Targeted Tumor Vaccines Group, Clinical Cooperation Unit Applied Tumor Immunity, German Cancer Research Center (DKFZ), Heidelberg, Germany; Arnie Charbonneau Cancer Research Institute, University of Calgary, Calgary, AB, Canada.
Targeted Tumor Vaccines Group, Clinical Cooperation Unit Applied Tumor Immunity, German Cancer Research Center (DKFZ), Heidelberg, Germany; Research Center on Tropical Diseases (CIET)/Research Center on Surgery and Cancer (CICICA), Faculty of Microbiology, Universidad de Costa Rica, San Jose, Costa Rica.
Cancer Lett. 2023 Jul 10;566:216242. doi: 10.1016/j.canlet.2023.216242. Epub 2023 May 20.
Immune cells modified to express a tumor-reactive T cell receptor (TCR) have shown limited efficacy as stand-alone therapy against solid tumors. Genital and oropharyngeal carcinomas induced by human papillomavirus (HPV) type 16 express constitutively its E6 and E7 oncoproteins, which makes them convenient targets for adoptive cell immunotherapy. However, viral antigen presentation by tumor cells is low and limits the anti-tumor efficacy of CD8 T cells. To enhance the functionality of immune effector cells, we have devised a strategy combining a costimulatory chimeric antigen receptor (CAR) with a TCR. We used a clinically tested TCR specific to E7 (E7-TCR) of HPV16 and a newly constructed CAR targeting the trophoblast cell surface antigen 2 (TROP2), which carried the intracellular costimulatory domains CD28 and 4-1BB, but was devoid of the CD3ζ domain. Flow cytometry analyses showed a notable upregulation of activation markers and of cytolytic molecule release by NK-92 cells genetically engineered to express CD3, CD8 and both E7-TCR and TROP2-CAR, after co-incubation with HPV16+ cervical cancer cells. Furthermore, the E7-TCR/TROP2-CAR NK-92 cells demonstrated enhanced antigen-specific activation and augmented cytotoxicity against tumor cells compared with NK-92 cells expressing the E7-TCR alone. A costimulatory TROP2-CAR can synergistically cooperate with the E7-TCR in NK cells thereby enhancing their signaling strength and antigen-specific cytotoxicity. This approach might improve the outcome of adoptive cell immunotherapies for HPV16+ cancer patients that are currently under investigation.
经基因工程改造表达肿瘤反应性 T 细胞受体 (TCR) 的免疫细胞作为单一疗法治疗实体瘤的疗效有限。人乳头瘤病毒 (HPV) 16 诱导的生殖器和口咽癌持续表达其 E6 和 E7 癌蛋白,这使其成为过继细胞免疫治疗的便利靶点。然而,肿瘤细胞中病毒抗原的呈递水平较低,限制了 CD8 T 细胞的抗肿瘤疗效。为了增强免疫效应细胞的功能,我们设计了一种结合共刺激嵌合抗原受体 (CAR) 和 TCR 的策略。我们使用了一种临床测试过的针对 HPV16 的 E7(E7-TCR)的 TCR 和一种新构建的靶向滋养层细胞表面抗原 2 (TROP2) 的 CAR,该 CAR 携带细胞内共刺激结构域 CD28 和 4-1BB,但缺乏 CD3ζ 结构域。流式细胞术分析显示,与共孵育 HPV16+宫颈癌细胞后,经基因工程表达 CD3、CD8 和 E7-TCR 和 TROP2-CAR 的 NK-92 细胞的激活标志物和细胞毒性分子释放明显上调。此外,与仅表达 E7-TCR 的 NK-92 细胞相比,E7-TCR/TROP2-CAR NK-92 细胞对肿瘤细胞的抗原特异性激活和增强的细胞毒性增强。共刺激 TROP2-CAR 可以与 NK 细胞中的 E7-TCR 协同合作,从而增强其信号强度和抗原特异性细胞毒性。这种方法可能会改善目前正在研究的针对 HPV16+癌症患者的过继细胞免疫疗法的结果。
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