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Droplet-based Cytotoxicity Assay to Assess Chimeric Antigen Receptor T cells at the Single-cell Level
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Insights on Droplet Digital PCR-Based Cellular Kinetics and Biodistribution Assay Support for CAR-T Cell Therapy
Hiroshi Sugimoto1, Susan Chen2, Jean-Pierre Minembe2
1Department of Drug Metabolism and Pharmacokinetics, Takeda Pharmaceuticals International Co, 125 Binney Street, Cambridge, Massachusetts, 02142, USA. Hiroshi.Sugimoto@takeda.com.
The AAPS Journal
|March 3, 2021
Summary
A new standardized duplexing digital droplet PCR (ddPCR) assay enables precise measurement of chimeric antigen receptor T (CAR-T) cell kinetics and biodistribution in vivo. This method improves comparability and assessment of CAR-T cell therapies.
Area of Science:
- Immunology
- Molecular Biology
- Pharmacology
Background:
- Accurate characterization of in vivo cellular kinetics and biodistribution of chimeric antigen receptor T (CAR-T) cells is crucial for assessing toxicity and efficacy in preclinical and clinical studies.
- A standardized assay for quantifying CAR-T cell distribution, expansion, contraction, and persistence is currently lacking, hindering study comparability.
Purpose of the Study:
- To establish a universal and standardized protocol for analyzing CAR-T cell kinetics and biodistribution.
- To overcome limitations in current methods and enhance the comparability of CAR-T cell therapy studies.
Main Methods:
- Development of a duplexing ddPCR protocol to quantify CAR-T transgene and reference gene from mouse blood and tissue genomic DNA.
- Implementation of a high-throughput method for reproducible genomic DNA extraction.
- Intravenous injection of CAR-T cells into immunodeficient mice with human colorectal cancer xenografts, followed by sample collection and analysis using ddPCR and flow cytometry.
Main Results:
- The ddPCR assay demonstrated linear standard curves, acceptable precision and accuracy, and efficient gDNA recovery (60-100%) from blood and tissue homogenates.
- Quantification in both copy/μg gDNA and copy/μL blood units met regulatory requirements.
- The assay allowed for systematic understanding of CAR-T cell expansion and direct comparison with flow cytometry data.
Conclusions:
- A standardized ddPCR assay, incorporating automated gDNA extraction, has been successfully established for evaluating CAR-T cell kinetics and biodistribution.
- This protocol provides a reliable and reproducible method for CAR-T cell therapy research, improving data comparability and supporting toxicity and efficacy assessments.

