A novel engineered IL-21 receptor arms T-cell receptor-engineered T cells (TCR-T cells) against hepatocellular

Wei Zhu1, Zhiming Zhang1, Jinzhang Chen1

  • 1State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Insights

Interleukin-21 (IL-21) enhances T cell receptor-engineered T cell (TCR-T) therapy against liver cancer. A novel engineered IL-21 receptor improves TCR-T function and reduces exhaustion for better solid tumor treatment.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • T cell therapy efficacy in solid tumors like hepatocellular carcinoma (HCC) needs improvement.
  • Cytokines like IL-21 are crucial for T cell development and function.
  • Optimizing IL-21 signaling is key for enhancing T cell therapies.

Purpose of the Study:

  • To evaluate the combined effects of IL-21 on T cell therapy for HCC.
  • To investigate strategies for optimizing IL-21 signal utilization in T cell therapy.
  • To develop a novel engineered IL-21 receptor for enhanced T cell function.

Main Methods:

  • Exogenous IL-21 was used to augment AFP-specific T cell receptor-engineered T cells (TCR-T) in vitro and in vivo.
  • A novel engineered IL-21 receptor was created and incorporated into TCR-T (IL-21R-TCR-T).
  • Phenotypic and functional analyses of IL-21R-TCR-T were performed, including proliferation, differentiation, exhaustion markers, and antitumor activity.

Main Results:

  • Exogenous IL-21 enhanced TCR-T proliferation, memory differentiation, and antitumor activity, while reducing PD-1 expression and apoptosis.
  • IL-21R-TCR-T exhibited constitutive STAT3 phosphorylation without exogenous IL-21.
  • IL-21R-TCR-T demonstrated superior proliferation, enhanced antitumor function, and a less exhausted phenotype compared to conventional TCR-T upon repeated antigen stimulation.

Conclusions:

  • A novel engineered IL-21 receptor can program potent TCR-T cells for HCC treatment.
  • This approach enhances T cell function and avoids systemic IL-21 side effects.
  • The engineered IL-21 receptor offers a promising strategy for next-generation T cell therapies against solid tumors.

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