Chaudhry Kajal, Geiger Ashley, Dowlati Ehsan, Lang Haili, Sohai Danielle K, Hwang Eugene I, Lazarski Christopher A, Yvon Eric, Holdhoff Matthias, Jones Richard, Savoldo Barbara, Cruz Conrad Russell Y, Bollard Catherine M
Center for Cancer and Immunology Research, Children's National Hospital, Washington, DC, USA.
Department of Neurosurgery, Georgetown University Medical Center, Washington, DC, USA.
Mol Ther Methods Clin Dev. 2022 Oct 21;27:415-430. doi: 10.1016/j.omtm.2022.10.010. eCollection 2022 Dec 8.
Cord blood (CB)-derived natural killer (NK) cells that are genetically engineered to express a chimeric antigen receptor (CAR) are an attractive off-the-shelf therapy for the treatment of cancer, demonstrating a robust safety profile . For poor prognosis brain tumors such as glioblastoma multiforme (GBM), novel therapies are urgently needed. Although CAR-T cells demonstrate efficacy in preclinical GBM models, an off-the-shelf product may exhibit unwanted side effects like graft-versus-host disease. Hence, we developed an off-the-shelf CAR-NK cell approach using a B7H3 CAR and showed that CAR-transduced NK cells have robust cytolytic activity against GBM cells . However, transforming growth factor (TGF)-β within the tumor microenvironment has devastating effects on the cytolytic activity of both unmodified and CAR-transduced NK cells. To overcome this potent immune suppression, we demonstrated that co-transducing NK cells with a B7H3 CAR and a TGF-β dominant negative receptor (DNR) preserves cytolytic function in the presence of exogenous TGF-β. This study demonstrates that a novel DNR and CAR co-expression strategy may be a promising therapeutic for recalcitrant CNS tumors like GBM.
经过基因工程改造以表达嵌合抗原受体(CAR)的脐血(CB)来源的自然杀伤(NK)细胞是一种用于治疗癌症的有吸引力的现成疗法,显示出强大的安全性。对于多形性胶质母细胞瘤(GBM)等预后不良的脑肿瘤,迫切需要新的治疗方法。尽管CAR-T细胞在临床前GBM模型中显示出疗效,但现成产品可能会出现移植物抗宿主病等不良副作用。因此,我们开发了一种使用B7H3 CAR的现成CAR-NK细胞方法,并表明CAR转导的NK细胞对GBM细胞具有强大的细胞溶解活性。然而,肿瘤微环境中的转化生长因子(TGF)-β对未修饰和CAR转导的NK细胞的细胞溶解活性都有毁灭性影响。为了克服这种强大的免疫抑制,我们证明将NK细胞与B7H3 CAR和TGF-β显性负性受体(DNR)共转导可在存在外源性TGF-β的情况下保留细胞溶解功能。这项研究表明,一种新的DNR和CAR共表达策略可能是治疗GBM等难治性中枢神经系统肿瘤的有前景的疗法。