Diabetes Research Group/Sanford Research, Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, SD, USA.
Department of Medicine, Uniformed Services University, Bethesda, MD, USA.
Cell Immunol. 2020 Dec;358:104224. doi: 10.1016/j.cellimm.2020.104224. Epub 2020 Sep 30.
Type 1 Diabetes (T1D) is an autoimmune disease marked by direct elimination of insulin-producing β cells by autoreactive T effectors. Recent T1D clinical trials utilizing autologous Tregs transfers to restore immune balance and improve disease has prompted us to design a novel Tregs-based antigen-specific T1D immunotherapy. We engineered a Chimeric Antigen Receptor (CAR) expressing a single-chain Fv recognizing the human pancreatic endocrine marker, HPi2. Human T cells, transduced with the resultant HPi2-CAR, proliferated and amplified Granzyme B accumulation when co-cultured with human, but not mouse β cells. Furthermore, following exposure of HPi2-CAR transduced cells to islets, CD8 lymphocytes demonstrated enhanced CD107a (LAMP-1) expression, while CD4 cells produced increased levels of IL-2. HPi2-CAR Tregs failed to maintain expansion due to a persistent tonic signaling from the CAR engagement to unexpectantly HPi2 antigen present on Tregs. Overall, we show lack of functionality of HPi2-CAR and highlight the importance of careful selection of CAR recognition driver for the sustainable activity and expandability of engineered T cells.
1 型糖尿病(T1D)是一种自身免疫性疾病,其特征是自身反应性 T 效应细胞直接消除胰岛素产生的β细胞。最近利用自体调节性 T 细胞(Tregs)转移来恢复免疫平衡和改善疾病的 T1D 临床试验促使我们设计了一种新型基于 Tregs 的抗原特异性 T1D 免疫疗法。我们构建了一种嵌合抗原受体(CAR),表达一种识别人胰腺内分泌标志物 HPi2 的单链 Fv。当与人而非鼠β细胞共培养时,用所得的 HPi2-CAR 转导的人 T 细胞增殖并扩增颗粒酶 B 积累。此外,在将 HPi2-CAR 转导的细胞暴露于胰岛后,CD8 淋巴细胞表现出增强的 CD107a(LAMP-1)表达,而 CD4 细胞产生增加的 IL-2 水平。由于 CAR 结合持续产生的紧张信号,HPi2-CAR Tregs 未能维持扩增,出乎意料的是,Tregs 上存在 HPi2 抗原。总体而言,我们显示 HPi2-CAR 缺乏功能,并强调了仔细选择 CAR 识别驱动因素对于工程化 T 细胞的可持续活性和可扩展性的重要性。
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