A chimeric switch-receptor targeting PD1 augments the efficacy of second-generation CAR T cells in advanced solid tumors

X Liu, R Ranganathan, S Jiang, C Fang, J Sun, S Kim… - Cancer research, 2016 - AACR
X Liu, R Ranganathan, S Jiang, C Fang, J Sun, S Kim, K Newick, A Lo, CH June, Y Zhao
Cancer research, 2016AACR
Chimeric antigen receptor (CAR)–modified adoptive T-cell therapy has been successfully
applied to the treatment of hematologic malignancies, but faces many challenges in solid
tumors. One major obstacle is the immune-suppressive effects induced in both naturally
occurring and genetically modified tumor-infiltrating lymphocytes (TIL) by inhibitory receptors
(IR), namely PD1. We hypothesized that interfering with PD1 signaling would augment CAR
T-cell activity against solid tumors. To address this possibility, we introduced a genetically …
Abstract
Chimeric antigen receptor (CAR)–modified adoptive T-cell therapy has been successfully applied to the treatment of hematologic malignancies, but faces many challenges in solid tumors. One major obstacle is the immune-suppressive effects induced in both naturally occurring and genetically modified tumor-infiltrating lymphocytes (TIL) by inhibitory receptors (IR), namely PD1. We hypothesized that interfering with PD1 signaling would augment CAR T-cell activity against solid tumors. To address this possibility, we introduced a genetically engineered switch receptor construct, comprising the truncated extracellular domain of PD1 and the transmembrane and cytoplasmic signaling domains of CD28, into CAR T cells. We tested the effect of this supplement, “PD1CD28,” on human CAR T cells targeting aggressive models of human solid tumors expressing relevant tumor antigens. Treatment of mice bearing large, established solid tumors with PD1CD28 CAR T cells led to significant regression in tumor volume due to enhanced CAR TIL infiltrate, decreased susceptibility to tumor-induced hypofunction, and attenuation of IR expression compared with treatments with CAR T cells alone or PD1 antibodies. Taken together, our findings suggest that the application of PD1CD28 to boost CAR T-cell activity is efficacious against solid tumors via a variety of mechanisms, prompting clinical investigation of this potentially promising treatment modality. Cancer Res; 76(6); 1578–90. ©2016 AACR.
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