MacLeod Daniel T, Antony Jeyaraj, Martin Aaron J, Moser Rachel J, Hekele Armin, Wetzel Keith J, Brown Audrey E, Triggiano Melissa A, Hux Jo Ann, Pham Christina D, Bartsevich Victor V, Turner Caitlin A, Lape Janel, Kirkland Samantha, Beard Clayton W, Smith Jeff, Hirsch Matthew L, Nicholson Michael G, Jantz Derek, McCreedy Bruce
Precision BioSciences, Durham, NC 27701, USA.
Precision BioSciences, Durham, NC 27701, USA.
Mol Ther. 2017 Apr 5;25(4):949-961. doi: 10.1016/j.ymthe.2017.02.005. Epub 2017 Feb 23.
Adoptive cellular therapy using chimeric antigen receptor (CAR) T cell therapies have produced significant objective responses in patients with CD19 hematological malignancies, including durable complete responses. Although the majority of clinical trials to date have used autologous patient cells as the starting material to generate CAR T cells, this strategy poses significant manufacturing challenges and, for some patients, may not be feasible because of their advanced disease state or difficulty with manufacturing suitable numbers of CAR T cells. Alternatively, T cells from a healthy donor can be used to produce an allogeneic CAR T therapy, provided the cells are rendered incapable of eliciting graft versus host disease (GvHD). One approach to the production of these cells is gene editing to eliminate expression of the endogenous T cell receptor (TCR). Here we report a streamlined strategy for generating allogeneic CAR T cells by targeting the insertion of a CAR transgene directly into the native TCR locus using an engineered homing endonuclease and an AAV donor template. We demonstrate that anti-CD19 CAR T cells produced in this manner do not express the endogenous TCR, exhibit potent effector functions in vitro, and mediate clearance of CD19 tumors in an in vivo mouse model.
采用嵌合抗原受体(CAR)T细胞疗法的过继性细胞疗法已在患有CD19血液系统恶性肿瘤的患者中产生了显著的客观反应,包括持久的完全缓解。尽管迄今为止大多数临床试验都使用自体患者细胞作为起始材料来生成CAR T细胞,但这种策略带来了重大的生产挑战,并且对于一些患者来说,由于其疾病晚期状态或难以生产足够数量的CAR T细胞,可能并不可行。另外,来自健康供体的T细胞可用于生产同种异体CAR T疗法,前提是这些细胞不会引发移植物抗宿主病(GvHD)。生产这些细胞的一种方法是基因编辑以消除内源性T细胞受体(TCR)的表达。在此,我们报告了一种简化策略,通过使用工程化归巢核酸内切酶和AAV供体模板将CAR转基因直接插入天然TCR基因座来生成同种异体CAR T细胞。我们证明,以这种方式产生的抗CD19 CAR T细胞不表达内源性TCR,在体外表现出强大的效应功能,并在体内小鼠模型中介导CD19肿瘤的清除。
Mol Ther. 2017-5-3
Genes Dis. 2025-3-25
Hum Vaccin Immunother. 2025-12
Front Immunol. 2025-6-12
Cell Mol Immunol. 2025-6-6
Exp Hematol Oncol. 2025-5-2
Mol Ther. 2025-6-4
Mol Ther Nucleic Acids. 2025-1-17
J Clin Invest. 2016-9-1
Mol Ther Oncolytics. 2016-6-15
Cytotherapy. 2016-8
Curr Gene Ther. 2016
J Clin Invest. 2016-6-1