针对 GPC2 或 CD276 的优化双顺反子嵌合抗原受体克服神经母细胞瘤中的异质性表达。

An optimized bicistronic chimeric antigen receptor against GPC2 or CD276 overcomes heterogeneous expression in neuroblastoma.

机构信息

Genetics Branch, Center for Cancer Research, National Cancer Institute (NCI), NIH, Bethesda, Maryland, USA.

Advanced Biomedical Computational Science, Frederick National Laboratory for Cancer Research, Frederick, Maryland, USA.

出版信息

J Clin Invest. 2022 Aug 15;132(16). doi: 10.1172/JCI155621.

Abstract

Chimeric antigen receptor (CAR) T cell therapies targeting single antigens have performed poorly in clinical trials for solid tumors due to heterogenous expression of tumor-associated antigens (TAAs), limited T cell persistence, and T cell exhaustion. Here, we aimed to identify optimal CARs against glypican 2 (GPC2) or CD276 (B7-H3), which were highly but heterogeneously expressed in neuroblastoma (NB), a lethal extracranial solid tumor of childhood. First, we examined CAR T cell expansion in the presence of targets by digital droplet PCR. Next, using pooled competitive optimization of CAR by cellular indexing of transcriptomes and epitopes by sequencing (CITE-Seq), termed P-COCC, we simultaneously analyzed protein and transcriptome expression of CAR T cells to identify high-activity CARs. Finally, we performed cytotoxicity assays to identify the most effective CAR against each target and combined the CARs into a bicistronic "OR" CAR (BiCisCAR). BiCisCAR T cells effectively eliminated tumor cells expressing GPC2 or CD276. Furthermore, the BiCisCAR T cells demonstrated prolonged persistence and resistance to exhaustion when compared with CARs targeting a single antigen. This study illustrated that targeting multiple TAAs with BiCisCAR may overcome heterogenous expression of target antigens in solid tumors and identified a potent, clinically relevant CAR against NB. Moreover, our multimodal approach integrating competitive expansion, P-COCC, and cytotoxicity assays is an effective strategy to identify potent CARs among a pool of candidates.

摘要

嵌合抗原受体 (CAR) T 细胞疗法针对单一抗原在实体瘤的临床试验中表现不佳,这是由于肿瘤相关抗原 (TAA) 的异质性表达、有限的 T 细胞持久性和 T 细胞衰竭。在这里,我们旨在针对神经母细胞瘤 (NB) 中高度但异质性表达的 GPC2 或 CD276 (B7-H3) 鉴定最佳的 CAR,NB 是一种致命的颅外儿童期实体瘤。首先,我们通过数字液滴 PCR 检查了存在靶标的情况下 CAR T 细胞的扩增。接下来,我们使用通过细胞索引转录组和表位测序的 CAR 进行池竞争优化 (CITE-Seq),称为 P-COCC,同时分析 CAR T 细胞的蛋白和转录组表达,以鉴定高活性的 CAR。最后,我们进行细胞毒性测定以鉴定针对每种靶标的最有效的 CAR,并将 CAR 组合成双顺反子“或”CAR (BiCisCAR)。BiCisCAR T 细胞有效消除表达 GPC2 或 CD276 的肿瘤细胞。此外,与针对单一抗原的 CAR 相比,BiCisCAR T 细胞表现出更长的持久性和对衰竭的抵抗力。这项研究表明,用 BiCisCAR 靶向多个 TAA 可能克服实体瘤中靶抗原的异质性表达,并鉴定出针对 NB 的有效、临床相关的 CAR。此外,我们整合竞争扩增、P-COCC 和细胞毒性测定的多模式方法是在候选者群体中鉴定有效 CAR 的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c7b/9374382/ae500233fed6/jci-132-155621-g093.jpg

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