Rive Craig M, Yung Eric, Dreolini Lisa, Brown Scott D, May Christopher G, Woodsworth Daniel J, Holt Robert A
Canada's Michael Smith Genome Sciences Centre, BC Cancer, Vancouver, BC V5Z 1L3, Canada.
Department of Medical Genetics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.
Mol Ther Methods Clin Dev. 2022 May 29;26:4-14. doi: 10.1016/j.omtm.2022.05.006. eCollection 2022 Sep 8.
Anti-CD19 chimeric antigen receptor (CAR)-T therapy for B cell malignancies has shown clinical success, but a major limitation is the logistical complexity and high cost of manufacturing autologous cell products. If engineered for improved safety, direct infusion of viral gene transfer vectors to initiate CAR-T transduction, expansion, and anti-tumor activity could provide an alternative, universal approach. To explore this approach we administered approximately 20 million replication-incompetent vesicular stomatitis virus G protein (VSV-G) lentiviral particles carrying an anti-CD19CAR-2A-GFP transgene comprising either an FMC63 (human) or 1D3 (murine) anti-CD19 binding domain, or a GFP-only control transgene, to wild-type C57BL/6 mice by tail vein infusion. The dynamics of immune cell subsets isolated from peripheral blood were monitored at weekly intervals. We saw emergence of a persistent CAR-transduced CD3 T cell population beginning week 3-4 that reaching a maximum of 13.5% ± 0.58% (mean ± SD) and 7.8% ± 0.76% of the peripheral blood CD3 T cell population in mice infused with ID3-CAR or FMC63-CAR lentivector, respectively, followed by a rapid decline in each case of the B cell content of peripheral blood. Complete B cell aplasia was apparent by week 5 and was sustained until the end of the protocol (week 8). No significant CAR-positive populations were observed within other immune cell subsets or other tissues. These results indicate that direct intravenous infusion of conventional VSV-G-pseudotyped lentiviral particles carrying a CD19 CAR transgene can transduce T cells that then fully ablate endogenous B cells in wild-type mice.
抗CD19嵌合抗原受体(CAR)-T细胞疗法治疗B细胞恶性肿瘤已取得临床成功,但一个主要限制是制造自体细胞产品的后勤复杂性和高成本。如果经过工程改造以提高安全性,直接输注病毒基因转移载体以启动CAR-T转导、扩增和抗肿瘤活性可能提供一种替代的通用方法。为了探索这种方法,我们通过尾静脉输注向野生型C57BL/6小鼠给药约2000万个携带抗CD19 CAR-2A-GFP转基因的无复制能力的水疱性口炎病毒G蛋白(VSV-G)慢病毒颗粒,该转基因包含FMC63(人)或1D3(鼠)抗CD19结合域,或仅含GFP的对照转基因。每周监测从外周血中分离的免疫细胞亚群的动态。我们观察到,从第3-4周开始出现持续的CAR转导CD3 T细胞群体,在分别注入ID3-CAR或FMC63-CAR慢病毒载体的小鼠中,该群体分别达到外周血CD3 T细胞群体的最大值13.5%±0.58%(平均值±标准差)和7.8%±0.76%,随后外周血B细胞含量在每种情况下均迅速下降。到第5周时,完全B细胞发育不全明显,并持续到实验方案结束(第8周)。在其他免疫细胞亚群或其他组织中未观察到明显的CAR阳性群体。这些结果表明,直接静脉输注携带CD19 CAR转基因的传统VSV-G假型慢病毒颗粒可以转导T细胞,然后在野生型小鼠中完全消除内源性B细胞。