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双靶点 CAR T 细胞治疗卵巢癌:MUC16 CAR T 细胞分泌双特异性 T 细胞衔接抗体,靶向细胞内肿瘤抗原 WT1

Dual targeting ovarian cancer by Muc16 CAR T cells secreting a bispecific T cell engager antibody for an intracellular tumor antigen WT1.

机构信息

Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Gynecologic Medical Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

出版信息

Cancer Immunol Immunother. 2023 Nov;72(11):3773-3786. doi: 10.1007/s00262-023-03529-w. Epub 2023 Aug 27.

Abstract

Epithelial ovarian cancer is the most lethal of gynecological cancers. The therapeutic efficacy of chimeric antigen receptor (CAR) T cell directed against single antigens is limited by the heterogeneous target antigen expression in epithelial ovarian tumors. To overcome this limitation, we describe an engineered cell with both dual targeting and orthogonal cytotoxic modalities directed against two tumor antigens that are highly expressed on ovarian cancer cells: cell surface Muc16 and intracellular WT1. Muc16-specific CAR T cells (4H11) were engineered to secrete a bispecific T cell engager (BiTE) constructed from a TCR mimic antibody (ESK1) reactive with the WT1-derived epitope RMFPNAPYL (RMF) presented by HLA-A2 molecules. The secreted ESK1 BiTE recruited and redirected other T cells to WT1 on the tumor cells. We show that ESK1 BiTE-secreting 4H11 CAR T cells exhibited enhanced anticancer activity against cancer cells with low Muc16 expression, compared to 4H11 CAR T cells alone, both in vitro and in mouse tumor models. Dual orthogonal cytotoxic modalities with different specificities targeting both surface and intracellular tumor-associated antigens present a promising strategy to overcome resistance to CAR T cell therapy in epithelial ovarian cancer and other cancers.

摘要

上皮性卵巢癌是妇科癌症中最致命的一种。针对单一抗原的嵌合抗原受体 (CAR) T 细胞的治疗效果受到上皮性卵巢肿瘤中靶抗原表达异质性的限制。为了克服这一限制,我们描述了一种具有针对两种高度表达于卵巢癌细胞上的肿瘤抗原的双重靶向和正交细胞毒作用方式的工程细胞:细胞表面 Muc16 和细胞内 WT1。Muc16 特异性 CAR T 细胞 (4H11) 被工程改造为分泌双特异性 T 细胞衔接器 (BiTE),该 BiTE 由与 HLA-A2 分子呈递的 WT1 衍生表位 RMFPNAPYL (RMF) 反应的 TCR 模拟抗体 (ESK1) 构建。分泌的 ESK1 BiTE 募集并重新定向其他 T 细胞到肿瘤细胞上的 WT1。我们表明,与单独的 4H11 CAR T 细胞相比,分泌 ESK1 BiTE 的 4H11 CAR T 细胞在体外和小鼠肿瘤模型中均表现出对低 Muc16 表达的癌细胞更强的抗癌活性。针对表面和细胞内肿瘤相关抗原的双重正交细胞毒作用方式具有不同的特异性,为克服上皮性卵巢癌和其他癌症中对 CAR T 细胞治疗的耐药性提供了一种有前途的策略。

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