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LunX-CAR T Cells as a Targeted Therapy for Non-Small Cell Lung Cancer
Ziming Hu1, Xiaohu Zheng1, Defeng Jiao1,2
1CAS Key Laboratory of Innate Immunity and Chronic Disease and Institute of Immunology, School of Life Sciences and Medical Center, University of Science and Technology of China, Hefei, Anhui 230027, China.
Abstract:
Non-small cell lung cancer (NSCLC) carries a high mortality, and efficacious therapy is lacking. Therapy using chimeric antigen receptor (CAR) T cells has been used efficaciously against hematologic malignancies, but the curative effect against solid tumors is not satisfactory. A lack of antigen targets is one of the main reasons for this limited efficacy. Previously, we showed that lung-specific X (LUNX; also known as BPIFA1, PLUNC, and SPLUNC1) is overexpressed in lung cancer cells. Here, we constructed a CAR-T-cell-based strategy to target LunX (CARLunX T cells). CAR T cells were developed so that, upon specific recognition of LunX, they secreted cytokines and killed LunX-positive NSCLC cells. In vitro, CARLunX T cells displayed enhanced toxicity toward NSCLC lines and production of cytokines and showed specific LunX-dependent recognition of NSCLC cells. Adoptive transfer of CARLunX T cells induced regression of established metastatic lung cancer xenografts and prolonged survival. CARLunX T cells could infiltrate into the tumor. Also, we constructed a patient-derived xenograft model of lung cancer. After therapy with CARLunX T cells, tumor growth was suppressed, and survival was prolonged significantly. Together, our findings offer preclinical evidence of the immunotherapeutic targeting of LunX as a strategy to treat NSCLC.
Insights
Chimeric antigen receptor (CAR) T-cell therapy targeting lung-specific X (LunX) shows promise for treating non-small cell lung cancer (NSCLC). CARLunX T-cells effectively killed NSCLC cells and suppressed tumor growth in preclinical models.
Area of Science:
- Oncology
- Immunotherapy
- Cellular Therapy
Background:
- Non-small cell lung cancer (NSCLC) has high mortality with limited effective therapies.
- Chimeric antigen receptor (CAR) T-cell therapy is successful in hematologic cancers but less so in solid tumors due to target limitations.
- Lung-specific X (LunX) is identified as an overexpressed antigen in lung cancer cells.
Purpose of the Study:
- To develop and evaluate a CAR T-cell strategy targeting LunX for NSCLC treatment.
- To assess the efficacy of CARLunX T-cells in vitro and in vivo models of NSCLC.
Main Methods:
- Construction of CAR T-cells engineered to recognize and target LunX.
- In vitro testing of CARLunX T-cells for cytotoxicity and cytokine production against NSCLC cell lines.
- In vivo studies using xenograft models of metastatic lung cancer and patient-derived lung cancer models to evaluate therapeutic effects.
Main Results:
- CARLunX T-cells demonstrated specific recognition and killing of LunX-positive NSCLC cells in vitro, along with cytokine secretion.
- Adoptive transfer of CARLunX T-cells led to regression of established lung cancer xenografts and prolonged survival.
- Tumor growth suppression and significantly prolonged survival were observed in patient-derived xenograft models after CARLunX T-cell therapy.
Conclusions:
- Targeting LunX with CAR T-cells represents a promising preclinical immunotherapeutic strategy for NSCLC.
- CARLunX T-cells show potential for treating NSCLC by infiltrating tumors and exerting cytotoxic effects.
- These findings provide a foundation for further development of LunX-targeted CAR T-cell therapy for lung cancer patients.
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