Department of Pharmacology and Physiology, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand.
Cellular Immunotherapy Research Unit, Chulalongkorn University, Bangkok, Thailand.
Biomed Pharmacother. 2024 Oct;179:117388. doi: 10.1016/j.biopha.2024.117388. Epub 2024 Sep 8.
CAR T cell therapy for AML remains limited due to the lack of a proper target without on-target off-tumor toxicity. TIM3 is a promising target due to its high expression on AML cells and absence in most normal hematopoietic cells. Previous reports have shown that each CAR component impacts CAR functionality. Here, we optimized TIM-3 targeting CAR T cells for AML therapy. We generated CARs targeting TIM3 with two different non-signaling domains: an IgG2-CH3 spacer with CD28 transmembrane domain (CH3/CD28) and a CD8α spacer with CD8α transmembrane domain (CD8/CD8), and evaluated their characteristics and function. Incorporating the non-signaling CH3/CD28 domain resulted in unstable CAR expression in anti-TIM3 CAR T cells, leading to lower surface CAR expression over time and reduced cytotoxic function compared to anti-TIM3 CARs with the CD8/CD8 domain. Both types of anti-TIM3 CAR T cells transiently exhibited fratricide, which subsided overtime, and both CAR T cells achieved substantial T cell expansion. To further optimize the design, we explored the effects of different costimulatory domains. Compared with CD28 costimulation, 4-1BB and CD27 combined with a CD8/CD8 non-signaling domain showed higher cytokine secretion, superior antitumor activity, and enhanced T-cell persistence after repeated antigen exposure. These findings emphasize the impact of the optimal design of CAR constructs that provide efficient function. In the context of anti-TIM3 CAR T cells, using a CD8α spacer and transmembrane domain with TNFR-based costimulation is a promising CAR design to improve anti-TIM3 CAR T cell function for AML therapy.
嵌合抗原受体 T 细胞(CAR T)疗法治疗急性髓系白血病(AML)的疗效仍然有限,主要原因是缺乏合适的靶点,且没有针对目标的脱靶毒性。TIM3 由于在 AML 细胞上高表达而在大多数正常造血细胞中缺失,因此是一个很有前途的靶点。先前的报告表明,每个 CAR 成分都会影响 CAR 的功能。在这里,我们优化了针对 TIM3 的 CAR T 细胞,以用于 AML 治疗。我们生成了针对 TIM3 的两种不同无信号转导结构域的 CAR:带有 IgG2-CH3 间隔区和 CD28 跨膜结构域的 CH3/CD28,以及带有 CD8α 间隔区和 CD8α 跨膜结构域的 CD8/CD8,并评估了它们的特性和功能。在抗 TIM3 CAR T 细胞中引入无信号转导的 CH3/CD28 结构域导致 CAR 表达不稳定,随着时间的推移,表面 CAR 表达降低,细胞毒性功能降低,与具有 CD8/CD8 结构域的抗 TIM3 CAR 相比。两种类型的抗 TIM3 CAR T 细胞均短暂表现出自杀现象,随着时间的推移而逐渐消退,两种 CAR T 细胞均实现了大量 T 细胞扩增。为了进一步优化设计,我们探索了不同共刺激结构域的影响。与 CD28 共刺激相比,4-1BB 和 CD27 与 CD8/CD8 无信号转导结构域结合可导致更高的细胞因子分泌、更好的抗肿瘤活性以及在重复抗原暴露后增强 T 细胞的持久性。这些发现强调了 CAR 构建体的最佳设计的影响,这种设计可为 CAR T 细胞提供高效功能。在抗 TIM3 CAR T 细胞的背景下,使用 CD8α 间隔区和跨膜结构域与基于 TNFR 的共刺激是一种很有前途的 CAR 设计,可改善抗 TIM3 CAR T 细胞在 AML 治疗中的功能。
Mol Ther Oncolytics. 2020-6-23