Sodji Quaovi H, Forsberg Matthew H, Cappabianca Dan, Kerr Caroline P, Sarko Lauren, Shea Amanda, Adam David P, Eickhoff Jens C, Ong Irene M, Hernandez Reinier, Weichert Jamey, Bednarz Bryan P, Saha Krishanu, Sondel Paul M, Capitini Christian M, Morris Zachary S
Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA.
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA.
Cancers (Basel). 2023 Dec 30;16(1):191. doi: 10.3390/cancers16010191.
Chimeric antigen receptor (CAR) T cells have been relatively ineffective against solid tumors. Low-dose radiation which can be delivered to multiple sites of metastases by targeted radionuclide therapy (TRT) can elicit immunostimulatory effects. However, TRT has never been combined with CAR T cells against solid tumors in a clinical setting. This study investigated the effects of radiation delivered by Lutetium-177 (Lu) and Actinium-225 (Ac) on the viability and effector function of CAR T cells in vitro to evaluate the feasibility of such therapeutic combinations. After the irradiation of anti-GD2 CAR T cells with various doses of radiation delivered by Lu or Ac, their viability and cytotoxic activity against GD2-expressing human CHLA-20 neuroblastoma and melanoma M21 cells were determined by flow cytometry. The expression of the exhaustion marker PD-1, activation marker CD69 and the activating receptor NKG2D was measured on the irradiated anti-GD2 CAR T cells. Both Lu and Ac displayed a dose-dependent toxicity on anti-GD2 CAR T cells. However, radiation enhanced the cytotoxic activity of these CAR T cells against CHLA-20 and M21 irrespective of the dose tested and the type of radionuclide. No significant changes in the expression of PD-1, CD69 and NKG2D was noted on the CAR T cells following irradiation. Given a lower CAR T cell viability at equal doses and an enhancement of cytotoxic activity irrespective of the radionuclide type, Lu-based TRT may be preferred over Ac-based TRT when evaluating a potential synergism between these therapies in vivo against solid tumors.
嵌合抗原受体(CAR)T细胞对实体瘤的疗效相对较差。低剂量辐射可通过靶向放射性核素治疗(TRT)传递至多个转移部位,从而引发免疫刺激作用。然而,在临床环境中,TRT从未与CAR T细胞联合用于治疗实体瘤。本研究调查了镥-177(Lu)和锕-225(Ac)所产生的辐射对CAR T细胞体外活力和效应功能的影响,以评估这种治疗组合的可行性。在用不同剂量的Lu或Ac辐射抗GD2 CAR T细胞后,通过流式细胞术测定其对表达GD2的人CHLA-20神经母细胞瘤和黑色素瘤M21细胞的活力和细胞毒性活性。检测受辐射的抗GD2 CAR T细胞上耗竭标志物PD-1、激活标志物CD69和激活受体NKG2D的表达。Lu和Ac对抗GD2 CAR T细胞均表现出剂量依赖性毒性。然而,无论测试剂量和放射性核素类型如何,辐射均增强了这些CAR T细胞对CHLA-20和M21的细胞毒性活性。辐射后,CAR T细胞上PD-1、CD69和NKG2D的表达未出现显著变化。鉴于在同等剂量下CAR T细胞活力较低,且无论放射性核素类型如何细胞毒性活性均增强,在评估这些疗法在体内对实体瘤的潜在协同作用时,基于Lu的TRT可能比基于Ac的TRT更具优势。
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