Tandem chimeric antigen receptor (CAR) T cells targeting EGFRvIII and IL-13Rα2 are effective against heterogeneous

Andrea Schmidts1, Ambike A Srivastava1, Rishab Ramapriyan2

  • 1Cellular Immunotherapy Program, Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Neuro-Oncology Advances
|February 8, 2023
PubMed
Abstract

Insights

This study introduces a novel dual-specific CAR T-cell therapy (TanCART) that effectively targets multiple antigens in glioblastoma. This approach shows promise for durable responses in heterogeneous brain tumors, overcoming limitations of single-antigen therapies.

Area of Science:

  • Immunotherapy
  • Oncology
  • Cellular Therapy

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy shows promise for hematological malignancies but faces challenges in solid tumors like glioblastoma (GBM) due to tumor heterogeneity and single-antigen targeting.
  • Strategies engaging multiple antigens simultaneously can enhance therapeutic efficacy and overcome immune escape mechanisms in cancers.

Purpose of the Study:

  • To develop and evaluate a novel dual-specific, tandem CAR T (TanCART) cell therapy targeting EGFRvIII and IL-13Rα2 antigens on GBM cells.
  • To assess the efficacy of TanCART against heterogeneous GBM models, including patient-derived xenografts.

Main Methods:

  • Development of a dual-specific tandem CAR T (TanCART) construct targeting EGFRvIII and IL-13Rα2.
  • Evaluation using standard immunological assays and orthotopic preclinical models, including patient-derived xenografts.

Main Results:

  • TanCART demonstrated enhanced in vitro cytotoxicity against heterogeneous GBM cell populations.
  • Dual antigen targeting via TanCART was essential for achieving complete and durable responses in orthotopic murine models of heterogeneous GBM, outperforming single-antigen CAR T cells.

Conclusions:

  • TanCART exhibits efficacy against heterogeneous brain tumors, supporting its further development for GBM treatment.
  • Multi-specific CAR T-cell strategies hold significant potential for treating GBM and other complex cancers.

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