A multi-kinase inhibitor screen identifies inhibitors preserving stem-cell-like chimeric antigen receptor T cells

Feifei Song1, Ourania Tsahouridis1, Simone Stucchi1

  • 1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Nature Immunology
|January 8, 2025
PubMed

Insights

Researchers identified kinase inhibitors that preserve stem cell-like features in CAR T cells, enhancing their ability to fight cancer. This approach improves CAR T cell therapy efficacy by maintaining key characteristics for sustained antitumor effects.

Area of Science:

  • Immunology
  • Cell Biology
  • Pharmacology

Background:

  • Chimeric antigen receptor T (CAR T) cells are a promising cancer therapy.
  • Maintaining T stem cell memory (TSCM) characteristics in CAR T cells is crucial for sustained antitumor effects.
  • Identifying methods to preserve TSCM-like phenotypes in CAR T cells is a key challenge.

Purpose of the Study:

  • To identify kinase inhibitors (KIs) that preserve human TSCM-like CAR T cells.
  • To evaluate the impact of identified KIs on CAR T cell function and antitumor activity.
  • To elucidate the specific kinases targeted by the KIs and their role in TSCM preservation.

Main Methods:

  • High-throughput screening of a kinase-focused compound library.
  • In vitro assessment of TSCM-like CAR T cell frequency using flow cytometry (CD45RA+, CCR7+, TCF1hi).
  • In vitro and in vivo evaluation of antitumor efficacy in mouse models.
  • Transcriptomic analysis and kinase knockdown experiments.

Main Results:

  • Three KIs (UNC10225387B, UNC10225263A, UNC10112761A) were identified that increase TSCM-like CAR T cells.
  • KI-treated CAR T cells demonstrated enhanced in vitro and in vivo antitumor activity.
  • The KI cocktail preferentially maintained TSCM phenotype in naive T cell-derived CAR T cells without impairing activation or chromatin organization.
  • Targeted kinases (ITK, ADCK3, MAP3K4, CDK13) were dose-dependently associated with TSCM preservation.

Conclusions:

  • Transient pharmacological inhibition of specific kinases can maintain stem-like features in CAR T cells.
  • This strategy significantly improves CAR T cell antitumor activity.
  • The identified KIs offer a novel approach to enhance the efficacy of CAR T cell therapy.

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