Medizinische Klinik und Poliklinik II, Universitätsklinikum Würzburg, Würzburg, Germany.
Division of Medical Biotechnology, Paul-Ehrlich-Institute, Langen, Germany.
Leukemia. 2017 Jan;31(1):186-194. doi: 10.1038/leu.2016.180. Epub 2016 Jun 24.
Immunotherapy with T cell modified with gamma-retroviral or lentiviral (LV) vectors to express a chimeric antigen receptor (CAR) has shown remarkable efficacy in clinical trials. However, the potential for insertional mutagenesis and genotoxicity of viral vectors is a safety concern, and their cost and regulatory demands a roadblock for rapid and broad clinical translation. Here, we demonstrate that CAR T cells can be engineered through non-viral Sleeping Beauty (SB) transposition of CAR genes from minimalistic DNA vectors called minicircles (MCs). We analyzed genomic distribution of SB and LV integrations and show that a significantly higher proportion of MC-derived CAR transposons compared with LV integrants had occurred outside of highly expressed and cancer-related genes into genomic safe harbor loci that are not expected to cause mutagenesis or genotoxicity. CD19-CAR T cells engineered with our enhanced SB approach conferred potent reactivity in vitro and eradicated lymphoma in a xenograft model in vivo. Intriguingly, electroporation of SB MCs is substantially more effective and less toxic compared with conventional plasmids, and enables cost-effective rapid preparation of therapeutic CAR T-cell doses. This approach sets a new standard in advanced cellular and gene therapy and will accelerate and increase the availability of CAR T-cell therapy to treat hematologic malignancies.
利用γ逆转录病毒或慢病毒(LV)载体修饰 T 细胞表达嵌合抗原受体(CAR)的免疫疗法在临床试验中显示出显著疗效。然而,病毒载体的插入突变和遗传毒性的潜在风险是一个安全问题,其成本和监管要求也阻碍了其快速广泛的临床转化。在这里,我们证明可以通过非病毒 Sleeping Beauty(SB)转座将称为微环(MC)的最小化 DNA 载体中的 CAR 基因工程化到 CAR T 细胞中。我们分析了 SB 和 LV 整合的基因组分布,结果表明与 LV 整合子相比,MC 衍生的 CAR 转座子的比例显著更高,它们发生在高度表达和与癌症相关的基因之外,进入预期不会引起突变或遗传毒性的基因组安全港位点。我们采用增强型 SB 方法工程化的 CD19-CAR T 细胞在体外具有强大的反应性,并在体内异种移植模型中消除了淋巴瘤。有趣的是,与传统质粒相比,SB MC 的电穿孔更有效且毒性更小,并且能够以具有成本效益的方式快速制备治疗性 CAR T 细胞剂量。这种方法为先进的细胞和基因治疗设定了新的标准,并将加速和增加 CAR T 细胞疗法治疗血液恶性肿瘤的可用性。
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