Oliver-Caldes Aina, Mañe Pujol Joan, Battram Anthony M, Perez-Amill Lorena, Bachiller Mireia, Calderon Hugo, Castella Maria, Carpio Judit, Salsench Sergi V, Tovar Natalia, Cardus Oriol, Urbano-Ispizua Alvaro, Moreno David F, Rodríguez-Lobato Luis Gerardo, Lozano Ester, Rosiñol Laura, Juan Manel, Martín-Antonio Beatriz, Fernández de Larrea Carlos
Hospital Clínic de Barcelona, IDIBAPS, Barcelona, Spain.
Universitat de Barcelona, Barcelona, Spain.
Oncoimmunology. 2025 Dec;14(1):2529632. doi: 10.1080/2162402X.2025.2529632. Epub 2025 Jul 12.
BCMA-directed CAR-T therapies have shown promising results in multiple myeloma (MM). However, patients continue to relapse. T cell exhaustion with increased TIGIT expression is a resistance mechanism which was confirmed in CAR-T cells from ARI0002h trial, an academic CAR-T developed in our institution. We aimed to analyze the impact of blocking TIGIT on the efficacy of ARI0002h. We used three different strategies to block TIGIT: Addition of an external blocking anti-TIGIT-antibody (Ab), Modify ARI0002h into a 4 generation CAR-T, named ARITIGIT, capable of secreting a soluble TIGIT-blocking scFv and TIGIT knock-out in ARI0002h using CRISPR/Cas9. Each strategy was evaluated and . Adding a TIGIT-blocking Ab to ARI0002h improved cytotoxicity, but failed to enhance mice survival. The new 4 generation CAR-T, ARITIGIT, was also unable to achieve better survival outcomes despite favoring the model by using a myeloma cell line with high expression of the TIGIT ligand PVR. Interestingly, when mice were challenged with a second infusion of tumor cells, mimicking a relapse model, a trend for improved survival with ARITIGIT was observed ( = 0.11). Finally, TIGIT-knock-out on ARI0002h (KO-ARI0002h) using CRISPR/Cas9 showed similar activity to ARI0002h. In an stress model, TIGIT KO-ARI0002h prolonged survival ( = 0.02). However, this improvement was not significant compared to ARI0002h ( = 0.07). This study failed to demonstrate a significant benefit of TIGIT-blockade on ARI0002h cells despite using three different approaches, suggesting that targeting a single immune checkpoint may be insufficient.
靶向B细胞成熟抗原(BCMA)的嵌合抗原受体T细胞(CAR-T)疗法在多发性骨髓瘤(MM)中已显示出有前景的结果。然而,患者仍会复发。T细胞耗竭伴TIGIT表达增加是一种耐药机制,这在ARI0002h试验的CAR-T细胞中得到证实,ARI0002h是我们机构研发的一种学术性CAR-T。我们旨在分析阻断TIGIT对ARI0002h疗效的影响。我们使用了三种不同策略来阻断TIGIT:添加外部阻断性抗TIGIT抗体(Ab);将ARI0002h改造为能够分泌可溶性TIGIT阻断单链抗体片段(scFv)的第四代CAR-T,命名为ARITIGIT;使用CRISPR/Cas9在ARI0002h中敲除TIGIT。对每种策略进行了评估。向ARI0002h中添加TIGIT阻断抗体可提高细胞毒性,但未能提高小鼠存活率。尽管使用了高表达TIGIT配体PVR的骨髓瘤细胞系来支持该模型,但新的第四代CAR-T即ARITIGIT也未能实现更好的生存结果。有趣的是,当用第二次输注肿瘤细胞对小鼠进行攻击以模拟复发模型时,观察到ARITIGIT有提高存活率的趋势(P = 0.11)。最后,使用CRISPR/Cas9在ARI0002h上敲除TIGIT(KO-ARI0002h)显示出与ARI0002h相似的活性。在一种应激模型中,TIGIT敲除的ARI0002h延长了生存期(P = 0.02)。然而,与ARI0002h相比,这种改善并不显著(P = 0.07)。尽管使用了三种不同方法,但本研究未能证明阻断TIGIT对ARI0002h细胞有显著益处,这表明靶向单一免疫检查点可能并不足够。
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