Enhanced anti-tumor activity mediated by combination chimeric antigen receptor T cells targeting GD2 and GPC2 in

Huantong Wu1, Guangji Zhang1, Zhongfeng Liu1

  • 1Cell Therapy Center, Beijing Institute of Geriatrics, Xuanwu Hospital Capital Medical University, National Clinical Research Center for Geriatric Diseases, and Key Laboratory of Neurodegenerative Diseases, Ministry of Education, Beijing, China; Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing, China.

Cytotherapy
|June 21, 2024
PubMed
Abstract

Insights

Combining GD2- and GPC2-specific CAR-T cells, activated by a selective monoclonal antibody, enhances anti-tumor activity and persistence for high-risk neuroblastoma immunotherapy.

Area of Science:

  • Immunotherapy
  • Oncology
  • Pediatric Malignancy

Background:

  • CAR-T cell therapy faces challenges in solid tumors like high-risk neuroblastoma (HRNB) due to antigen heterogeneity, poor T cell persistence, and exhaustion.
  • Current single-antigen CAR-T approaches are insufficient for effective HRNB treatment.

Purpose of the Study:

  • To develop a novel combinational CAR-T cell strategy targeting multiple tumor-associated antigens (TAAs) for improved efficacy in HRNB.
  • To enhance CAR-T cell biological activity, persistence, and anti-tumor cytotoxicity.

Main Methods:

  • Engineered GD2-specific and GPC2-specific chimeric antigen receptors (CARs) with a selective domain (sCAR).
  • Stimulated sCAR-T cells using a selective monoclonal antibody (SmAb) to assess proliferation and cytotoxicity in vitro and in vivo.
  • Evaluated anti-tumor effects and cellular mechanisms of single and combination sCAR-T cell therapies.

Main Results:

  • SmAb-mediated stimulation enhanced sCAR-T cell proliferation and central memory T cell generation.
  • Combination therapy demonstrated extended long-term anti-tumor activity and overcame heterogeneous TAA expression in HRNB models.
  • In vivo studies showed induced apoptosis via caspase-3/PARP and inhibition of tumor-promoting cytokines.

Conclusions:

  • Combined targeting of multiple TAAs with sCAR-T cells is a promising strategy for solid tumor immunotherapy, particularly for HRNB.
  • This approach enhances CAR-T cell persistence and overcomes antigen heterogeneity, offering a potential new therapeutic avenue.

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