TCR-engineered adoptive cell therapy effectively treats intracranial murine glioblastoma

Maximilian O Schaettler1, Rupen Desai1, Anthony Z Wang1

  • 1Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.

Abstract

Insights

We developed a novel preclinical model, the MISTIC mouse, to test T cell receptor (TCR)-engineered cellular therapy against glioblastoma neoantigens. This approach demonstrated significant antitumor effects and long-term cures in mice, highlighting its therapeutic potential.

Area of Science:

  • Immunology
  • Oncology
  • Genetics

Background:

  • Chimeric antigen receptor (CAR) T cell therapy shows promise in malignancies but has limited efficacy in solid tumors like glioblastoma.
  • Existing therapeutic targets for glioblastoma are scarce, prompting exploration of alternative strategies.
  • T cell receptor (TCR)-engineered cellular therapy targeting tumor-specific neoantigens is a promising alternative, but lacks robust preclinical models for glioblastoma.

Purpose of the Study:

  • To develop and characterize a novel preclinical model for studying TCR-engineered cellular therapy against glioblastoma neoantigens.
  • To assess the therapeutic efficacy of neoantigen-specific T cells in a murine glioblastoma model.
  • To investigate the mechanisms underlying treatment response and resistance in adoptive cellular therapy for glioblastoma.

Main Methods:

  • Isolation and characterization of a TCR specific for the Imp3D81N neoantigen (mImp3) using single-cell PCR.
  • Generation of the Mutant Imp3-Specific TCR TransgenIC (MISTIC) mouse, where all CD8 T cells are specific for mImp3.
  • Assessment of therapeutic efficacy via adoptive transfer of activated MISTIC T cells and IL-2 into tumor-bearing mice, followed by analysis using flow cytometry and multi-omics sequencing.

Main Results:

  • A high-affinity TCR (3×1.1C) specific for mImp3 without wild-type cross-reactivity was isolated.
  • Adoptive transfer of MISTIC T cells led to rapid tumor infiltration, significant antitumor effects, and long-term cures in a majority of treated mice.
  • Non-responding mice exhibited intratumoral T cell dysfunction despite retained neoantigen expression, and therapy failed in tumors with heterogeneous neoantigen expression, indicating barriers to treatment.

Conclusions:

  • The study generated and characterized the first TCR transgenic model targeting an endogenous neoantigen in a preclinical glioma model.
  • Neoantigen-specific T cells demonstrated significant therapeutic potential in adoptive cellular therapy for glioblastoma.
  • The MISTIC mouse serves as a valuable platform for fundamental and translational research into antitumor T cell responses in glioblastoma.

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