Tumor Immunotherapy Program, Campbell Family Institute for Breast Cancer Research, Campbell Family Cancer Research Institute, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Immune Response, Aichi Cancer Center Research Institute, Nagoya, Japan.
Cancer Immunol Res. 2020 Jul;8(7):926-936. doi: 10.1158/2326-6066.CIR-18-0508. Epub 2020 Apr 22.
Adoptive immunotherapy can induce sustained therapeutic effects in some cancers. Antitumor T-cell grafts are often individually prepared from autologous T cells, which requires an intensive workload and increased costs. The quality of the generated T cells can also be variable, which affects the therapy's antitumor efficacy and toxicity. Standardized production of antitumor T-cell grafts from third-party donors will enable widespread use of this modality if allogeneic T-cell responses are effectively controlled. Here, we generated HLA class I, HLA class II, and T-cell receptor (TCR) triple-knockout (tKO) T cells by simultaneous knockout of the , and genes through Cas9/sgRNA ribonucleoprotein electroporation. Although HLA-deficient T cells were targeted by natural killer cells, they persisted better than HLA-sufficient T cells in the presence of allogeneic peripheral blood mononuclear cells (PBMC) in immunodeficient mice. When transduced with a CD19 chimeric antigen receptor (CAR) and stimulated by tumor cells, tKO CAR-T cells persisted better when cultured with allogeneic PBMCs compared with and double-knockout T cells. The CD19 tKO CAR-T cells did not induce graft-versus-host disease but retained antitumor responses. These results demonstrated the benefit of HLA class I, HLA class II, and TCR deletion in enabling allogeneic-sourced T cells to be used for off-the-shelf adoptive immunotherapy.
过继免疫疗法可以在某些癌症中诱导持续的治疗效果。抗肿瘤 T 细胞移植物通常是从自体 T 细胞中单独制备的,这需要大量的工作和增加成本。生成的 T 细胞的质量也可能不同,这会影响治疗的抗肿瘤疗效和毒性。如果能够有效控制异体 T 细胞反应,从第三方供体标准化生产抗肿瘤 T 细胞移植物将使其得到广泛应用。在这里,我们通过 Cas9/sgRNA 核糖核蛋白电穿孔同时敲除 、 和 基因,生成 HLA Ⅰ类、Ⅱ类和 T 细胞受体(TCR)三重敲除(tKO)T 细胞。尽管 HLA 缺陷型 T 细胞被自然杀伤细胞靶向,但在免疫缺陷小鼠中存在同种异体外周血单核细胞(PBMC)的情况下,它们比 HLA 充足的 T 细胞更持久。当转导 CD19 嵌合抗原受体(CAR)并被肿瘤细胞刺激时,与 和 双敲除 T 细胞相比,tKO CAR-T 细胞在与同种异体 PBMC 共培养时的持久性更好。CD19 tKO CAR-T 细胞不会诱导移植物抗宿主病,但保留抗肿瘤反应。这些结果表明 HLA Ⅰ类、Ⅱ类和 TCR 缺失有助于使同种异体来源的 T 细胞用于现成的过继免疫疗法。
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