Cell surface GRP78-directed CAR-T cells are effective at treating human pancreatic cancer in preclinical models

Yuncang Yuan1, Jiawei Fan1, Dandan Liang1

  • 1Laboratory of Animal Tumor Models, Frontiers Science Center for Disease-Related Molecular Network, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.

Translational Oncology
|October 28, 2023
PubMed

Insights

Chimeric antigen receptor T (CAR-T) cell therapy targeting cell surface GRP78 (csGRP78) shows promise for pancreatic cancer. GRP78-CAR-T cells effectively suppressed tumor growth in vitro and in vivo, alone or with chemotherapy.

Area of Science:

  • Oncology
  • Immunotherapy
  • Cancer Biology

Background:

  • Pancreatic cancer is a lethal malignancy with limited therapeutic options.
  • Chimeric antigen receptor T (CAR-T) cell therapy is effective in hematological cancers but faces challenges in solid tumors, including target scarcity.
  • Cell surface GRP78 (csGRP78) is a promising tumor-selective target, highly expressed on pancreatic cancer cells but not normal cells.

Purpose of the Study:

  • To evaluate the efficacy of csGRP78-directed CAR-T (GRP78-CAR-T) cells for pancreatic cancer treatment.
  • To investigate the potential of GRP78-CAR-T cells as a monotherapy or in combination with chemotherapy.

Main Methods:

  • In vitro cytotoxicity assays using luciferase-labeled pancreatic cancer cell lines and stem-like cells.
  • In vivo mouse xenograft models to assess tumor homing, infiltration, and growth inhibition.
  • Evaluation of combination therapy with gemcitabine and GRP78-CAR-T cells, including assessment of csGRP78 expression in resistant cells.

Main Results:

  • GRP78-CAR-T cells demonstrated potent killing of pancreatic cancer cell lines and stem-like cells in vitro.
  • GRP78-CAR-T cells effectively homed to pancreatic tumors and significantly inhibited tumor growth in vivo.
  • Combination therapy with gemcitabine enhanced the cytotoxic effect on gemcitabine-resistant cells by increasing csGRP78 expression.

Conclusions:

  • csGRP78 is a viable target for CAR-T cell therapy in pancreatic cancer.
  • GRP78-CAR-T cells exhibit selective and efficient targeting of pancreatic tumors.
  • Combining GRP78-CAR-T cells with chemotherapy offers a promising strategy to overcome treatment resistance and suppress pancreatic tumor growth.

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