University of Minnesota, Department of Medicine, Minneapolis, MN, 55455, USA.
Fate Therapeutics, San Diego, CA, 92121, USA.
Nat Commun. 2022 Nov 29;13(1):7341. doi: 10.1038/s41467-022-35127-2.
Allogeneic natural killer (NK) cell adoptive transfer is a promising treatment for several cancers but is less effective for the treatment of multiple myeloma. In this study, we report on quadruple gene-engineered induced pluripotent stem cell (iPSC)-derived NK cells designed for mass production from a renewable source and for dual targeting against multiple myeloma through the introduction of an NK cell-optimized chimeric antigen receptor (CAR) specific for B cell maturation antigen (BCMA) and a high affinity, non-cleavable CD16 to augment antibody-dependent cellular cytotoxicity when combined with therapeutic anti-CD38 antibodies. Additionally, these cells express a membrane-bound interleukin-15 fusion molecule to enhance function and persistence along with knock out of CD38 to prevent antibody-mediated fratricide and enhance NK cell metabolic fitness. In various preclinical models, including xenogeneic adoptive transfer models, quadruple gene-engineered NK cells consistently demonstrate durable antitumor activity independent of exogenous cytokine support. Results presented here support clinical translation of this off-the-shelf strategy for effective treatment of multiple myeloma.
异体自然杀伤 (NK) 细胞过继转移是治疗多种癌症的一种很有前途的方法,但对多发性骨髓瘤的治疗效果较差。在这项研究中,我们报告了四重基因工程诱导多能干细胞 (iPSC) 衍生的 NK 细胞,旨在从可再生资源中进行大规模生产,并通过引入针对 B 细胞成熟抗原 (BCMA) 的 NK 细胞优化嵌合抗原受体 (CAR) 进行双重靶向,同时结合治疗性抗 CD38 抗体,提高抗体依赖性细胞毒性。此外,这些细胞表达一种膜结合的白细胞介素 15 融合分子,以增强功能和持久性,同时敲除 CD38,以防止抗体介导的自相残杀,并增强 NK 细胞的代谢适应性。在各种临床前模型中,包括异种过继转移模型,四重基因工程 NK 细胞均表现出持久的抗肿瘤活性,无需外源性细胞因子支持。这里呈现的结果支持这种现成策略的临床转化,以有效治疗多发性骨髓瘤。
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