Olfactory Receptor OR2H1 Is an Effective Target for CAR T Cells in Human Epithelial Tumors

Alexandra L Martin1, Carmen M Anadon2, Subir Biswas2

  • 1Department of Clinical Science, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.

Insights

Chimeric antigen receptor (CAR) T-cell therapy shows promise for solid tumors by targeting the olfactory receptor OR2H1, which is highly expressed in various cancers but minimally in normal tissues.

Area of Science:

  • Oncology
  • Immunotherapy
  • Molecular Biology

Background:

  • Chimeric antigen receptor (CAR)-T cell therapy is effective in hematologic cancers but limited in solid tumors.
  • Olfactory receptors (ORs) are found in some solid tumors with restricted normal tissue expression.
  • OR2H1 is identified as a potential target in epithelial cancers.

Purpose of the Study:

  • To investigate OR2H1 expression in solid tumors and normal tissues.
  • To develop and evaluate OR2H1-targeted CAR T-cells for cancer therapy.
  • To assess the specificity and efficacy of OR2H1-targeted CAR T-cells.

Main Methods:

  • Quantitative real-time PCR (qRT-PCR) and Western blot to assess OR2H1 expression.
  • Generation of CAR T-cells targeting the extracellular domain of OR2H1.
  • In vitro and in vivo cytotoxic assays using OR2H1-expressing tumor cells.
  • CRISPR/Cas9-mediated gene ablation to confirm targeting specificity.
  • Immunohistochemistry using recombinant OR2H1 IgG to detect protein expression in patient samples.

Main Results:

  • OR2H1 is widely expressed in ovarian, non-small cell lung, and breast cancers, with minimal expression in normal tissues (primarily testis).
  • Generated CAR T-cells demonstrated specific cytotoxic activity against OR2H1-expressing tumor cells in vitro and in vivo.
  • Recombinant OR2H1 IgG confirmed widespread OR2H1 protein expression in lung, ovarian, and cholangiocarcinoma patient samples, with no significant staining in normal tissues.
  • OR2H1 ablation confirmed CAR specificity and highlighted OR2H1's role in tumor glucose metabolism.

Conclusions:

  • T-cells redirected against OR2H1 represent a potential therapeutic strategy for various epithelial cancers.
  • This approach may offer an acceptable toxicity profile due to the limited expression of OR2H1 in normal tissues.
  • OR2H1-targeted immunotherapy holds promise for overcoming challenges in solid tumor treatment.

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