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Generation of CAR T Cells for Adoptive Therapy in the Context of Glioblastoma Standard of Care
Published on: February 16, 2015
Oncolytic virus-derived type I interferon restricts CAR T cell therapy
Laura Evgin1, Amanda L Huff1, Phonphimon Wongthida1
1Department of Molecular Medicine, Mayo Clinic, Rochester, MN, USA.
Abstract:
The application of adoptive T cell therapies, including those using chimeric antigen receptor (CAR)-modified T cells, to solid tumors requires combinatorial strategies to overcome immune suppression associated with the tumor microenvironment. Here we test whether the inflammatory nature of oncolytic viruses and their ability to remodel the tumor microenvironment may help to recruit and potentiate the functionality of CAR T cells. Contrary to our hypothesis, VSVmIFNβ infection is associated with attrition of murine EGFRvIII CAR T cells in a B16EGFRvIII model, despite inducing a robust proinflammatory shift in the chemokine profile. Mechanistically, type I interferon (IFN) expressed following infection promotes apoptosis, activation, and inhibitory receptor expression, and interferon-insensitive CAR T cells enable combinatorial therapy with VSVmIFNβ. Our study uncovers an unexpected mechanism of therapeutic interference, and prompts further investigation into the interaction between CAR T cells and oncolytic viruses to optimize combination therapy.
Insights
Oncolytic viruses, when combined with chimeric antigen receptor (CAR) T cells for solid tumors, unexpectedly caused CAR T cell loss. Interferon-insensitive CAR T cells are needed for effective combination therapy.
Area of Science:
- Immunology
- Oncology
- Virology
Background:
- Adoptive T cell therapies, including chimeric antigen receptor (CAR) T cells, are promising for solid tumors but face challenges from the tumor microenvironment.
- Combinatorial strategies are crucial to enhance CAR T cell efficacy against solid tumors.
Purpose of the Study:
- To investigate if oncolytic viruses can enhance CAR T cell therapy for solid tumors by modulating the tumor microenvironment.
- To understand the interaction between oncolytic viruses and CAR T cells in a preclinical solid tumor model.
Main Methods:
- Utilized a murine B16EGFRvIII solid tumor model.
- Administered VSVmIFNβ oncolytic virus and EGFRvIII CAR T cells.
- Analyzed CAR T cell survival, function, and tumor microenvironment changes, including chemokine profiles and type I interferon induction.
Main Results:
- VSVmIFNβ infection led to attrition of murine EGFRvIII CAR T cells, contrary to the hypothesis.
- Oncolytic virus infection induced a proinflammatory chemokine profile but also promoted CAR T cell apoptosis and exhaustion via type I interferon.
- CAR T cells engineered to be insensitive to interferon demonstrated improved efficacy in combination therapy.
Conclusions:
- Oncolytic viruses can interfere with CAR T cell therapy through type I interferon-mediated mechanisms.
- Developing interferon-insensitive CAR T cells is essential for successful combination strategies with oncolytic viruses.
- Further research is needed to optimize the combination of CAR T cells and oncolytic viruses for solid tumor treatment.
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