Madison Blair B, Patil Deepak, Richter Maximilian, Li Xianghong, Tong Min, Cranert Stacey, Wang Xinxin, Martin Renata, Xi Haibin, Tan Yening, Weiss Leslie, Marquez Karl, Coronella Julia, Shedlock Devon J, Ostertag Eric M
Poseida Therapeutics Inc., 9390 Towne Centre Dr. #200, San Diego, CA 92121, USA.
Mol Ther Nucleic Acids. 2022 Jun 29;29:979-995. doi: 10.1016/j.omtn.2022.06.003. eCollection 2022 Sep 13.
The use of T cells from healthy donors for allogeneic chimeric antigen receptor T (CAR-T) cell cancer therapy is attractive because healthy donor T cells can produce versatile off-the-shelf CAR-T treatments. To maximize safety and durability of allogeneic products, the endogenous T cell receptor and major histocompatibility complex class I molecules are often removed via knockout of T cell receptor beta constant () (or T cell receptor alpha constant []) and , respectively. However, gene editing tools (e.g., CRISPR-Cas9) can display poor fidelity, which may result in dangerous off-target mutations. Additionally, many gene editing technologies require T cell activation, resulting in a low percentage of desirable stem cell memory T cells (T). We characterize an RNA-guided endonuclease, called Cas-CLOVER, consisting of the Clo051 nuclease domain fused with catalytically dead Cas9. In primary T cells from multiple donors, we find that Cas-CLOVER is a high-fidelity site-specific nuclease, with low off-target activity. Notably, Cas-CLOVER yields efficient multiplexed gene editing in resting T cells. In conjunction with the piggyBac transposon for delivery of a CAR transgene against the B cell maturation antigen (BCMA), we produce allogeneic CAR-T cells composed of high percentages of T cells and possessing potent anti-tumor cytotoxicity.
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