Division of Oncology, Section of Cellular Therapy, Washington University School of Medicine, St. Louis, Missouri.
Center for Gene and Cellular Immunotherapy, Washington University School of Medicine, St. Louis, Missouri.
Cancer Discov. 2024 Nov 1;14(11):2109-2121. doi: 10.1158/2159-8290.CD-23-1393.
Chimeric antigen receptor (CAR)-based therapies have pioneered synthetic cellular immunity but remain limited in their long-term efficacy. Emerging data suggest that dysregulated CAR-driven T-cell activation causes T-cell dysfunction and therapeutic failure. To re-engage the precision of the endogenous T-cell response, we designed MHC-independent T-cell receptors (miTCR) by linking antibody variable domains to T-cell receptor constant chains. Using predictive modeling, we observed that this standard "cut and paste" approach to synthetic protein design resulted in myriad biochemical conflicts at the hybrid variable-constant domain interface. Through iterative modeling and sequence modifications, we developed structure-enhanced miTCRs which significantly improved receptor-driven T-cell function across multiple tumor models. We found that 41BB costimulation specifically prolonged miTCR T-cell persistence and enabled improved leukemic control in vivo compared with classic CAR T cells. Collectively, we have identified core features of hybrid receptor structure responsible for regulating function. Significance: Improving the durability of engineered T-cell immunotherapies is critical to enhancing efficacy. We used a structure-informed design to evolve improved miTCR function across several models. This work underscores the central role of synthetic receptor structure in T-cell function and provides a framework for improved receptor engineering.
嵌合抗原受体 (CAR) 疗法开创了合成细胞免疫疗法,但在长期疗效方面仍存在局限。新出现的数据表明,CAR 驱动的 T 细胞激活失调会导致 T 细胞功能障碍和治疗失败。为了重新利用内源性 T 细胞反应的精确性,我们通过将抗体可变区与 T 细胞受体恒定区连接,设计了 MHC 非依赖性 T 细胞受体 (miTCR)。通过预测性建模,我们观察到,这种用于合成蛋白设计的标准“剪切和粘贴”方法会在杂交可变-恒定结构域界面处产生无数生化冲突。通过迭代建模和序列修饰,我们开发了结构增强型 miTCR,其可显著改善多种肿瘤模型中的受体驱动 T 细胞功能。我们发现 41BB 共刺激特异性延长了 miTCR T 细胞的持久性,并与经典 CAR T 细胞相比,能够在体内更好地控制白血病。总的来说,我们已经确定了混合受体结构负责调节功能的核心特征。意义:提高工程化 T 细胞免疫疗法的持久性对于增强疗效至关重要。我们使用结构信息设计在几种模型中改进了 miTCR 的功能。这项工作强调了合成受体结构在 T 细胞功能中的核心作用,并为改进受体工程提供了框架。