B7-H3-Targeted CAR-T Cells Exhibit Potent Antitumor Effects on Hematologic and Solid Tumors

Zongliang Zhang1, Caiying Jiang2, Zhiyong Liu3

  • 1State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan Province, China.

Insights

B7-H3 is overexpressed in many cancers, making it a target for immunotherapy. Novel B7-H3-targeted CAR-T cells show promise against leukemia and melanoma, but expression variability requires careful consideration for clinical use.

Area of Science:

  • Immunology
  • Oncology
  • Genomics

Background:

  • B7-H3 is frequently overexpressed in various cancer types.
  • B7-H3 is a promising target for cancer immunotherapy.
  • Expression analysis of B7-H3 is crucial for targeted therapies.

Purpose of the Study:

  • To analyze B7-H3 mRNA expression across multiple cancer types using TCGA database.
  • To generate and evaluate a novel B7-H3-targeted chimeric antigen receptor (CAR) for antitumor activity.
  • To assess the potential of B7-H3-targeted CAR-T cell therapy in treating cancers like AML and melanoma.

Main Methods:

  • Analysis of B7-H3 mRNA expression in The Cancer Genome Atlas (TCGA) database.
  • Generation of a novel B7-H3-targeted CAR.
  • In vitro and in vivo testing of CAR-T cell antitumor activity in AML and melanoma models.
  • Flow cytometry analysis of B7-H3 expression in AML bone marrow specimens.

Main Results:

  • B7-H3 expression was observed to be heterogeneous and variable across cancer types.
  • Moderate to high B7-H3 expression was found in some tumor-adjacent tissues, but lower than in tumors.
  • B7-H3 expression was absent or very low in normal tissues.
  • B7-H3-targeted CAR-T cells demonstrated significant antitumor activity against AML and melanoma in vitro and in vivo.
  • Mean B7-H3 expression in AML bone marrow was 57.2%.

Conclusions:

  • B7-H3 is a promising pan-cancer target for immunotherapy.
  • B7-H3-redirected CAR-T cells effectively control tumor growth.
  • Expression heterogeneity and variation of B7-H3 must be carefully considered for clinical translation of CAR-T cell therapy.

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