Department of Hematology and Hematopoietic Cell Transplantation, T Cell Therapeutics Research Laboratory, and.
Irell and Manella Graduate School of Biological Sciences, City of Hope (COH) Beckman Research Institute and Medical Center, Duarte, California, USA.
JCI Insight. 2018 May 17;3(10). doi: 10.1172/jci.insight.99048.
Chimeric antigen receptor-modified (CAR-modified) T cells have shown promising therapeutic effects for hematological malignancies, yet limited and inconsistent efficacy against solid tumors. The refinement of CAR therapy requires an understanding of the optimal characteristics of the cellular products, including the appropriate composition of CD4+ and CD8+ subsets. Here, we investigated the differential antitumor effect of CD4+ and CD8+ CAR T cells targeting glioblastoma-associated (GBM-associated) antigen IL-13 receptor α2 (IL13Rα2). Upon stimulation with IL13Rα2+ GBM cells, the CD8+ CAR T cells exhibited robust short-term effector function but became rapidly exhausted. By comparison, the CD4+ CAR T cells persisted after tumor challenge and sustained their effector potency. Mixing with CD4+ CAR T cells failed to ameliorate the effector dysfunction of CD8+ CAR T cells, while surprisingly, CD4+ CAR T cell effector potency was impaired when coapplied with CD8+ T cells. In orthotopic GBM models, CD4+ outperformed CD8+ CAR T cells, especially for long-term antitumor response. Further, maintenance of the CD4+ subset was positively correlated with the recursive killing ability of CAR T cell products derived from GBM patients. These findings identify CD4+ CAR T cells as a highly potent and clinically important T cell subset for effective CAR therapy.
嵌合抗原受体修饰 (CAR 修饰) T 细胞在治疗血液恶性肿瘤方面显示出了有前景的治疗效果,但对实体瘤的疗效有限且不一致。CAR 疗法的改进需要了解细胞产品的最佳特性,包括 CD4+和 CD8+亚群的适当组成。在这里,我们研究了靶向神经胶质瘤相关 (GBM 相关) 抗原白细胞介素 13 受体 α2 (IL13Rα2) 的 CD4+和 CD8+CAR T 细胞对神经胶质瘤的抗肿瘤作用的差异。在受到 IL13Rα2+GBM 细胞刺激后,CD8+CAR T 细胞表现出强大的短期效应功能,但很快就衰竭了。相比之下,CD4+CAR T 细胞在肿瘤挑战后仍能存活,并保持其效应功能。混合 CD4+CAR T 细胞并不能改善 CD8+CAR T 细胞的效应功能障碍,而令人惊讶的是,当与 CD8+T 细胞共同应用时,CD4+CAR T 细胞的效应功能受损。在原位 GBM 模型中,CD4+CAR T 细胞优于 CD8+CAR T 细胞,尤其是在长期抗肿瘤反应方面。此外,CD4+细胞亚群的维持与源自 GBM 患者的 CAR T 细胞产品的递归杀伤能力呈正相关。这些发现确定 CD4+CAR T 细胞是一种高效且具有临床重要意义的 T 细胞亚群,可用于有效的 CAR 治疗。
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