A TCR mimic CAR T cell specific for NDC80 is broadly reactive with solid tumors and hematologic malignancies

Martin G Klatt1, Tao Dao1, Zhiyuan Yang2

  • 1Molecular Pharmacology Program, Sloan Kettering Institute, New York, NY.

Blood
|April 15, 2022
PubMed

Insights

Researchers identified a novel cancer target using mass spectrometry, enabling the development of T-cell receptor mimic chimeric antigen receptor (CAR) T-cell therapies. These therapies show promise for treating various cancers without harming healthy cells.

Area of Science:

  • Oncology
  • Immunotherapy
  • Molecular Biology

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy faces challenges in identifying suitable tumor-specific targets.
  • Intracellular proteins presented via cell surface HLA molecules offer a broader antigenic landscape for T-cell receptor mimic (TCRM) therapies.

Purpose of the Study:

  • To identify novel, broadly applicable cancer targets for TCRM CAR T-cell therapy.
  • To develop and evaluate the efficacy and safety of TCRM CAR T-cells targeting a specific HLA-presented intracellular antigen.

Main Methods:

  • Mass spectrometry (MS) was used to analyze HLA ligands from diverse cancer cell lines.
  • T-cell receptor mimic (TCRM) CAR T-cells were engineered to target the identified HLA-ligand complex.
  • In vitro and in vivo (mouse models) assays were conducted to assess CAR T-cell activity and toxicity.

Main Results:

  • A shared, non-immunogenic HLA-A*02-restricted ligand (ALNEQIARL) from the NDC80 gene was identified.
  • Engineered TCRM CAR T-cells demonstrated high sensitivity and specificity against multiple cancer types, including leukemia and solid tumors.
  • No observed toxicity in healthy leukocytes or hematopoietic stem cells.

Conclusions:

  • Mass spectrometry is a valuable tool for discovering novel targets for TCRM CAR T-cell therapy.
  • TCRM CAR T-cells targeting the ALNEQIARL:HLA-A*02 complex offer a potential therapeutic strategy for cancers currently lacking effective treatments.
  • This approach broadens the applicability of CAR T-cell therapy to intracellular antigens and multiple cancer types.

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