A chimeric antigen receptor uniquely recognizing MICA/B stress proteins provides an effective approach to target

John Goulding1, Wen-I Yeh1, Bryan Hancock1

  • 1Fate Therapeutics Inc., San Diego, CA 92131, USA.

Abstract

Insights

Engineered natural killer (NK) cells targeting MICA/B stress proteins show promise for solid tumor immunotherapy by overcoming immune evasion mechanisms. This novel approach demonstrates potent anti-tumor activity in preclinical models.

Area of Science:

  • Immunology
  • Oncology
  • Cell Therapy

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy has revolutionized hematological cancer treatment but faces challenges in solid tumors due to tumor heterogeneity.
  • Stress proteins MICA/B, expressed by tumor cells after DNA damage, are often shed to evade immune detection.

Purpose of the Study:

  • To develop a novel CAR targeting the MICA/B stress proteins for enhanced cancer immunotherapy.
  • To engineer induced pluripotent stem cell (iPSC)-derived natural killer (NK) cells with a MICA/B-targeting CAR and a shedding-resistant CD16 receptor for improved tumor recognition and activity.

Main Methods:

  • Development of a novel CAR (3MICA/B CAR) targeting the conserved α3 domain of MICA/B.
  • Engineering of multiplexed iPSC-derived NK cells (3MICA/B CAR iNK) with the 3MICA/B CAR and a shedding-resistant CD16 Fc receptor.
  • Evaluation of anti-tumor reactivity against a library of human cancer cell lines and in vivo xenograft models.

Main Results:

  • The 3MICA/B CAR effectively mitigates MICA/B shedding and soluble MICA/B-mediated inhibition.
  • 3MICA/B CAR iNK cells exhibited antigen-specific anti-tumor reactivity against diverse human cancer cell lines.
  • Preclinical studies showed potent in vivo cytolytic activity against solid and hematological tumors, enhanced by combination with CD16-activating antibodies.

Conclusions:

  • 3MICA/B CAR iNK cells represent a promising multi-antigen-targeting immunotherapy strategy for solid tumors.
  • This approach addresses immune evasion by targeting broadly expressed stress proteins and enhancing NK cell effector functions.