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Updated: Jan 20, 2026

In Vitro Tumor Cell Rechallenge For Predictive Evaluation of Chimeric Antigen Receptor T Cell Antitumor Function
Published on: February 27, 2019
B7-H3-redirected chimeric antigen receptor T cells target glioblastoma and neurospheres
Dean Nehama1, Natalia Di Ianni2, Silvia Musio2
1Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Background:
The dismal survival of glioblastoma (GBM) patients urgently calls for the development of new treatments. Chimeric antigen receptor T (CAR-T) cells are an attractive strategy, but preclinical and clinical studies in GBM have shown that heterogeneous expression of the antigens targeted so far causes tumor escape, highlighting the need for the identification of new targets. We explored if B7-H3 is a valuable target for CAR-T cells in GBM.
Methods:
We compared mRNA expression of antigens in GBM using TCGA data, and validated B7-H3 expression by immunohistochemistry. We then tested the antitumor activity of B7-H3-redirected CAR-T cells against GBM cell lines and patient-derived GBM neurospheres in vitro and in xenograft murine models.
Findings:
B7-H3 mRNA and protein are overexpressed in GBM relative to normal brain in all GBM subtypes. Of the 46 specimens analyzed by immunohistochemistry, 76% showed high B7-H3 expression, 22% had detectable, but low B7-H3 expression and 2% were negative, as was normal brain. All 20 patient-derived neurospheres showed ubiquitous B7-H3 expression. B7-H3-redirected CAR-T cells effectively targeted GBM cell lines and neurospheres in vitro and in vivo. No significant differences were found between CD28 and 4-1BB co-stimulation, although CD28-co-stimulated CAR-T cells released more inflammatory cytokines.
Interpretation:
We demonstrated that B7-H3 is highly expressed in GBM specimens and neurospheres that contain putative cancer stem cells, and that B7-H3-redirected CAR-T cells can effectively control tumor growth. Therefore, B7-H3 represents a promising target in GBM. FUND: Alex's Lemonade Stand Foundation; Il Fondo di Gio Onlus; National Cancer Institute; Burroughs Wellcome Fund.
Insights
B7-H3 is highly expressed in glioblastoma (GBM) and targeting it with chimeric antigen receptor T (CAR-T) cells effectively controls tumor growth. This makes B7-H3 a promising new target for GBM treatment.
Area of Science:
- Oncology
- Immunotherapy
- Cancer Biology
Background:
- Glioblastoma (GBM) has a poor prognosis, necessitating novel therapeutic strategies.
- Current chimeric antigen receptor T (CAR-T) cell therapies for GBM face challenges due to antigen heterogeneity and tumor escape.
- The identification of new, effective targets for CAR-T cell therapy in GBM is crucial.
Purpose of the Study:
- To investigate the potential of B7-H3 as a therapeutic target for GBM.
- To evaluate the efficacy of B7-H3-redirected CAR-T cells against GBM.
Main Methods:
- Compared B7-H3 mRNA expression in GBM using TCGA data.
- Validated B7-H3 protein expression via immunohistochemistry in patient samples.
- Assessed the antitumor activity of B7-H3 CAR-T cells in GBM cell lines, patient-derived neurospheres, and xenograft models.
Main Results:
- B7-H3 is overexpressed in GBM tissues and patient-derived neurospheres, including those with cancer stem cells.
- B7-H3-redirected CAR-T cells demonstrated effective control of GBM growth in vitro and in vivo.
- Both CD28 and 4-1BB co-stimulation supported CAR-T cell activity, with CD28 showing higher cytokine release.
Conclusions:
- B7-H3 is a highly expressed and promising target antigen for CAR-T cell therapy in GBM.
- B7-H3-redirected CAR-T cells show significant potential for controlling GBM tumor growth.
- Further development of B7-H3-targeted CAR-T cells could improve outcomes for GBM patients.
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