Program in Immunology, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Sci Signal. 2018 Aug 21;11(544):eaat6753. doi: 10.1126/scisignal.aat6753.
Chimeric antigen receptors (CARs) link an antigen recognition domain to intracellular signaling domains to redirect T cell specificity and function. T cells expressing CARs with CD28/CD3ζ or 4-1BB/CD3ζ signaling domains are effective at treating refractory B cell malignancies but exhibit differences in effector function, clinical efficacy, and toxicity that are assumed to result from the activation of divergent signaling cascades. We analyzed stimulation-induced phosphorylation events in primary human CD8 CD28/CD3ζ and 4-1BB/CD3ζ CAR T cells by mass spectrometry and found that both CAR constructs activated similar signaling intermediates. Stimulation of CD28/CD3ζ CARs activated faster and larger-magnitude changes in protein phosphorylation, which correlated with an effector T cell-like phenotype and function. In contrast, 4-1BB/CD3ζ CAR T cells preferentially expressed T cell memory-associated genes and exhibited sustained antitumor activity against established tumors in vivo. Mutagenesis of the CAR CD28 signaling domain demonstrated that the increased CD28/CD3ζ CAR signal intensity was partly related to constitutive association of Lck with this domain in CAR complexes. Our data show that CAR signaling pathways cannot be predicted solely by the domains used to construct the receptor and that signal strength is a key determinant of T cell fate. Thus, tailoring CAR design based on signal strength may lead to improved clinical efficacy and reduced toxicity.
嵌合抗原受体 (CARs) 将抗原识别结构域与细胞内信号结构域连接起来,从而重新定向 T 细胞的特异性和功能。表达具有 CD28/CD3ζ 或 4-1BB/CD3ζ 信号结构域的 CAR 的 T 细胞在治疗难治性 B 细胞恶性肿瘤方面非常有效,但在效应功能、临床疗效和毒性方面存在差异,这些差异被认为是由于激活了不同的信号级联。我们通过质谱分析了原代人 CD8+CD28/CD3ζ 和 4-1BB/CD3ζ CAR T 细胞的刺激诱导的磷酸化事件,发现这两种 CAR 构建体都激活了相似的信号中间物。CD28/CD3ζ CAR 的刺激更快地激活,并且磷酸化的幅度更大,这与效应 T 细胞样表型和功能相关。相比之下,4-1BB/CD3ζ CAR T 细胞优先表达与 T 细胞记忆相关的基因,并在体内对已建立的肿瘤表现出持续的抗肿瘤活性。CAR CD28 信号结构域的突变表明,增加的 CD28/CD3ζ CAR 信号强度部分与 CAR 复合物中 Lck 与该结构域的组成性关联有关。我们的数据表明,CAR 信号通路不能仅通过构建受体所使用的结构域来预测,并且信号强度是 T 细胞命运的关键决定因素。因此,基于信号强度来调整 CAR 设计可能会提高临床疗效并降低毒性。
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