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Published on: July 6, 2021
Targeting KRAS
Qi Ai1,2,3, Fanlu Li1,2,3, Siyi Zou1,2,3
1Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Abstract:
KRAS mutation is a significant driving factor of tumor, and KRASG12V mutation has the highest incidence in solid tumors such as pancreatic cancer and colorectal cancer. Thus, KRASG12V neoantigen-specific TCR-engineered T cells could be a promising cancer treatment approach for pancreatic cancer. Previous studies had reported that KRASG12V-reactive TCRs originated from patients' TILs could recognized KRASG12V neoantigen presented by specific HLA subtypes and remove tumor persistently in vitro and in vivo. However, TCR drugs are different from antibody drugs in that they are HLA-restricted. The different ethnic distribution of HLA greatly limits the applicability of TCR drugs in Chinese population. In this study, we have identified a KRASG12V-specific TCR which recognized classII MHC from a colorectal cancer patient. Interestingly, we observed that KRASG12V-specific TCR-engineered CD4+ T cells, not CD8+ T cells, demonstrated significant efficacy in vitro and in xenograft mouse model, exhibiting stable expression and targeting specificity of TCR when co-cultured with APCs presenting KRASG12V peptides. TCR-engineered CD4+ T cells were co-cultured with APCs loaded with neoantigen, and then HLA subtypes were identified by the secretion of IFN-γ. Collectively, our data suggest that TCR-engineered CD4+ T cells can be used to target KRASG12V mutation presented by HLA-DPB1*03:01 and DPB1*14:01, which provide a high population coverage and are more suitable for the clinical transformation for Chinese, and mediate tumor killing effect like CD8+ T cells. This TCR hold promise for precision therapy in immunotherapy of solid tumors as an attractive candidate.
Insights
KRASG12V neoantigen-specific T cell receptor (TCR)-engineered T cells show promise for treating solid tumors. This study identified a novel TCR targeting KRASG12V in CD4+ T cells, effective in Chinese populations.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- KRAS mutations, particularly KRASG12V, are key drivers in solid tumors like pancreatic and colorectal cancers.
- TCR-engineered T cells offer a targeted cancer therapy approach, but HLA restriction limits their application in diverse populations.
- Developing HLA-specific TCRs is crucial for effective cancer immunotherapy, especially in underrepresented ethnic groups.
Purpose of the Study:
- To identify and characterize a KRASG12V-specific T cell receptor (TCR) for potential cancer immunotherapy.
- To evaluate the efficacy of TCR-engineered CD4+ T cells targeting KRASG12V in preclinical models.
- To address the HLA restriction limitations of TCR-based therapies in the Chinese population.
Main Methods:
- Identification of a KRASG12V-specific TCR from a colorectal cancer patient.
- Engineering CD4+ T cells with the identified TCR for KRASG12V targeting.
- In vitro and in vivo efficacy studies using antigen-presenting cells (APCs) and xenograft mouse models.
- HLA subtype identification through IFN-γ secretion assays.
Main Results:
- A novel KRASG12V-specific TCR recognizing Class II MHC was identified.
- TCR-engineered CD4+ T cells, not CD8+ T cells, demonstrated significant anti-tumor efficacy in vitro and in vivo.
- The TCR specifically targets KRASG12V presented by HLA-DPB1*03:01 and DPB1*14:01, offering broad applicability in the Chinese population.
Conclusions:
- TCR-engineered CD4+ T cells targeting KRASG12V are a viable therapeutic strategy for solid tumors.
- The identified TCR, restricted by HLA-DPB1*03:01 and DPB1*14:01, overcomes HLA barriers for Chinese patients.
- This TCR holds significant promise for precision immunotherapy in solid tumors.
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