Texas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Dan L Duncan Cancer Center Biostatistics Shared Resource, Baylor College of Medicine, Houston, Texas.
Cancer Immunol Res. 2020 Mar;8(3):309-320. doi: 10.1158/2326-6066.CIR-19-0293. Epub 2020 Jan 17.
Hepatocellular carcinoma (HCC) is the fourth most common cause of cancer-related death in the world, and curative systemic therapies are lacking. Chimeric antigen receptor (CAR)-expressing T cells induce robust antitumor responses in patients with hematologic malignancies but have limited efficacy in patients with solid tumors, including HCC. IL15 and IL21 promote T-cell expansion, survival, and function and can improve the antitumor properties of T cells. We explored whether transgenic expression of IL15 and/or IL21 enhanced glypican-3-CAR (GPC3-CAR) T cells' antitumor properties against HCC. We previously optimized the costimulation in GPC3-CARs and selected a second-generation GPC3-CAR incorporating a 4-1BB costimulatory endodomain (GBBz) for development. Here, we generated constructs encoding IL15, IL21, or both with GBBz (15.GBBz, 21.GBBz, and 21.15.GBBz, respectively) and examined the ability of transduced T cells to kill, produce effector cytokines, and expand in an antigen-dependent manner. We performed gene-expression and phenotypic analyses of GPC3-CAR T cells and CRISPR-Cas9 knockout of the gene. Finally, we measured GPC3-CAR T-cell antitumor activity in murine xenograft models of GPC3 tumors. The increased proliferation of 21.15.GBBz T cells was at least in part dependent on the upregulation and maintenance of TCF-1 (encoded by ) and associated with a higher percentage of stem cell memory and central memory populations after manufacturing. T cells expressing 21.15.GBBz had superior and expansion and persistence, and the most robust antitumor activity These results provided preclinical evidence to support the clinical evaluation of 21.15.GPC3-CAR T cells in patients with HCC.
肝细胞癌 (HCC) 是全球第四大常见的癌症相关死亡原因,目前缺乏有效的系统治疗方法。嵌合抗原受体 (CAR) 表达的 T 细胞在血液恶性肿瘤患者中诱导强烈的抗肿瘤反应,但在实体肿瘤患者中,包括 HCC,疗效有限。IL15 和 IL21 促进 T 细胞扩增、存活和功能,并能提高 T 细胞的抗肿瘤特性。我们探讨了转基因表达 IL15 和/或 IL21 是否增强了针对 HCC 的 GPC3-CAR (GPC3-CAR) T 细胞的抗肿瘤特性。我们之前优化了 GPC3-CAR 的共刺激,并选择了包含 4-1BB 共刺激结构域 (GBBz) 的第二代 GPC3-CAR 进行开发。在此,我们生成了编码 IL15、IL21 或两者与 GBBz 的构建体(分别为 15.GBBz、21.GBBz 和 21.15.GBBz),并研究了转导 T 细胞以依赖抗原的方式杀伤、产生效应细胞因子和扩增的能力。我们对 GPC3-CAR T 细胞进行了基因表达和表型分析,并进行了 CRISPR-Cas9 基因敲除实验。最后,我们在 GPC3 肿瘤的小鼠异种移植模型中测量了 GPC3-CAR T 细胞的抗肿瘤活性。21.15.GBBz T 细胞的增殖增加至少部分依赖于 TCF-1(由 基因编码)的上调和维持,并且与制造后干细胞记忆和中央记忆群体的比例较高相关。表达 21.15.GBBz 的 T 细胞具有更好的 和 扩增和持久性,以及最强的抗肿瘤活性。这些结果为支持在 HCC 患者中评估 21.15.GPC3-CAR T 细胞的临床评价提供了临床前证据。
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