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敲除 CD70 可挽救 CD70 特异性纳米 CAR T 细胞免于抗原诱导的耗竭。

Knocking Out CD70 Rescues CD70-Specific NanoCAR T Cells from Antigen-Induced Exhaustion.

机构信息

Department of Diagnostic Sciences, Ghent University, Ghent, Belgium.

Cancer Research Institute Ghent (CRIG), Ghent, Belgium.

出版信息

Cancer Immunol Res. 2024 Sep 3;12(9):1236-1251. doi: 10.1158/2326-6066.CIR-23-0677.


DOI:10.1158/2326-6066.CIR-23-0677
PMID:38874582
Abstract

CD70 is an attractive target for chimeric antigen receptor (CAR) T-cell therapy for the treatment of both solid and liquid malignancies. However, the functionality of CD70-specific CAR T cells is modest. We optimized a CD70-specific VHH-based CAR (nanoCAR). We evaluated the nanoCARs in clinically relevant models in vitro, using co-cultures of CD70-specific nanoCAR T cells with malignant rhabdoid tumor organoids, and in vivo, using a diffuse large B-cell lymphoma patient-derived xenograft (PDX) model. Although the nanoCAR T cells were highly efficient in organoid co-cultures, they showed only modest efficacy in the PDX model. We determined that fratricide was not causing this loss in efficacy but rather CD70 interaction in cis with the nanoCAR-induced exhaustion. Knocking out CD70 in nanoCAR T cells using CRISPR/Cas9 resulted in dramatically enhanced functionality in the diffuse large B-cell lymphoma PDX model. Through single-cell transcriptomics, we obtained evidence that CD70 knockout CD70-specific nanoCAR T cells were protected from antigen-induced exhaustion. In addition, we demonstrated that wild-type CD70-specific nanoCAR T cells already exhibited signs of exhaustion shortly after production. Their gene signature strongly overlapped with gene signatures of exhausted CAR T cells. Conversely, the gene signature of knockout CD70-specific nanoCAR T cells overlapped with the gene signature of CAR T-cell infusion products leading to complete responses in chronic lymphatic leukemia patients. Our data show that CARs targeting endogenous T-cell antigens negatively affect CAR T-cell functionality by inducing an exhausted state, which can be overcome by knocking out the specific target.

摘要

CD70 是嵌合抗原受体 (CAR) T 细胞治疗实体瘤和液体恶性肿瘤的有吸引力的靶点。然而,CD70 特异性 CAR T 细胞的功能有限。我们优化了一种 CD70 特异性 VHH 基 CAR(纳米 CAR)。我们在体外使用 CD70 特异性纳米 CAR T 细胞与恶性横纹肌样瘤类器官的共培养,以及体内使用弥漫性大 B 细胞淋巴瘤患者来源异种移植(PDX)模型来评估纳米 CAR。虽然纳米 CAR T 细胞在类器官共培养中非常有效,但在 PDX 模型中仅显示出适度的疗效。我们确定同种型细胞杀伤不是导致这种疗效丧失的原因,而是纳米 CAR 诱导的衰竭中 CD70 的顺式相互作用。使用 CRISPR/Cas9 敲除纳米 CAR T 细胞中的 CD70 导致弥漫性大 B 细胞淋巴瘤 PDX 模型中的功能显著增强。通过单细胞转录组学,我们获得了证据表明,CD70 敲除的 CD70 特异性纳米 CAR T 细胞免受抗原诱导的衰竭。此外,我们证明,野生型 CD70 特异性纳米 CAR T 细胞在产生后不久就表现出衰竭的迹象。它们的基因特征与衰竭的 CAR T 细胞的基因特征强烈重叠。相反,CD70 敲除的 CD70 特异性纳米 CAR T 细胞的基因特征与导致慢性淋巴细胞白血病患者完全缓解的 CAR T 细胞输注产品的基因特征重叠。我们的数据表明,靶向内源性 T 细胞抗原的 CAR 通过诱导衰竭状态来负性影响 CAR T 细胞功能,通过敲除特定靶标可以克服这种状态。

相似文献

[1]
Knocking Out CD70 Rescues CD70-Specific NanoCAR T Cells from Antigen-Induced Exhaustion.

Cancer Immunol Res. 2024-9-3

[2]
Tandem CAR-T cells targeting CD70 and B7-H3 exhibit potent preclinical activity against multiple solid tumors.

Theranostics. 2020

[3]
The development of chimeric antigen receptor T-cells against CD70 for renal cell carcinoma treatment.

J Transl Med. 2024-4-18

[4]
CD70, a novel target of CAR T-cell therapy for gliomas.

Neuro Oncol. 2018-1-10

[5]
Preclinical Development and Evaluation of Allogeneic CAR T Cells Targeting CD70 for the Treatment of Renal Cell Carcinoma.

Cancer Res. 2022-7-18

[6]
Preclinical evaluation of CD70-specific CAR T cells targeting acute myeloid leukemia.

Front Immunol. 2023

[7]
CD70-specific CAR T cells have potent activity against acute myeloid leukemia without HSC toxicity.

Blood. 2021-7-29

[8]
CD19-specific CAR T Cells that Express a PD-1/CD28 Chimeric Switch-Receptor are Effective in Patients with PD-L1-positive B-Cell Lymphoma.

Clin Cancer Res. 2021-1-15

[9]
CD70-specific CAR NK cells expressing IL-15 for the treatment of CD19-negative B-cell malignancy.

Blood Adv. 2024-6-11

[10]
Revealing the impact of CD70 expression on the manufacture and functions of CAR-70 T-cells based on single-cell transcriptomics.

Cancer Immunol Immunother. 2023-10

引用本文的文献

[1]
CD70 as a target in cancer immunotherapy: advances, challenges, and future directions.

Front Oncol. 2025-8-15

[2]
CD70: An emerging target for integrated cancer diagnosis and therapy.

Clin Transl Med. 2025-7

[3]
Nanobody-enhanced chimeric antigen receptor T-cell therapy: overcoming barriers in solid tumors with VHH and VNAR-based constructs.

Biomark Res. 2025-3-11

[4]
Leveraging CRISPR gene editing technology to optimize the efficacy, safety and accessibility of CAR T-cell therapy.

Leukemia. 2024-12

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