Expression of inducible factors reprograms CAR-T cells for enhanced function and safety

Anže Smole1, Alexander Benton2, Mathilde A Poussin3

  • 1Center for Cellular Immunotherapies, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; Parker Institute for Cancer Immunotherapy, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Cancer Cell
|December 13, 2022
PubMed

Insights

A novel Uni-Vect platform enhances CAR-T cell therapy by enabling antigen-induced accessory molecule production. This improves cancer immunotherapy efficacy and safety by controlling T-cell responses.

Area of Science:

  • Immunology
  • Biotechnology
  • Oncology

Background:

  • Chimeric antigen receptor T (CAR-T) cell therapy shows promise in cancer immunotherapy but faces challenges in efficacy and safety.
  • Current methods for enhancing CAR-T cells often involve constitutive transgene expression or multiple viral vectors, leading to uncontrolled responses and product variability.

Purpose of the Study:

  • To develop a novel genetic platform, Uni-Vect, for enhanced CAR-T cell immunotherapy.
  • To enable autonomous, antigen-induced production of accessory molecules in CAR-T cells using a single lentiviral vector.

Main Methods:

  • Development of a single lentiviral vector (Uni-Vect) for constitutive CAR expression and autonomous accessory molecule production.
  • In vivo validation of Uni-Vect's ability to express immunostimulatory cytokines, ameliorating antibodies, and transcription factors dependent on antigen activation.

Main Results:

  • Uni-Vect demonstrated activation-dependent expression of beneficial molecules in vivo, including cytokines for improved efficacy and antibodies to mitigate cytokine-release syndrome.
  • The platform successfully modulated T cell biology through transcription factor expression.
  • Uni-Vect was also utilized as a tool for characterizing immune receptors.

Conclusions:

  • Uni-Vect provides a robust platform for next-generation cellular immunotherapies, offering greater control over T cell responses.
  • This system enhances the clinical applicability of CAR-T cell therapy by improving safety and efficacy profiles.