T cell activation upon exposure to patient-derived tumor tissue: a functional assay to select patients for adoptive T

Caroline Schroten1, Robert Kraaij, Joke L M Veldhoven

  • 1Dept Urology, Erasmus MC, Rotterdam, The Netherlands.

Insights

A new T cell activation assay identifies patients likely to benefit from cancer therapies. This assay measures T cell responses to tumor tissues, aiding in the selection of suitable candidates for adoptive T cell therapy.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Gene-engineered T cell therapy shows promise for cancer treatment.
  • Patient selection is crucial for optimizing the efficacy of T cell therapies.
  • Current methods lack efficient ways to pre-assess patient sensitivity.

Purpose of the Study:

  • To develop and validate a T cell activation assay for pre-selecting cancer patients.
  • To assess antigen expression on patient-derived tumor tissues.
  • To enable patient stratification for adoptive T cell therapy.

Main Methods:

  • Established a T cell activation assay using patient-derived tumor tissues.
  • Utilized chimeric antigen receptor (CAR) T cells targeting CAIX and PSMA.
  • Measured cytokine production (IFNγ, TNFα, IL-10, IL-4) and NFAT activation.

Main Results:

  • CAIX CAR T cells responded specifically to CAIX-positive tumor tissue.
  • T cell activation correlated with increased IFNγ, TNFα, IL-10, and IL-4 production.
  • NFAT activation in reporter cells mirrored T cell responses in a CAR and antigen-specific manner.
  • The assay successfully detected responses mediated by two independent PSMA CARs.

Conclusions:

  • A sensitive, donor-independent assay for measuring T cell activation against tumor tissue was established.
  • This assay can facilitate patient pre-selection for clinical adoptive T cell therapy.
  • The findings support the use of this assay to improve treatment outcomes in cancer immunotherapy.

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