NLGN4X TCR transgenic T cells to treat gliomas

Christoper Krämer1,2, Michael Kilian1,2, Yu-Chan Chih1,3

  • 1German Cancer Consortium (DKTK) Clinical Cooperation Unit (CCU) Neuroimmunology and Brain Tumor Immunology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Neuro-Oncology
|September 16, 2023
PubMed
Abstract

Insights

Researchers identified a T cell receptor targeting the NLGN4X tumor antigen in glioblastoma patients. This NLGN4X-specific T cell receptor therapy showed significant efficacy in preclinical models, offering a new avenue for glioblastoma treatment.

Area of Science:

  • Oncology
  • Immunology
  • Cell Therapy

Background:

  • Neuroligin 4 X-linked (NLGN4X) is a tumor-associated antigen overexpressed in human gliomas.
  • NLGN4X elicits specific cytotoxic T cell responses following multi-peptide vaccination in glioblastoma patients.

Purpose of the Study:

  • To discover and characterize T cell receptors (TCRs) targeting the NLGN4X antigen.
  • To evaluate the therapeutic potential of NLGN4X-specific TCR-engineered T cells in glioblastoma models.

Main Methods:

  • Single-cell TCR sequencing was used to identify vaccine-induced TCRs against NLGN4X.
  • TCRs were engineered into Jurkat and primary human T cells (NLGN4X-TCR-T).
  • Functional assays and in vivo efficacy studies in a preclinical glioma model were performed.

Main Results:

  • An HLA-A*02-restricted TCR specific for NLGN4X131-139 was identified and functionally validated.
  • NLGN4X-TCR-T cells demonstrated reactivity, cytotoxicity, and polyfunctionality.
  • Intracerebroventricular administration of NLGN4X-TCR-T in mice significantly prolonged survival and achieved a 44.4% objective response rate.

Conclusions:

  • NLGN4X-TCR-T cells exhibit therapeutic efficacy in a preclinical glioblastoma model.
  • This study provides the first evidence for retrieving vaccine-induced human TCRs for off-the-shelf glioblastoma treatment.

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