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Updated: Jul 10, 2025

Generation of CAR T Cells for Adoptive Therapy in the Context of Glioblastoma Standard of Care
Published on: February 16, 2015
GRP78-CAR T cell effector function against solid and brain tumors is controlled by GRP78 expression on T cells
Jorge Ibanez1, Nikhil Hebbar1, Unmesha Thanekar1
1Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA.
Abstract:
Lack of targetable antigens is a key limitation for developing successful T cell-based immunotherapies. Members of the unfolded protein response (UPR) represent ideal immunotherapy targets because the UPR regulates the ability of cancer cells to resist cell death, sustain proliferation, and metastasize. Glucose-regulated protein 78 (GRP78) is a key UPR regulator that is overexpressed and translocated to the cell surface of a wide variety of cancers in response to elevated endoplasmic reticulum (ER) stress. We show that GRP78 is highly expressed on the cell surface of multiple solid and brain tumors, making cell surface GRP78 a promising chimeric antigen receptor (CAR) T cell target. We demonstrate that GRP78-CAR T cells can recognize and kill GRP78+ brain and solid tumors in vitro and in vivo. Additionally, our findings demonstrate that GRP78 is upregulated on CAR T cells upon T cell activation; however, this expression is tumor-cell-line specific and results in heterogeneous GRP78-CAR T cell therapeutic response.
Insights
Chimeric antigen receptor (CAR) T-cell therapy shows promise for targeting cancer. Researchers identified cell surface Glucose-regulated protein 78 (GRP78) as a viable target for CAR T-cells against various tumors.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- T-cell based immunotherapies face limitations due to a lack of targetable antigens.
- The unfolded protein response (UPR) pathway is crucial for cancer cell survival, proliferation, and metastasis.
- Glucose-regulated protein 78 (GRP78), a key UPR regulator, is overexpressed and present on the cell surface of many cancers.
Purpose of the Study:
- To evaluate cell surface GRP78 as a target for chimeric antigen receptor (CAR) T-cell immunotherapy.
- To assess the efficacy of GRP78-specific CAR T-cells against solid and brain tumors.
Main Methods:
- Characterization of GRP78 expression on various solid and brain tumor cell lines.
- Development and testing of GRP78-specific CAR T-cells in vitro and in vivo models.
- Analysis of GRP78 expression dynamics on CAR T-cells post-activation.
Main Results:
- Cell surface GRP78 is highly expressed across multiple solid and brain tumors.
- GRP78-CAR T-cells effectively recognized and eliminated GRP78-positive tumors in vitro and in vivo.
- GRP78 upregulation on CAR T-cells post-activation was observed, but this was tumor-cell-line specific.
Conclusions:
- Cell surface GRP78 is a promising target for developing novel CAR T-cell therapies for various cancers.
- GRP78-CAR T-cells demonstrate therapeutic potential against GRP78-expressing tumors.
- Tumor-specific heterogeneity in GRP78 expression may influence CAR T-cell therapeutic response.
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