T-cell Receptor Therapy Targeting Mutant Capicua Transcriptional Repressor in Experimental Gliomas

Michael Kilian1,2,3, Mirco Friedrich1,2, Khwab Sanghvi1,2,3

  • 1DKTK Clinical Cooperation Unit Neuroimmunology and Brain Tumor Immunology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Abstract

Insights

Researchers identified specific mutations in gliomas that create targets for immunotherapy. These findings pave the way for new T-cell therapies against brain tumors.

Area of Science:

  • Neuro-oncology
  • Immunotherapy
  • Genomics

Background:

  • Gliomas are aggressive brain tumors known for resistance to conventional treatments like radiation and chemotherapy.
  • Specific genetic mutations in gliomas can lead to the creation of neoepitopes, which are potential targets for immunotherapy.
  • Developing targeted therapies is crucial for improving outcomes in glioma patients.

Purpose of the Study:

  • To identify immunogenic neoepitopes in gliomas suitable for targeted immunotherapy.
  • To investigate the potential of T-cell receptor (TCR)-transgenic T-cell therapy for glioma treatment.
  • To establish immunocompetent preclinical models for glioma neoepitope discovery and therapy assessment.

Main Methods:

  • Utilized peptide-based ELISpot assays in MHC-humanized mice to screen for recurrent glioma neoepitopes.
  • Employed droplet-based single-cell TCR sequencing for neoepitope-specific TCR discovery after vaccination.
  • Developed a novel glioma model in MHC-humanized mice for assessing intraventricular TCR-transgenic T-cell therapy efficacy.

Main Results:

  • Identified recurrent capicua transcriptional repressor (CIC) inactivating hotspot mutations (CICR215W/Q) as immunogenic MHC class II (MHCII)-restricted neoepitopes.
  • Demonstrated that vaccination in MHC-humanized mice elicits robust MHCII-restricted, mutation-specific T-cell responses against CICR215W/Q.
  • Showed that adoptive transfer of CICR215W-specific TCR-transgenic T cells effectively targets CICR215W-expressing gliomas in a preclinical model.

Conclusions:

  • The study highlights the successful integration of immunocompetent MHC-humanized glioma models for discovering shared immunogenic neoepitopes.
  • Facilitates the identification and preclinical validation of human leukocyte antigen (HLA)-restricted neoepitope-specific TCRs.
  • Supports the potential of locoregional TCR-transgenic T-cell adoptive therapy as a viable strategy for glioma treatment.

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