Ectopic expression of NKG7 enhances CAR-T function and improves the therapeutic efficacy in liquid and solid tumors

Yuxin Chen1, Meng Wang1, Shuxin Huang2

  • 1Cancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu 221004, China; Center of Clinical Oncology, the Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Xuzhou, Jiangsu 221002, China; Jiangsu Center for the Collaboration and Innovation of Cancer Biotherapy, Cancer Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu 221004, China.

Pharmacological Research
|November 17, 2024
PubMed

Insights

Natural killer cell granule protein 7 (NKG7) enhances chimeric antigen receptor (CAR)-T cell therapy. Overexpressing NKG7 boosts CAR-T cell effectiveness against digestive cancers by improving cytotoxicity and cytokine production.

Area of Science:

  • Immunology
  • Oncology
  • Genetics

Background:

  • Understanding in vivo chimeric antigen receptor (CAR)-T cell characteristics is limited by the lack of post-treatment biopsies, especially in solid tumors.
  • This knowledge gap hinders the development of strategies to improve CAR-T cell efficacy.
  • Tumor-infiltrating T cells (TILs) play a crucial role in the tumor microenvironment and CAR-T cell function.

Purpose of the Study:

  • To explore the characteristics of TILs in digestive cancers using single-cell RNA sequencing (scRNA-seq).
  • To identify potential targets for enhancing CAR-T cell function.
  • To investigate the role of natural killer cell granule protein 7 (NKG7) in CAR-T cell efficacy.

Main Methods:

  • Analysis of nineteen individual scRNA-seq datasets from clinical samples of digestive cancers.
  • Investigation of NKG7 expression in TILs and its association with anti-PD1 or anti-CTLA4 therapy.
  • Ectopic expression of NKG7 in CAR-T cells targeting B7H3 or CD19.
  • Assessment of CAR-T cell cytotoxicity, cytokine production (TNF-α, IL-2), surface CAR expression, and proliferation in vitro and in models.

Main Results:

  • NKG7 was found to be overexpressed in TILs and positively associated with anti-PD1/anti-CTLA4 therapy response in digestive cancers.
  • Ectopic NKG7 expression significantly enhanced the cytotoxicity of B7H3-targeting CAR-T cells against B7H3-positive digestive cancer cells.
  • NKG7 overexpression promoted TNF-α and IL-2 expression in CAR-T cells and improved therapeutic efficacy in a CD19-targeting CAR-T model.
  • Mechanistically, NKG7 preserved surface CAR expression and promoted CAR-T cell proliferation upon tumor antigen exposure.

Conclusions:

  • Single-cell sequencing of clinical tumor samples is a feasible approach to identify strategies for improving CAR-T cell function.
  • Ectopic expression of NKG7 is an effective strategy to enhance the therapeutic efficacy of CAR-T cells against various tumors.
  • NKG7 represents a promising target for optimizing CAR-T cell-based cancer immunotherapies.

Related Concept Videos