Department of Radiotherapy, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Radiation Oncology, The Sixth Affiliated Hospital of Nantong University, Yancheng Third People's Hospital, Yancheng, China.
Front Immunol. 2023 Jul 26;14:1165404. doi: 10.3389/fimmu.2023.1165404. eCollection 2023.
Claudin 18.2 (CLDN18.2)-targeting chimeric antigen receptor (CAR)-modified T cells are one of the few cell therapies currently producing an impressive therapeutic effect in treating solid tumors; however, their long-term therapeutic efficacy is not satisfactory with a short duration of response. Transgenic expression of interleukin (IL)-15 has been reported to promote T-cell expansion, survival, and function and enhance the antitumor activity of engineered T cells and . Therefore, this study aimed to explore whether IL-15 modification would increase the antitumor activity of CLDN18.2-targeting CAR-modified T (CAR-T) cells in immunocompetent murine tumor models. CLDN18.2-specific CAR-T cells with (H9 CAR-IL15) or without transgenic IL-15 expression (H9 CAR) were generated by retroviral transduction of mouse splenic T cells. , compared with H9 CAR T cells, H9 CAR-IL15 T cells exhibited better expansion and viability in the absence of antigen stimulation, with a less differentiated and T-cell exhausted phenotype; although IL-15 modification did not affect the production of effector cytokines and cytotoxic activity in the short-term killing assay, it moderately improved the recursive killing activity of CAR-T cells against CLDN18.2-expressing tumor cells. , H9 CAR T cells showed no antitumor activity against CLDN18.2-expressing pancreatic tumors in immunocompetent mice without lymphodepleting pretreatment; however, H9 CAR-IL15 T cells produced significant tumor-suppressive effects. Furthermore, H9 CAR-IL15 T cells exhibited greater expansion and tumor infiltration when combined with lymphodepleting preconditioning, resulting in superior antitumor activity in two murine tumor models and a survival advantage in one tumor model. We further demonstrated that recurrent tumors following H9 CAR-IL15 T-cell therapy downregulated CLDN18.2 expression, suggesting immune escape through the selection of antigen-negative cells under persistent CAR-T-cell immune pressure. In conclusion, our findings provide preclinical evidence supporting the clinical evaluation of IL-15-expressing CLDN18.2 CAR-T cells in patients with CLDN18.2-positive tumors.
CLDN18.2(CLDN18.2)-靶向嵌合抗原受体(CAR)修饰的 T 细胞是目前为数不多的几种能够在治疗实体瘤方面产生显著治疗效果的细胞疗法之一;然而,其长期治疗效果并不令人满意,反应持续时间短。据报道,转基因表达白细胞介素(IL)-15 可促进 T 细胞扩增、存活和功能,并增强工程化 T 细胞的抗肿瘤活性和。因此,本研究旨在探讨 IL-15 修饰是否会增加 CLDN18.2 靶向 CAR 修饰的 T(CAR-T)细胞在免疫功能正常的鼠肿瘤模型中的抗肿瘤活性。通过逆转录病毒转导小鼠脾 T 细胞,生成了具有(H9 CAR-IL15)或不表达转基因 IL-15(H9 CAR)的 CLDN18.2 特异性 CAR-T 细胞。与 H9 CAR T 细胞相比,在没有抗原刺激的情况下,H9 CAR-IL15 T 细胞表现出更好的扩增和活力,具有较少分化和 T 细胞耗竭表型;尽管 IL-15 修饰不会影响短期杀伤试验中效应细胞因子的产生和细胞毒性活性,但它适度提高了 CAR-T 细胞对表达 CLDN18.2 的肿瘤细胞的递归杀伤活性。在免疫功能正常的小鼠中,未经淋巴耗竭预处理,H9 CAR T 细胞对表达 CLDN18.2 的胰腺肿瘤没有抗肿瘤活性;然而,H9 CAR-IL15 T 细胞产生了显著的肿瘤抑制作用。此外,当与淋巴耗竭预处理联合使用时,H9 CAR-IL15 T 细胞表现出更大的扩增和肿瘤浸润,从而在两种鼠肿瘤模型中表现出更好的抗肿瘤活性,并在一种肿瘤模型中具有生存优势。我们进一步证明,H9 CAR-IL15 T 细胞治疗后的复发性肿瘤下调了 CLDN18.2 的表达,表明在持续的 CAR-T 细胞免疫压力下,通过选择抗原阴性细胞发生免疫逃逸。总之,本研究结果为 CLDN18.2 阳性肿瘤患者中表达 IL-15 的 CLDN18.2 CAR-T 细胞的临床评估提供了临床前证据。
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