Extracellular domain, hinge, and transmembrane determinants affecting surface CD4 expression of a novel anti-HIV

Giorgio Zenere1,2, Chengxiang Wu1, Cecily C Midkiff1

  • 1Tulane National Primate Research Center, Tulane University School of Medicine, Covington, Louisiana, United States of America.

Plos One
|August 12, 2024
PubMed

Insights

Optimizing chimeric antigen receptor (CAR)-T cells for HIV therapy requires understanding CAR structural elements. This study identified key motifs crucial for enhancing CAR T-cell surface expression and anti-HIV activity.

Area of Science:

  • Immunology
  • Molecular Biology
  • Virology

Background:

  • Chimeric antigen receptor (CAR)-T cell therapy shows promise for HIV treatment.
  • Current CAR designs require optimization for efficacy against chronic HIV infection.

Purpose of the Study:

  • To identify critical structural elements in novel anti-HIV CARs for improved surface expression.
  • To evaluate the impact of extracellular, hinge, and transmembrane (TM) domains on CAR function.

Main Methods:

  • Constructing novel anti-HIV CAR variants with modifications in extracellular, hinge, and TM domains.
  • Assessing CAR surface and intracellular expression using flow cytometry and confocal microscopy.
  • Evaluating the cytotoxic activity of engineered CAR T cells against HIV-infected cells.

Main Results:

  • A novel CAR incorporating truncated CD4 extracellular domain and CD8α hinge/TM initially showed poor surface expression.
  • Shortening the CD8α hinge and adding the LYC motif to the CD8α TM domain fully restored both intracellular and extracellular CAR expression.
  • Mutations in the LYC motif (TTA or TTC) severely abrogated CAR expression.
  • Removing the FQKAS motif enhanced CD4-CAR surface expression and led to cytotoxic killing of HIV Env+ target cells.

Conclusions:

  • Specific motifs within the hinge and TM domains, particularly the LYC motif, are crucial for optimal CAR surface expression.
  • Structural modifications can significantly enhance the efficacy of CAR T cells for HIV therapy.
  • Further structural analysis is needed to establish design guidelines for effective CAR development.

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