Bachmann, R Aliperta, R Bergmann, A Feldmann, S Koristka, C Arndt, S Loff, P Welzel, S Albert, A Kegler, A Ehninger, M Cartellieri, G Ehninger, M Bornhäuser, M Bonin, C Werner, J Pietzsch, J Steinbach, M Bachmann
Oncotarget 2017
Development of CAR T cells designed to improve antitumor efficacy and safety
JE Jaspers, RJ Brentjens
Pharmacology & Therapeutics 2017
Development of novel target modules for retargeting of UniCAR T cells to GD2 positive tumor cells
N Mitwasi, A Feldmann, R Bergmann, N Berndt, C Arndt, S Koristka, A Kegler, J Jureczek, A Hoffmann, A Ehninger, M Cartellieri, S Albert, C Rossig, G Ehninger, J Pietzsch, J Steinbach, M Bachmann
Oncotarget 2017
Retargeting of T lymphocytes to PSCA- or PSMA positive prostate cancer cells using the novel modular chimeric antigen receptor platform technology “UniCAR”
A Feldmann, C Arndt, R Bergmann, S Loff, M Cartellieri, D Bachmann, R Aliperta, M Hetzenecker, F Ludwig, S Albert, P Ziller-Walter, A Kegler, S Koristka, S Gärtner, M Schmitz, A Ehninger, G Ehninger, J Pietzsch, J Steinbach, M Bachmann
Oncotarget 2017
Agents in Development for Childhood Acute Lymphoblastic Leukemia
KW Maloney, L Gore
Pediatric Drugs 2017
Pulmonary surfactant: an immunological perspective
ZC Chroneos, Z Sever-Chroneos, VL Shepherd
Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology 2009

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