Functional enhancement of mesothelin-targeted TRuC-T cells by a PD1-CD28 chimeric switch receptor

Derrick McCarthy1, Michael Lofgren2, Amy Watt2

  • 1TCR2 Therapeutics, Inc., 100 Binney Street, Suite 710, Cambridge, MA, 02142, USA.

Insights

Engineered T cells targeting mesothelin (MSLN) show improved anti-tumor activity. Co-expressing a chimeric switch receptor (CSR) enhances T cell function and persistence, leading to better outcomes in preclinical cancer models.

Area of Science:

  • Immunotherapy
  • Oncology
  • Cellular Therapy

Background:

  • T cell receptor fusion constructs (TRuC®) targeting mesothelin (MSLN) demonstrate preclinical antitumor activity.
  • Existing TRuC T cells (TC-210) are limited by programmed cell death protein 1 (PD-1)/programmed cell death protein ligand 1 (PD-L1) mediated suppression and lack of costimulation.
  • Chimeric switch receptors (CSRs) can overcome these limitations by co-opting PD-1/PD-L1 signaling and providing CD28-mediated costimulation.

Purpose of the Study:

  • To enhance the function and persistence of anti-MSLN TRuC T cells.
  • To evaluate the efficacy of a PD1-CD28 CSR engineered TRuC T cell therapy (TC-510) in preclinical models.

Main Methods:

  • Designed and engineered anti-MSLN TRuC T cells (TC-510) to coexpress a PD1-CD28 CSR.
  • Assessed T cell receptor signaling, cytokine production, effector function, persistence, and resistance to exhaustion in vitro.
  • Evaluated in vivo antitumor efficacy and durable protection following tumor rechallenge.

Main Results:

  • TC-510 demonstrated enhanced T cell receptor signaling, increased proinflammatory cytokines, and sustained effector function compared to TC-210, even in the presence of PD-L1.
  • In vitro, TC-510 exhibited improved persistence and resistance to exhaustion upon chronic stimulation by MSLN- and PD-L1-expressing tumor cells.
  • In vivo, TC-510 provided superior durable protection against tumor rechallenge compared to TC-210.

Conclusions:

  • Integration of a PD1-CD28 CSR into TRuC T cells significantly improves effector function, resistance to exhaustion, and prolongs persistence.
  • TC-510 represents a promising advancement in cellular therapy for MSLN-expressing solid tumors.
  • TC-510 is currently under clinical evaluation in patients with MSLN-expressing solid tumors.