Arming Anti-EGFRvIII CAR-T With TGFβ Trap Improves Antitumor Efficacy in Glioma Mouse Models

You Li1, Huifang Wu1, Gang Chen1

  • 1MOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, Shanghai, China.

Frontiers in Oncology
|September 25, 2020
PubMed

Insights

Chimeric antigen receptor (CAR) T cell therapy for glioblastoma (GBM) shows promise. Engineering CAR-T cells to trap immunosuppressive TGFβ enhances their anti-tumor activity and improves survival in GBM mouse models.

Area of Science:

  • Oncology
  • Immunotherapy
  • Cancer Biology

Background:

  • Glioblastoma (GBM) is an aggressive brain tumor with a poor prognosis, necessitating novel therapeutic approaches.
  • Current chimeric antigen receptor (CAR) T cell therapy for GBM faces limitations due to the immunosuppressive tumor microenvironment (TME).
  • Transforming growth factor beta (TGFβ) within the GBM TME suppresses immune responses, promoting immune evasion and tumor progression.

Purpose of the Study:

  • To enhance the efficacy of CAR T cell therapy for glioblastoma.
  • To overcome the immunosuppressive effects of TGFβ in the GBM TME.
  • To develop TGFβ-resistant CAR T cells with improved anti-tumor activity.

Main Methods:

  • Optimized an EGFRvIII-specific CAR construct by incorporating a TGFβ receptor II (TGFRII) ectodomain to act as a TGFβ-trap.
  • Generated TGFβ-resistant CAR T cells for GBM therapy.
  • Evaluated the anti-tumor efficacy and survival impact in mice bearing GBM xenografts.

Main Results:

  • The TGFβ-trapped CAR T cell architecture significantly enhanced anti-tumor efficacy against EGFRvIII-positive GBM.
  • Treatment with TGFβ-trap CAR T cells led to prolonged survival in mice with GBM.
  • GBM-infiltrated microglia exhibited a shift towards a pro-inflammatory, anti-tumorigenic M1 phenotype post-treatment.

Conclusions:

  • Arming CAR T cells with a TGFβ-trap effectively neutralizes the immunosuppressive TME.
  • This strategy represents a promising approach to improve the therapeutic efficacy of CAR T cells for glioblastoma treatment.
  • Modulating microglia polarization is a potential mechanism by which TGFβ-trap CAR T cells exert their anti-tumor effects.

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