Fully human antibody VH domains to generate mono and bispecific CAR to target solid tumors

Guanmeng Wang1, Xin Zhou1, Giovanni Fucà1

  • 1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Abstract

Insights

New VH domain-based chimeric antigen receptor (CAR) T cells effectively target multiple antigens in solid tumors. This approach overcomes limitations of traditional CARs, improving tumor control and offering a promising immunotherapy advancement.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Chimeric antigen receptor (CAR) T cells show efficacy in B-cell cancers but face challenges in solid tumors due to heterogeneous antigen expression and antigen loss.
  • Targeting multiple tumor-associated antigens simultaneously is a strategy to enhance CAR T-cell therapy outcomes in solid tumors.
  • Developing multi-antigen targeting CARs is difficult due to the instability of traditional single-chain variable fragments (scFvs).

Purpose of the Study:

  • To evaluate the efficacy of VH domain-based CAR T cells targeting prostate-specific membrane antigen (PSMA) and mesothelin (MSLN) in solid tumors.
  • To compare the antitumor activity and mechanism of action of VH-based CARs with traditional scFv-based CARs.
  • To assess the stability and functionality of bispecific VH domain-based CARs for simultaneous multi-antigen targeting.

Main Methods:

  • Generated fully human VH domains targeting PSMA and MSLN from a transgenic mouse.
  • Constructed VH-based CARs and evaluated their antitumor activity in vitro and in vivo.
  • Compared the performance of VH-based CARs with conventional scFv-based CARs.

Main Results:

  • Human VH domain-based CARs targeting PSMA and MSLN demonstrated stability and functionality in vitro and in vivo.
  • Bispecific VH-based CARs maintained target-binding affinity comparable to monovalent counterparts.
  • Bispecific CARs utilizing VH domains effectively prevented tumor escape in models with heterogeneous antigen expression.

Conclusions:

  • Fully human VH domains can be engineered into functional CAR molecules, eliciting potent antitumoral responses in solid tumors.
  • VH-based CAR T cells provide antitumor activity comparable to or exceeding conventional scFv-based CARs.
  • Bispecific VH-based CARs offer a strategy for simultaneous dual-antigen targeting, leading to improved tumor control in solid tumors.