一种靶向人类CD22的具有治疗活性的基于纳米抗体的嵌合抗原受体的发现与临床前开发。
Discovery and preclinical development of a therapeutically active nanobody-based chimeric antigen receptor targeting human CD22.
作者信息
McComb Scott, Arbabi-Ghahroudi Mehdi, Hay Kevin A, Keller Brian A, Faulkes Sharlene, Rutherford Michael, Nguyen Tina, Shepherd Alex, Wu Cunle, Marcil Anne, Aubry Annie, Hussack Greg, Pinto Devanand M, Ryan Shannon, Raphael Shalini, van Faassen Henk, Zafer Ahmed, Zhu Qin, Maclean Susanne, Chattopadhyay Anindita, Gurnani Komal, Gilbert Rénald, Gadoury Christine, Iqbal Umar, Fatehi Dorothy, Jezierski Anna, Huang Jez, Pon Robert A, Sigrist Mhairi, Holt Robert A, Nelson Brad H, Atkins Harold, Kekre Natasha, Yung Eric, Webb John, Nielsen Julie S, Weeratna Risini D
机构信息
Human Health Therapeutics Research Centre, National Research Council, Ottawa, ON, Canada.
Department of Biochemistry, Microbiology, and Immunology, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
出版信息
Mol Ther Oncol. 2024 Feb 13;32(1):200775. doi: 10.1016/j.omton.2024.200775. eCollection 2024 Mar 21.
Chimeric antigen receptor (CAR) T cell therapies targeting B cell-restricted antigens CD19, CD20, or CD22 can produce potent clinical responses for some B cell malignancies, but relapse remains common. Camelid single-domain antibodies (sdAbs or nanobodies) are smaller, simpler, and easier to recombine than single-chain variable fragments (scFvs) used in most CARs, but fewer sdAb-CARs have been reported. Thus, we sought to identify a therapeutically active sdAb-CAR targeting human CD22. Immunization of an adult with CD22 protein, sdAb-cDNA library construction, and phage panning yielded >20 sdAbs with diverse epitope and binding properties. Expressing CD22-sdAb-CAR in Jurkat cells drove varying CD22-specific reactivity not correlated with antibody affinity. Changing CD28- to CD8-transmembrane design increased CAR persistence and expression . CD22-sdAb-CAR candidates showed similar CD22-dependent CAR-T expansion although only membrane-proximal epitope targeting CD22-sdAb-CARs activated direct cytolytic killing and extended survival in a lymphoma xenograft model. Based on enhanced survival in blinded xenograft studies, a lead CD22sdCAR-T was selected, achieving comparable complete responses to a benchmark short linker m971-scFv CAR-T in high-dose experiments. Finally, immunohistochemistry and flow cytometry confirm tissue and cellular-level specificity of the lead CD22-sdAb. This presents a complete report on preclinical development of a novel CD22sdCAR therapeutic.
靶向B细胞限制性抗原CD19、CD20或CD22的嵌合抗原受体(CAR)T细胞疗法可对某些B细胞恶性肿瘤产生有效的临床反应,但复发仍然很常见。与大多数CAR中使用的单链可变片段(scFv)相比,骆驼科单域抗体(sdAb或纳米抗体)更小、更简单且更易于重组,但报道的sdAb-CAR较少。因此,我们试图鉴定一种靶向人CD22的具有治疗活性的sdAb-CAR。用CD22蛋白免疫一名成年人、构建sdAb-cDNA文库并进行噬菌体淘选,得到了20多种具有不同表位和结合特性的sdAb。在Jurkat细胞中表达CD22-sdAb-CAR可产生不同的CD22特异性反应性,且与抗体亲和力无关。将跨膜设计从CD28改为CD8可增加CAR的持久性和表达。CD22-sdAb-CAR候选物显示出相似的CD22依赖性CAR-T扩增,尽管只有靶向CD22-sdAb-CAR的膜近端表位在淋巴瘤异种移植模型中激活了直接溶细胞杀伤并延长了生存期。基于在盲法异种移植研究中提高的生存率,选择了一种领先的CD22sdCAR-T,在高剂量实验中实现了与基准短接头m971-scFv CAR-T相当的完全缓解。最后,免疫组织化学和流式细胞术证实了领先的CD22-sdAb在组织和细胞水平的特异性。本文提供了一种新型CD22sdCAR疗法临床前开发的完整报告。