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Author Spotlight: Advancements in Hypoxia-Sensitive CAR-T Therapy for Enhanced Cancer Immunotherapy
Published on: June 14, 2024
CAR T cells targeting tumor endothelial marker CLEC14A inhibit tumor growth
Xiaodong Zhuang1, Federica Maione2, Joseph Robinson1
1Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Abstract:
Engineering T cells to express chimeric antigen receptors (CARs) specific for antigens on hematological cancers has yielded remarkable clinical responses, but with solid tumors, benefit has been more limited. This may reflect lack of suitable target antigens, immune evasion mechanisms in malignant cells, and/or lack of T cell infiltration into tumors. An alternative approach, to circumvent these problems, is targeting the tumor vasculature rather than the malignant cells directly. CLEC14A is a glycoprotein selectively overexpressed on the vasculature of many solid human cancers and is, therefore, of considerable interest as a target antigen. Here, we generated CARs from 2 CLEC14A-specific antibodies and expressed them in T cells. In vitro studies demonstrated that, when exposed to their target antigen, these engineered T cells proliferate, release IFN-γ, and mediate cytotoxicity. Infusing CAR engineered T cells into healthy mice showed no signs of toxicity, yet these T cells targeted tumor tissue and significantly inhibited tumor growth in 3 mouse models of cancer (Rip-Tag2, mPDAC, and Lewis lung carcinoma). Reduced tumor burden also correlated with significant loss of CLEC14A expression and reduced vascular density within malignant tissues. These data suggest the tumor vasculature can be safely and effectively targeted with CLEC14A-specific CAR T cells, offering a potent and widely applicable therapy for cancer.
Insights
Targeting tumor vasculature with chimeric antigen receptor (CAR) T cells against CLEC14A shows promise for solid tumors. This approach safely inhibits cancer growth by targeting tumor blood vessels, offering a new therapeutic strategy.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Chimeric antigen receptor (CAR) T cell therapy shows success in hematological cancers but limited efficacy in solid tumors.
- Solid tumor treatment challenges include identifying suitable antigens, immune evasion, and poor T cell infiltration.
- Targeting tumor vasculature presents an alternative strategy to overcome these limitations.
Purpose of the Study:
- To engineer T cells to target the tumor vasculature via chimeric antigen receptors (CARs) specific for CLEC14A.
- To evaluate the safety and efficacy of CLEC14A-specific CAR T cells in preclinical cancer models.
Main Methods:
- Generated CARs from CLEC14A-specific antibodies and expressed them in T cells.
- Conducted in vitro studies to assess T cell proliferation, cytokine release (IFN-γ), and cytotoxicity.
- Administered CAR T cells to mice with established solid tumors (Rip-Tag2, mPDAC, Lewis lung carcinoma) to evaluate in vivo efficacy and toxicity.
Main Results:
- Engineered T cells proliferated, released IFN-γ, and killed target cells in vitro.
- CAR T cell infusion in healthy mice showed no toxicity.
- Treated mice exhibited significant inhibition of tumor growth across three different cancer models.
- Reduced tumor burden correlated with decreased CLEC14A expression and vascular density in tumors.
Conclusions:
- Targeting tumor vasculature using CLEC14A-specific CAR T cells is a safe and effective strategy for solid tumors.
- This approach demonstrates potential as a widely applicable cancer therapy by targeting tumor neovasculature.
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