A systematic safety pipeline for selection of T-cell receptors to enter clinical use

Zsofia Foldvari1,2, Cathrine Knetter1,2, Weiwen Yang1,2

  • 1Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway.

NPJ Vaccines
|August 22, 2023
PubMed

Insights

Assessing T cell receptor-engineered T cell (TCR-T) off-target reactivity is crucial for cancer immunotherapy safety. A new strategy evaluates peptide recognition, HLA allele cross-reactivity, and in vivo models to ensure therapeutic efficacy and patient safety.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • T cell receptor-engineered T cells (TCR-Ts) show promise for cancer immunotherapy.
  • Pre-clinical safety assessment technologies for TCR-Ts are limited.
  • Off-target reactivity poses a significant safety concern for TCR-T therapies.

Purpose of the Study:

  • To develop and validate a comprehensive strategy for assessing TCR-T off-target reactivity.
  • To identify unintended peptide recognition and HLA allele cross-reactivity.
  • To evaluate the clinical relevance of identified off-target reactivities.

Main Methods:

  • Mapping TCR-T target amino acids for recognition.
  • Computational screening and in vitro reactivity testing of cross-reactive peptides.
  • Evaluation of natural peptide processing and presentation using mRNA and full-length proteins.
  • Screening for unintended HLA allele recognition and in vivo validation in a mouse model.

Main Results:

  • A novel five-step strategy for assessing TCR-T off-target reactivity was established.
  • The study identified previously unknown reactivity of the 1G4 TCR to unintended HLA alleles.
  • Validation confirmed the importance of studying full-length protein recognition for accurate safety assessment.

Conclusions:

  • The developed strategy facilitates robust pre-clinical evaluation of therapeutic TCRs.
  • Understanding TCR-T off-target reactivity is essential for patient selection and clinical decision-making.
  • This approach enhances the safety profile of TCR-T cancer immunotherapies.